I love reading business books. I am convinced that there are great answers out there and that the healthcare system is ignoring them. My recent experience has been the classic book by Tom Peters entitled In Search of Excellence.  Here is an incredible concept that I want to share with you.  Peters was convinced that bad companies exhibit Parkinson’s law of management where “extra levels of management mainly create distracting work for others to justify their own existence.  Everyone appears busy but in reality it is simple management featherbedding.”

Has anyone seen this going on in their hospital?  My tongue is firmly implanted in my cheek.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

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2 Responses

  1. Scribe says:

    Most of the hospital featherbedding I see is a direct response to a) threat of lawsuits and now b) government interference with multiple volumes of regulations that no one completely understands.

  2. J C Perry says:

    Unfortunately not only is Parkinson’s Law in effect,but the Peter Princple is in full swing in the hospital bureaucracy. Administrators now outnumber the physicians at the medical staff meetings.

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