Pros
like the clinic I work in love to avoid upper management. try to ignore their unrealistic goals as much as possible and because I am not sure they know we even exist most of the time we are left to our own devises for now.
Cons
upper management and the CEO are completely out of touch with any semblance of day to day medical practice. when I have tried to participate in changing policy , the upper management has actually talked about the doctors and nurses as if they were chattle that needed to be coddled and how they could "get them to do things" that were above what was needed , even though we were sitting in the room with them.!it was pretty insulting. so I don't bother with that anymore and just try improving my patients lives and while I continue to practice evidence based medicine , I won't just order tests to " get that check mark done!" let's get real people. you have enough pull now that you should be pushing back on the wastefulness that some of these supposed "quality measures " are supposed to be bringing. Have you noticed how many have dissappeared over the years due to lack of evidence? corporate medicine has a limited shelf life and I will be happy when it dies.