I need advice . . .

Michael M Pannwitz mmpanne at snafu.de
Tue Jun 27 10:50:58 PDT 2000


On Tue, 27 Jun 2000 10:20:52 -0700, Doersam, Laurel wrote:

>I've been asked to facilitate a group in the cardiac surgery section of the
>Operating Room in a large urban hospital.  The issue to be explored is:
>"Given our current caseload, how can we increase efficiency so we all get
>home on time?"  (Generally everyone involved is late getting off).  This may
>seem straight forward, but it's a very complex problem involving everyone
>from cleaning staff to nursing staff to cardiac surgeons to
>anaesthesiologists to equipment attendants.  Add to the stew the traditional
>hierarchy within health care (and the attendant prima-dona-ism), half a
>dozen hidden agendas (or not-so-hidden), and the involvement of several
>layers of self-employed professionals as well as employees from five
>different unions.  It's a mess.
>
>Here's the crunch . . . they only have two hours to devote to addressing
>this problem.  They are able to push their OR time back by an hour, and come
>in an hour early (Yikes! 0645!!), but must be ready to operate by 0900.
>It's a very tight timeline for an Open Space, however the question is very
>specific and action-oriented.  Dare I try to use OST?  I guess the real
>attraction for me in this case is the community-building component inherent
>in opening space - each person's job (not to mention the patient's life) is
>totally dependant on everyone else on the team performing to capacity.  So
>it sure would be a good thing for them to understand each others'
>challenges.  However, once the can of worms is opened, how do I pull it
>together in such a short space of time?
>
>What do you much more seasoned experts think?  I'd sure appreciate some
>advice.
>
>Laurel.





Michael M Pannwitz
Draisweg 1
12209 Berlin, Germany
FON +49 - 30-772 8000     FAX +49 - 30-773 92 464
www.michaelMpannwitz.de

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