Upper-level management are so out of touch with what it ACTUALLY takes to run a center.... But how would they know? They aren't there enough, if even at all. There is no accountability for any one above a center level, but the centers are put under a microscope. They literally provide zero support- all they care about is the big, fat check that will deposit into their bank accounts every other Friday.
As a center operations director (COD), you are lead to believe you have the power to make decisions and change in your center; this is a lie. Your "director of operations" will strong arm you into making decisions for "the benefit of the center" because we are all "team players", when in reality, these decisions only benefit them. It is well known some of the people in some of the higher positions do not work a majority of the time- as it is evident when you try to contact them, because you can count on hearing an answer for your emergent situation days later.
80-90% of the medical assistants you "coach and develop" just infect the good staff you do have- so forget about developing any sort of positive, promoting culture. But why would you expect anything else than sub-par work? They get paid poorly. When you pay people poorly, you get poor results.
You will bang your head against a wall trying to get anything done in the center, because you are only allowed to have so many colleagues to so many patients, yet you are still required to get work done like you have more colleagues. For instance, we are now required to complete physical therapy referrals in center. But were we given extra staff to help with this? No. Do we still have to pay an extremely incompetent referrals department to pretend they are doing something? Yes.
A majority of the physicians in the center, that may be good clinically, are not team players or are willing to help train the rest of the staff. They are able to have terrible attitudes and give constant pushback towards the COD, and get away with it, because there is such a shortage of providers in the company, and they know this. Nothing will ever happen to them, and the smart ones resign relatively quickly because they see how backwards the company is.
And don't even get me started on the IT department. You may as well Google your issues and solve them yourself. They will create a "ticket" for your problem and then promptly close it once you are off the phone, but they don't tell you that. They lead you to believe something will actually be done or someone will actually help you with your issue. FORGET ABOUT IT. You will only find out days/weeks down the road that they closed the ticket because you call for a status update and they tell you they don't have a ticket number for the issue you are calling about, or that it was closed because it was solved.
Roughly 90% of the people you speak with in the corporate office are so arrogant and conceited, they can't pull their head out of their behinds long enough to realize that you may be asking a question, to solve a problem by yourself, because your manager or the IT team or WHOEVER it is didn't help you solve it so you have to take matters into your own hands. The lack of training probably doesn't help either. "Here's your center! Figure it out! I will be sure to email you almost every day telling you what you are doing wrong but won't provide any help! CYA in 2 months and you better have scores of 100% on all of your patient satisfaction ratings or you will get written up!"
Think twice before signing your life away to this devil.