Iowa Specialty Hospital

Making the Rounds with Dr. Hurt

September 10, 2015


I grew up in Nebraska. I thought Silos were tall buildings you store corn in!  Apparently there is a different type. Steve had our Service: Tracking and Trending team read a book called “Silos, Politics and Turf Wars” by Patrick Lencioni. The book illustrates how infighting, politics, and selfish concerns within organizations can destroy teamwork and ruin quality and productivity. As I read the book I could begin to see why he had us read it. There were many nuggets that we have already implemented within our organization to help prevent silos, that could potentially blind us to what is good for Iowa Specialty Hospitals and Clinics as a whole. However, as is illustrated in the book, in the absence of a crisis, complacency enters in and silos begin to form. Awareness is key.

I would like to share an example of teamwork (the anti-silo) in Clarion.  Last Wednesday we had an Orthopedic team meeting.  We had an issue to solve. Members of many different areas were involved including hospitalists, surgeons, advanced practitioners, senior leaders, coders, billers, and case managers.  Everyone worked toward a solution to the problem. There was no “victim mentality”. Dr Li kept the meeting light, productive and respectful.  I left feeling as though we accomplished something and proud to be associated with this group!

We’re in Iowa.  Let’s keep the silos on the farm where they belong. 

There is no “I” in team, but there is an “I” in silo! – I just made that up!


Iowa 34  ISU 21


-Dr. Michael Hurt, CMO


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