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" ... Although at this point the operational parts of the firm may have strongly embraced the new principles and practices, the firm may find—to its surprise—-that its back office processes of finance, budget, HR, and strategy, are operating at cross purposes to its operational principles. These back-office functions have long-standing traditions of top-down bureaucratic management and have little or no experience with 21st century versions of what they do. As a result, these functions can become lobbyists not only for maintaining 20th century-style versions of their own functions but also for returning the rest of the organizations to the familiar stability of 20th century management, thus rescuing the firm from the supposed “chaos” of the new management. ... "
" ... In healthcare, bureaucratic rules have stymied innovation, and interest groups have committed themselves to maintaining a status quo that is often inefficient and fails to deliver better health outcomes at lower total cost of care. The crisis has changed some of this. Recognition that bureaucratic rigidity is the enemy of innovation, there has been widespread media coverage of FDA’s decision to allow anti-malaria drugs to treat COVID-19 patients, a relaxing of its rules. With the outbreak of COVID-19 the Centers for Medicare and Medicaid Services (CMS) gave states more flexibility in administering Medicaid programs, suspending preauthorization requirements and allowing Medicaid beneficiaries to seek care in alternative settings, even if those settings aren’t specifically licensed by Medicaid. CMS has also increased the availability of telehealth by paying for it in lieu of in-person physician visits, and loosened HIPAA regulatory exposure at the same time. Staying home reduces risk of infection; and if you’re not well, keeps others in waiting rooms and emergency departments safe. Obtaining consultation via phone –even for pregnant women — has decided advantages. It is clearly more convenient, and studies done by the Mayo Clinic years ago have shown it’s safe and preferred over traditional office visits by patients who have experienced it. ... "
" ... NASA and Boeing are extreme examples because of the high-risk nature of their operations, but situations of bureaucratic complacency happen all the time. Priorities shift as good intentions are sidelined to the exigency of profits and looking good to teammates and the public, while staff directly involved with safety issues get the message to keep their mouths shut. ... "
" ... These firms tend to be more bureaucratic and manage to the masses—with many wirehouse advisors frustrated by the lack of freedom, flexibility and control. Yet they’re solid brands with a plug-and-play environment plus have the advantages of scale and deep pockets, so platforms and technology are often exceptional. ... "
" ... These programs may not last, so act now. Don’t be afraid to ask potential employers whether they’ll match your loans. The process can seem daunting—navigating bureaucratic websites, filling out paperwork—but it will be worth the trouble to get help financially. This will then set you up for future success. ... "