We trained hard—but it seemed that every time we were beginning to form up into teams we were reorganized. I was to learn later in life that we tend to meet any new situation by reorganizing, and what a wonderful method it can be for creating the illusion of progress while actually producing confusion, inefficiency, and demoralization.
Petronius Arbiter
AND
She has one more smokescreen to hide CorruptCare behind
Mrs. Moretta is the Alfred E Neuman of the local political scene - "Who Me?"
Once we get over the fact that she has no interest in Albertans except for her immediate employers in the Enterprise Group and secondly that she has no experience or interest in institutional governance and administration and lastly that we recognize she is interested only in herself we'll be much further ahead.
It's impossible to reason with someone who doesn't acknowledge any accountability. So why do we try? Promises made, promises not kept as far as AHS is concerned.
Recently I had a discussion with a former senior person from AHS who said by consolidating and centralizing they had saved 8-9 Billion in procurement charges. Now that's about to be lost as you well noted to the local hands on competition.
My wife worked in public health for 40 years. In her career in our little town she worked for no less than, I stand to be corrected here, six different health authorities. Each with different procedures, each speaking a different language, each thinking they were leading, each accountable in a different fashion. Each had a different governance model, you know how those go - flavour of the year.
Now of course Mrs Moretta, who has had a successful business career as a restauranter to call on, is separating the whole even more. The smaller the piece the less each will be able to negotiate with the GOA. So mission accomplished for her.
Let's just ask ourselves how well DynaLife and the medication procurement worked under her watch.
Hey last note, while she's at it setting up dozens of local small scale boards and management (dare I say red tape) why isn't the GOA trying to pick up on the US medical brain drain? A side agreement with her orange friend?
Throughout my career, I’ve seen this decentralized strategy many times. It regularly follows failed and equally passionate commitment to a highly centralized strategy. It’s like a pendulum. Neither works in their pure form for predicable reasons. Highly centralized organizations have the benefit of best practices, high volume purchasing power, integrated IT systems, reduced duplication of systems and manpower, and aligning local/central business plans. But, unfortunately, it comes with cumbersome and locally disconnected decision making. On this one item, Smith is correct. But that’s all. Decentralized organizations do indeed have more effective decision-making at the local level. And that’s also where the inefficiencies and cost problems begin. Local management tends to opt out of systemwide projects, consolidated IT systems, centralized procurement strategies, etc. because “we’re different”. The results are predictable. Somewhere in the middle there is a hybrid strategy of centralized systems and localized decision-making that aligns with a central business plans. But this takes effort. That’s not something this government is willing to commit to.
We trained hard—but it seemed that every time we were beginning to form up into teams we were reorganized. I was to learn later in life that we tend to meet any new situation by reorganizing, and what a wonderful method it can be for creating the illusion of progress while actually producing confusion, inefficiency, and demoralization.
Petronius Arbiter
AND
She has one more smokescreen to hide CorruptCare behind
Exactly this!
Mrs. Moretta is the Alfred E Neuman of the local political scene - "Who Me?"
Once we get over the fact that she has no interest in Albertans except for her immediate employers in the Enterprise Group and secondly that she has no experience or interest in institutional governance and administration and lastly that we recognize she is interested only in herself we'll be much further ahead.
It's impossible to reason with someone who doesn't acknowledge any accountability. So why do we try? Promises made, promises not kept as far as AHS is concerned.
Recently I had a discussion with a former senior person from AHS who said by consolidating and centralizing they had saved 8-9 Billion in procurement charges. Now that's about to be lost as you well noted to the local hands on competition.
My wife worked in public health for 40 years. In her career in our little town she worked for no less than, I stand to be corrected here, six different health authorities. Each with different procedures, each speaking a different language, each thinking they were leading, each accountable in a different fashion. Each had a different governance model, you know how those go - flavour of the year.
Now of course Mrs Moretta, who has had a successful business career as a restauranter to call on, is separating the whole even more. The smaller the piece the less each will be able to negotiate with the GOA. So mission accomplished for her.
Let's just ask ourselves how well DynaLife and the medication procurement worked under her watch.
Hey last note, while she's at it setting up dozens of local small scale boards and management (dare I say red tape) why isn't the GOA trying to pick up on the US medical brain drain? A side agreement with her orange friend?
Everything old is new again!
Throughout my career, I’ve seen this decentralized strategy many times. It regularly follows failed and equally passionate commitment to a highly centralized strategy. It’s like a pendulum. Neither works in their pure form for predicable reasons. Highly centralized organizations have the benefit of best practices, high volume purchasing power, integrated IT systems, reduced duplication of systems and manpower, and aligning local/central business plans. But, unfortunately, it comes with cumbersome and locally disconnected decision making. On this one item, Smith is correct. But that’s all. Decentralized organizations do indeed have more effective decision-making at the local level. And that’s also where the inefficiencies and cost problems begin. Local management tends to opt out of systemwide projects, consolidated IT systems, centralized procurement strategies, etc. because “we’re different”. The results are predictable. Somewhere in the middle there is a hybrid strategy of centralized systems and localized decision-making that aligns with a central business plans. But this takes effort. That’s not something this government is willing to commit to.
The “concept of a plan” that everyone else has to try and figure out…
What have we learned with the UCP? What isn't broke, they will certainly break it.
Squirrel!!🐿️