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Does Size Matter?: The Plight of the Small Cancer Center. Cancer Center Administrator’s Forum Hollings Cancer Center Roy A. Jensen, MD April 4, 2011. Basic Principles. Goals have to be based on reality of your situation. Basic Principles.
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Does Size Matter?:The Plight of the Small Cancer Center Cancer Center Administrator’s Forum Hollings Cancer Center Roy A. Jensen, MD April 4, 2011
Basic Principles • Goals have to be based on reality of your situation
Basic Principles • Goals have to be based on reality of your situation • Who is your boss?
Basic Principles • Goals have to be based on reality of your situation • Who is your boss? • What can be your unique contribution?
Basic Principles • Goals have to be based on reality of your situation • Who is your boss? • What can be your unique contribution? • Resources
Basic Principles • Goals have to be based on reality of your situation • Who is your boss? • What can be your unique contribution? • Resources • Barriers
Basic Principles • Goals have to be based on reality of your situation • Understandthe guidelines • Nothing wrong with delivering outstanding clinical care • What is the motivation for designation?
Basic Principles • Who is your boss? • Dean, Vice Chancellor, President, Hospital CEO? • Are their expectations realistic? • Do they understand what it will take? • 4Rs - Responsibility, Ruling Authority, Resources, Runway • Beware the meddling micromanager
Basic Principles • What can be your unique contribution? • What are your unique assets? • What can you do better than anyone else? (The Hedgehog Concept) • How can you become an essential component in the fight against cancer?
Basic Principles • Resources
Basic Principles • Resources • Money
Basic Principles • Resources • Money
Basic Principles • Resources • People are the most important resource!
Basic Principles • Resources • People are the most important resource • Vision is the second most important resource
Basic Principles • Resources • People are the most important resource • Vision is the second most important resource • Ability to COMMUNICATE the message internally and externally
Basic Principles • Resources • People are the most important resource • Vision is the second most important resource • Ability to communicate the message internally and externally • Money is last!
Basic Principles • Potential Barriers ? Who/what could be on the side of CANCER?
Basic Principles • Potential Barriers • Clinical Chairs • Fiefdoms and the Feudal System
Basic Principles • Potential Barriers • Clinical Chairs • Fiefdoms and the Feudal System • Basic Science Chairs • Defenders of the Ivory Silo
Basic Principles • Potential Barriers • Clinical Chairs • Fiefdoms and the Feudal System • Basic Science Chairs • Defenders of the Ivory Silo • Administration • Bean Counters Run Amuck
Institutional Commitment Institutional Support Gray-Little Atkinson Page