To many employees lack ownership and the drive to succeed, at DCH. The most common phrase used is "I don't have time to do that." Being the only hospital in this area, there is no competition as far as talent and compensation. Most salaries are significantly below national average and some are a great deal above the national average (could it be that the compensation staff "doesn't have time" to keep up with the national average?). Don't expect to move up if you've been with the system a while, common practice is look outside instead of growing the staff they have (lack of confidence). The system is also lacking innovation in many areas (e.g., technology, culture, facilities, etc.), but those could be attributes of the time issue.