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Wed Oct 12 13:14:46 BST 2005

I have been aware of what has been available on the net.   I recently had the need to review what is in texts and on the net.   I am aware of differing perceptions of local and federal governments perceived roles during disasters.    I am very aware of the many medical and health needs and responses during any disaster.    One big problem is the disconnect between what is written,  what is perceived, and what really happens and what works and what does not.     We have four huge disasters this last 8 months to analyze and more than 30 in the last 4 years to analyze.   I am amazed at the disconnects, the misinformation, and the wastes of personnel, money, supplies, and energies because of turf, politics, and lack of communication.   

We all can do much better. 

K

-----Original Message-----
From: "Eric Dobkin" <Edobkin at harthosp.org>
Date: Wed, 12 Oct 2005 07:45:34 
To:<KMATTOX at aol.com>, <dchalfin at applied-decision.com>,       <arthurmorgan2 at gmail.com>
Cc:trauma-list at trauma.org, ccm-l at ccm-l.org
Subject: Re: [ccm-l] Management People, Principles, Policies, Issues
	(Formerly Disaster)

Bravo,  Don

Eric Dobkin MD, FACS
Director, SICU
Hartford Hospital
Hartford, CT

>>> "Donald B. Chalfin, MD, MS, FCCM" <dchalfin at applied-decision.com> 10/11/2005 10:29:52 PM >>>
At 12:36 PM -0400 10/11/05, KMATTOX at aol.com wrote:
>In a message dated 10/11/2005 10:57:51 AM 
>Central Standard Time, arthurmorgan2 at gmail.com 
>writes:
>
>Ken,
>All this is on the Net. Study what is available instead of re-inventing
>the wheel.
>Disaster management has been around for many years, as has been pointed
>out before.
>
>--
>Arthur Morgan
>Anaesthesiologist, Johannesburg, South Africa
>+27-82-457-5948
>
>I have read what is on the net and what is in 
>the texts, and the material in the manuals.   I 
>can tell you that much of what is there is top 
>down management and a lot of outside people 
>telling the local people just how to run their 
>business and it often has no similiarity to 
>reality.    Local Integrated Collaborative 
>Networks is NOT on the net and in the textbooks 
>and that is what I am trying to communicate.
>
k

One of the shortcomings of medicine at times is 
its inability to look beyond the medical and 
"scientific" realms and disciplines.   Critical 
care, trauma, emergency medicine, and related 
fields are unique in the sense that these fields 
are not limited to a single organ system or set 
of diseases and also are defined by a large 
administrative and organizational component.

In this vein, and in this thread devoted in part 
to management, organization, and systems issues, 
perhaps we should consider going to the 
textbooks, tomes, writings, and teachings outside 
of medicine, and look at what the industrial 
engineers, the management gurus in business 
schools and industry, and the organizational 
theorists are saying and writing.  From a 
personal standpoint, going back to graduate 
school for my master's degree (health management, 
thesis in decision theory) during my fellowship 
illustrated this to me.   All one has to do is 
look at issues related to Errors and Safety in 
medicine and how much has been learned by careful 
and close study of the avaition industry.

DON
--
Donald B. Chalfin, MD, MS, FCCP, FCCM

Associate Professor of Medicine
Associate Professor of Epidemiology and Population Medicine
Albert Einstein College of Medicine, Bronx, New York

Director, Critical Care Outcomes Research
Director, Critical Care Consults
Montefiore Medical Center
Bronx, New York

Chief Scientific Officer
Analytica International
450 Park Avenue South
New York, NY, USA  10016

tel:    +1-212-686-4100  ext 8201
mobile:    +1-516-448-0047  (preferred)

emails:    dchalfin at analyticaintl.com 
                dchalfin at applied-decision.com 

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Untere Herrenstraße 25
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Germany
tel:    +49-7621-9339-0
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[ccm-l] Management People, Principles, Policies, Issues(Formerly Disaster)