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each question must be 150-200 word response
LC1 - what is meant by a 'three legged stool' as referenced in Chapter 16?
With that culture and mindset, it is easy to understand why the clinical activities of physicians in the hospital were viewed by most physicians as beyond the scope of responsibility (or even understanding) of the hospital’s management and governance. This was reinforced by the classic “three-legged stool” model of hospital operations in which management, governance, and medical staff were viewed as relatively separate and equal components. Under that model, codified in hospital accreditation standards from the (then) Joint Commission on Accreditation of Hospitals (JCAH) (Joint Commission on Accreditation of Hospitals, 1975), management was responsible for hotel functions, the medical staff had an autonomous role in overseeing clinical care, and governance was more focused on fundraising than on oversight of management and the medical staff. In fact, as late as 1985, the perspective on the role of the hospital human resources department with respect to physicians was as follows:
LC2 - discuss one future challenge of human resource management.