Healthcare as enterprise: Most “mandatory requirements” in corporations are imaginary

This is a fascinating account of the shared risk profiles in a corporate setup. Yes, unarguably, the rules are usually arbitrary. They are made up on the fly and subsequently may become the part of the “corporate culture”.

People higher up the management chain have a lot on their plate. They probably could not spend the time to learn about benefits from low level work flow changes even if they wanted to and the actual change will be invisible to them. On the other hand managers are fairly well trained to detect and minimize risk. This is where things fall down because the risk profile for this policy change is the exact opposite.

Nibble Stew: Most “mandatory requirements” in corporations are imaginary

You can start this by the “adoption” of electronic medical records. In one of my previous places of employment, it was a horrible patchwork of the different systems without having a seamless system. Basically, you wheeled in a “COW” (computer-on-wheels) that was connected to the intranet. People routinely left the systems in the operational state without logging in and the pressures of typing everything in the EMR was the most disliked aspect of the job. The residents had to rifle through the complaints and there was no way to access everything on a common platform. Therefore, they resorted to using WhatsApp to “coordinate”.

The managers knew but couldn’t enforce the dictum because their built in product was proprietary and would have worsened the patient care. This is just one example of how end users routinely find their way out and why managers can’t seem to understand that their systems require a constant tinkering to achieve optimal results.

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