General Horoho

For what it is worth, we are seeing healthcare leadership disasters across the board, even in civilian medicine.

My observations on the civilian side have been the following:
--You put a doctor/nurse in charge of a hospital or healthcare organization, yes, they have a keen sense of what it means to admininister quality care but have a poor business sense = DISASTER!
--You put a high speed MBA CEO in charge, they know how to crunch the numbers and make money but have a poor sense of what it means to administer quality care = DISASTER!

Just an example to clarifiy my point. Let us say that the administrators at St. Elsewhere hospital "coerce" their orthopedic surgeons to order all studies through their hospital-owned imaging centers, hence, a large revenue. But what if St. Nowhere across town has a fellowship trained musculoskeletal radiologist on staff? If you were an orthopedic surgeon in this situation, would you subject your patient to a lower quality of care due to the fear of retaliation from your own hospital administrators? Trust me, I've been there, its not a pretty place to be!!

Hopefully, things work out for the Army.

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General Horoho