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News, commentary, criticism and praise for the College on the Hill, enlivened with history, culture and travel when we feel so moved.
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Some Serious DHMC Cost Cutting
There are two ways to manage an enterprise: a) sloppy, loose hiring and social welfare personnel policies that leave an organization with a low-performance, unhappy staff, or b) tight, rigorous direction where each day you ask whether your people are the best that they can be. The latter requires the occasional dismissal, but for the most part good people appreciate working for an efficient organization, and they stay. The former situation is only temporary: nobody works very hard, customer service is mediocre, and over time costs go through the roof.
Below is an example of what has to happen to an organization after decades of loosey-goosey, low-quality administration. As Phil might put it, poor leadership leads to an unsustainable situation. The Valley News reports:
DHMC does not enjoy the benefits of Dartmouth’s huge, inefficiency-supporting endowment (last year’s payout was $212 million — about 22% of the budget). After a couple of decades of weak management — instead of running a lean, efficient operation — the one option left to the hospital is massive layoffs. Only time separates the College from experiencing the same fate.
Addendum: When DHMC sloughs off the deadwood — people it should never have hired in the first place — it will serve its patients better, make decisions more quickly, and have resources to improve. Who knows, it might even be an example for the College?
Addendum: The Times describes — with arched eyebrows — how DHMC has ceased to be an Obamacare accountable care organization (ACO) — a widely adopted model for healthcare delivery devised by the Dartmouth Institute for Health Policy and Clinical Practice.
August 14, 2013
Breaking: Of Crips and Bloods and Memories of Ghetto Parties
History repeats itself, first as tragedy and then as farce, or sometimes it just repeats itself. From the New York Times on November 30, 1998: At Dartmouth College, white students at a ”ghetto party” dressed…
June 25, 2013
Dean of the College Charlotte Johnson’s War on Students Part (2/2)
Part 1, Part 2 Today’s post again recounts the events that befell the Freshman. However, the content of the Hanover Police department report reproduced in this space yesterday is supplemented by information from my own…
October 18, 2009
When Love Beckoned in 52nd Street
We were at San Francisco’s BIX last evening, enjoying prosecco, cheese, and a bit of music. A full year of inhabitation in Northern California has unraveled to me no decent venue for proper lounging, but…
October 9, 2009
D Afraid of a Little Competish
So our colleague and Dartblog writer Joe Asch informed me that the D has rejected our cunning advertising campaign. Uh-oh. The Dartmouth is widely known as a breeding ground for instant New York Times successes,…
September 4, 2009
How Regents Should Reign
As Dartmouth alumni proceed through the legal hoops necessary to defuse a Board-packing plan—which put in unhappy desuetude an historic 1891 Agreement between alumni and the College guaranteeing a half-democratically-elected Board of Trustees—it strikes one…
August 29, 2009
Election Reform Study Committee
If you are an alum of the College on the Hill, you may have received a number of e-mails of late beseeching your input for a new arm of the College’s Alumni Control Apparatus called…
- The Dartmouth College Case
- 2007 Trustee Election
- Dartmouth Constitution
- Sunday Morning Sinatra
- The Indian Wars
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