The Science Journal of the American Association for Respiratory Care

1996 OPEN FORUM Abstracts

What's Next: Take Home Messages

David M. Burns, MD Sunday, November 3, 1996

A crisis allows changes that would be impossible in stable times; and change brings risk, but also opportunity. Cost reductions require better use of the skills and knowledge of all health care providers, and the role of the RCP can expand to all current areas of ability and new areas can be created. Empowerment to act on knowledge and experience is easiest when everyone is overextended, and control over utilization is given to those who use it most wisely. However there are a number of rules to ignore at your peril: * No level of cost reductions is enough * If you cannot prove that what you are doing is essential for care delivery, you will not be able to continue doing it * If you cannot do what you do better and cheaper than anyone else, someone else will be doing it * If you cannot prove flexibility, efficiency and effectiveness, someone else will run your department * If you will not make the tough decisions, someone else will.

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