Where the Rubber Meets the Road: Where the Rubber Meets the Road: Ethical Dilemmas for Middle Ethical Dilemmas for Middle Managers in Academic Medical Centers Managers in Academic Medical Centers John D. Lantos M.D. Children’s Mercy Bioethics Center Kansas City, MO Treuman Katz Center for Pediatric Seventh Annual Pediatric Bioethics Conference July 22-23, 2011
16
Embed
John D. Lantos M.D. Children’s Mercy Bioethics Center Kansas City, MO
Where the Rubber Meets the Road : Ethical Dilemmas for Middle Managers in Academic Medical Centers. John D. Lantos M.D. Children’s Mercy Bioethics Center Kansas City, MO. Seventh Annual Pediatric Bioethics Conference July 22-23, 2011. Treuman Katz Center for Pediatric Bioethics. - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Where the Rubber Meets the Road:Where the Rubber Meets the Road:
Ethical Dilemmas for Middle Managers in Ethical Dilemmas for Middle Managers in Academic Medical Centers Academic Medical Centers
John D. Lantos M.D.Children’s Mercy Bioethics Center
“Cost and revenue estimates are central to any business plan but costs are often underestimated and revenues overestimated resulting in later cost overruns, revenue shortfalls, and possibly non-viability.”
We Imagined Only Good ThingsWe Imagined Only Good Things
• Increase in the number of babies born • Stable malpractice insurance rates• Steadily rising stock market• No terrorist attacks on Wall Street• Steady state and federal taxes
“There has been a recent and unprecedented decrease in reimbursement for medical services. Other hospitals are cutting salaries, laying off faculty. I know everyone is working hard. Our billings are increased. Unfortunately, our cash for professional services continues to decrease. The total Departmental deficit for this fiscal year is projected to be $4.5 million.”
• “It is not because we have special knowledge that doctors can be trusted – instead, we are trusted only if this knowledge and technology is firmly attached to values that are explicit, understood, and (when push comes to shove) altruistic.”– Innui T. A Flag in the Wind. AAMC 2001