T RIP TO M C C ALL C HAPTER 1 Code Blue Health Science Edition Four Code Blue Health Science Edition Four

The Characters  Hap Castleton—administrator –What kind of person is Hap?  An introvert or an extrovert?  A detail person or someone who is concerned with the “big picture?”  Del Cluff—assistant controller –What kind of a person is Del?  An introvert or an extrovert?  A detail person or someone who is concerned with the “big picture?”

Terminology  Throughout the textbook/novel we will be introduced to new terminology. –Terms are defined in the sidebar of the page where they first appear. –Terms are listed again in the glossary of medical and administrative terms on page 289. –Abbreviations used in the text are explained on page 287. –There is an index of topics discussed on page 314.

Board of Trustees  The board of trustees: –hires and fires the administrator –approves the budget –approves applications for doctors to be members of the medical staff –approves physician privileges (the procedures they are allowed to perform within the hospital)

Hospital Administrator  What is a hospital administrator? –The person responsible for the entire operation of the hospital –Sometimes he or she is called the president –Sometimes he or she is called the chief executive officer (CEO) –He or she is the boss

Hospital Administrator  Many people don’t realize that it is not the doctors who run the hospital, it is the hospital administrator.  The hospital administrator is responsible for everything that takes place within the hospital.  The administrator’s authority comes from the board of trustees.

Typical Organization Chart of a Community Hospital Board of Trustees Administrator President of the Medical Staff Medical Departments Support Departments Medical Staff

Assistant Controller  Del Cluff is being considered for the job of controller –The controller is the person who has responsibility for the finances of the hospital. –A controller’s responsibilities include budgeting, accounting, and running the business office.

Other Terms Used in Chapter 1  Code Blue: A distress code word broadcast over the hospital intercom announcing to physicians that there is a cardiac arrest within the hospital and that aid is required.

Communication  It takes two to communicate – the person who sends the message and the person who receives it.  When formulating a message it is important to consider the education and personality of the receiver.  Perhaps communication is an area in which Del is weak.

Communication  It takes two to communicate: the person who sends the message and the person who receives the message. Message is created in mind of sender Message is communicated Message is received and interpreted Receiver provides feedback

It takes more than words to communicate

Communication is Influenced by  Body language  The beliefs, cultures, education, values, and perceptions of the sender and receiver  How people process information and make decisions  The personality profile of the senders and receivers

Discussion Question 1  From what you have read in Chapter 1, complete the following personality profile for Hap Castleton and Del Cluff by checking the appropriate column for the individual whose personality most closely fits the attribute listed.

Discussion Question 1 Attribute Hap Castleton Del Cluff Focuses primarily on detail Focuses primarily on the big picture Motivated by facts Motivated by feelings Focuses on the possible Motivated by dreams

Discussion Question 1 Attribute Hap Castleton DelCluff Analytic Sympathetic Interested in things Interested in people Apt to gather more information before making a decision Apt to make a quick decision based on emotion

Discussion Question 2  Why is it important to understand the value system, personality style and decision- making model of those with whom you work in a healthcare setting?

Discussion Question 3  It is obvious that Del has not established a good rapport with his boss, Hap. To what do you attribute this problem?

Discussion Question 4  What are the differences in the ways Del Cluff and Hap Castleton process information and, therefore, make decisions?

Discussion Question 5  How could Del Cluff be more effective in communicating his concern about the hospital’s financial condition to his boss, Hap Castleton?

Writing Exercise  Assume you are Del Cluff. Using what you know about Hap Castleton, prepare a written memo explaining your concerns about the hospital’s losses.  Explain why you will not oppose Edward Wycoff’s efforts to cut the hospital budget.

E ND OF C HAPTER 1