Pros
There have been a few things implemented that impact patient care in a positive way, such as the workflows around follow up for incidental findings. This is the stuff that really makes a difference and saves lives.
Cons
Most of the senior leaders here have not made the transition to servant leadership and being of service to their teams. They are still in a messy mix of individual contributor and top-down heavy-handed do-as-I-say dysfunction. This is a place where bullying is the highest valued attribute of anyone in a leadership role. This is who gets hired and promoted to the highest leadership positions. Diversity, equity, inclusion, and belonging are non-starters. The people in the seats that need to support any of this kind of effort are not the right people for that to happen. These topics are not uttered by the vast majority of the senior leaders. There is a fundamental flaw of catering to Radiologists whims and customizing everything, creating a platform that is impossible to support or sustain. The program intended to rebuild a standardized platform in the cloud is a failure because the culture of catering to Rads is still intact and no one is held accountable to change. The biggest con of all is the knowledge that none of this will change as long as the current leaders are in place here.