Administrator, University Hospital

Although your actions were related to major managerial functions, the level of your involvement in the issue was inappropriate. Dr. McMahon should have investigated the incidents, interpreted preliminary actions to business deal with the problem, and apprised you, as Administrator, of the problem and the preliminary actions to deal with the problem. Then you, as Administrator, would be in a spotlight to assess the probable impact on the institution and direct

The above comments are completely applicable to your actions, as Administrator, in relation to the acquisition of new equipment for the medical exam departments and the new computers for the accounting department. These issues are important management concerns, just now subordinate administrators need to deal with the issues before they come to the attending of the Administrator.

Similarly, you, as Administrator, need to distance yourself from the nuts and bolts of nurse scheduling. You cannot be effective as an Administrator if you, as Administrator, are attempting to do everyone else's work, as well as your own.

One recommendation is that you, as Administrator, direct the development of a reorganization of senior cater that delineates specific responsibilities for detection, investigation, assessment, and actions, so that (a) issues are dealt with in a incidentally and effective way and (b) presented to yo
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