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Managing staff so they can manage themselves
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Career building for tribal members
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Culture and Ownership education for non-Indian staff
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Family business may mean adults run the business (but not the children)
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Organization matters
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Why do we have some hierarchy in all organizations?
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One person can't supervise all staff
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Span of Control, if too large leads to staff not feeling supported
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Medical Providers need some autonomy and
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Specialization means clinical staff need clinical management in addition to departmental management
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Health Directors should never 'practice medicine.'
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I've had success convincing health programs that with the right systems, the right people and the right goals they can manage without a typical hierarchy.
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This does not mean no one is in charge, but clear lines of authority can still allow independence
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Health professionals need maximum autonomy, but guidance on tribal mission.
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All staff will 'give' more in direct relationship to their own autonomy in their position.
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Coach to competency
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Release to autonomy
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Support Autonomy, Supervise Performance
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