The department of Surgery is divided in four teams each taking care of different diseases but within the same speciality, orthopedics.
- Team A: elbow & shoulder
- Team B: hand
- Team C hip and pelvis
- Team D knee end ancle
Team A is by far the largest team. It is run by a dedicated old-school doctor loved by every patient and perfectionist in patient-centered care. He sees most new patients and takes personal responsibility in all of them. Subsequently, his schedule is always very busy never leaving time to discussions and cooperation with collegues and staff.
Team B and C are smaller and quietly running. There are a small group of doctors with individual tasks and smooth collaboration with nurses etc. The represent yesterday’s medicine and are traditional in every aspect.
Team D is struggeling with a steady increase in number of patients and fixed number of staff, rooms and payments. The team develops the treatment through clinical studies which ensures the implementation of new treatments, new effective pathways of care and an always on the top patient satisfaction. Having clear work flow and dedicated personell, there is about to be some space for both individual and for team development – which is considered necessary for the teamt to continue functioning. Unfortunately, all extra time is consumed by Team A. Team A is in a constant lack of staff, staff satisfaction is below zero and sick days higher than any other team. In order to keep the production on level, the department chair choses over and over again to allocate ressources from the other teams, especially Team D, to Team A.
The situation is about to escalate and an intervention is highly needed.