Decision-Making in Hospitals

Daily Observer

September 27, 1974

 

 

 

            Felix Gautier was paying a political call.  He had decided to run for a place on the board of directors and was actually trying to solicit a vote from Lapius.  According to his calculations, that would add up to two votes, because if S.Q. Lapius agreed, Gautier figured I would go along also.  But when I entered Lapius’ study bearing the coffee urn, I hear Gautier say darling to Lapius.  Flattery will get him nowhere, I thought.

            “Do you use those endearing terms with everybody just to get votes?”  I asked dryly as I set the urn on the mosaic tile table.

            “Don’t be facetious, Harry,” Lapius reprimanded sharply.  “Gautier and I were discussing the Darling case.  A crucial point for anybody trying to become a member of the hospital board.”

            It came back to me.  The Darling case, around 1965, was a legal decision that held the hospital in part responsible for the efficacy of its medical staff.  A young athlete named Darling had suffered a fracture during a football game and was brought to the local hospital.  The leg was set properly and placed in a plaster cast, and within a few days gangrene set in.  Since this was hidden by the cast, and since because of a sick neighbor in the room the source of the odor was misinterpreted, and because the boy’s complaints of pain were ascribed to the fracture, a series of macabre events unfolded which led eventually to amputation of the leg.  The doctor was sued and settled his case out of court.  Then the hospital was sued and the resulting decision found the institution liable on several counts, one of which involved the competence of the attending physician.

            “It is conceivable that I might vote for you, Gautier,” Lapius told the lawyer.  “I can’t see how you would be better or worse than any board member, not one of whom is medically trained, but before I decide, I want to know your interpretation of the Darling case.”

            “Well, of course, Simon, that demands some thought.  I can’t come up with a snap decision.”

            “The devil you can’t.  You certainly can’t hope to gain my confidence by pussyfooting about important issues.  The question, Gautier, is just how much authority can the hospital exert over the medical staff?  Where do you stand?”

            “Frankly, Simon, the Darling decision forces the board to take certain responsibilities whether we want them or not.  If we are to be blamed for the malfeasance of doctors, then we have to regulate the quality of the doctor who joins the staff.”

            “But if a hospital decides to accept this responsibility, then it will find itself liable in every case that now is limited to the physician.  Much depends on how the bylaws are written.  I would hope that you would opt for bylaws that separate the physician responsibilities from hospital responsibilities.”

            “I see your point, Simon.  I think you may be right.  But who then is to regulate the doctors?”

“Everybody is trying to regulate the doctors.   The real question is who is going to regulate the board of directors.  Who is going to insure that the hospital is properly administered?  There is no legal mechanism at present for overseeing the day to day functioning of the hospital.  Doctors, after all, are regulated by licensure, specialty board accreditation, the heavy onus of legal liability, which you as a lawyer, my dear Gautier, certainly should be familiar with, and lastly, and perhaps most important, in tradition in medicine that goes back 5000 years.  Show me anything resembling that set or restrictions or credentials in medicine for any member of the board of directors.”

“But doctors make mistakes, vital mistakes, sometimes legal mistakes.”

“Of course we do.  We are faced with crucial decisions every day.  Disease strikes rapidly, and our therapeutic choices produce their own risks.  We have to make delicate decisions and try to effect a balance between risk and benefit in a given case.  What everyone, including you, Felix, seems to forget, is that it is the disease that kills, not necessarily therapeutic failure.  Who is going to decide that a doctor made the wrong choice when in fact no choice might have been effective?  The board of directors?”

“What do you suggest?”

Lapius packed his pipe and lit it thoughtfully before rendering a reply.  “I believe doctors should be allowed to discipline themselves as they have done in the past.  And I think that the board of directors should be especially concerned with the ecology of the hospital.  It should assure that all services are prompt, efficient, disciplined and compassionate.  That’s a big enough job without getting into the practice of medicine.”

“But aren’t you always writing that the doctors should police the board?”  Gautier asked pointedly.  “How do you rationalize that if you want a separation of responsibilities between the hospital and the medical staff?”

“The doctor can’t practice good medicine in a poor setting.  The health of his patient is paramount, and it is up to the hospital, come hell or high costs to provide that ecology.”

“Most hospitals haven’t that kind of money.”

“That’s not my concern,” Lapius said flatly.  “It is the board’s problem.”

“Your position is prejudiced and biased in favor of the physician, Simon.  Can’t you see that?”  Gautier was irritated.

“Of course I am prejudiced and biased,” Lapius said calmly puffing his pipe.  “I am not about to yield perogatives in medical matters to newly arrived lay people who somehow vault to positions of power in the medical hierarchy.  When board members have to pass educational prerequisites, and pursue a course of study for their credentials, then we can sit down and talk as equals.”

“Let’s get back to the initial point, Lapius,” Gautier said tartly, “Will you vote for me?”

“For what?” Lapius asked blandly.