Have you read a hospital chart carefully?

[patrice]

37. I guess what I'm thinking here is something more formal process-wise, something with actual power,

something more than complaining, between layers of what looks like a seriously stratified environment. Edward Demming-esque regular quality assurence and assessment systems with profession-specific liasons that are responsible for feedback and processing specific self-knowledge performance data within the organizational construct. Just brainstorming here about problems my family has encountered with care, especially elder care, over the years. I know that there are aspects already in the systems that does stuff like what I'm thinking of, reporting systems of various kinds, but I wonder if it isn't at too high a level, not granular enough, and not nearly directly enough amongst ALL of those responsible for the actual work, whatever that work is, itself . . . there appears to be hard systemic lines preventing effective organized communication between areas, to mentor and deal effectively with problems.