If there is one experience virtually all Americans share, it’s the experience of the health care industry. We know it primarily from the receiving end of the industry’s services – doctors, nurses, lab technicians, EMT professionals, and perhaps the payments and billing departments, medical insurance companies, and urgent care offices. What we don’t have much direct experience with is how this industry gets managed and administered at the company and hospital levels – the people who run the medical care systems. Dr. James Decker just might change that. Decker retired in 2023 and chief executive officer of MEDIC Regional Blood Center in Knoxville, Tennessee. His career includes executive positions at the Fort Sanders Regional Medical Center, Sumner Regional Health Center, and Gateway Health System, all in Tennessee, and the Baptist Health System of East Tennessee. And he’s written a memoir of his almost 50 years in medical administration, Reviving the Heart of Leadership: Empowering Healthcare Executives to Lead with Compassion.
He tells a great story. And he knows something is wrong with America’s healthcare system, looking from and at the inside. Few people are better placed than Decker has been to see what’s been happening. Medical system executives have had to face difficult if not impossible decisions in managing cost, insurance provider, and government demands, not to mention patients and their families who must navigate what looks like an impenetrable bureaucracy of medical care and medical insurance.
Decker describes how he became interested in hospital administration in graduate school. He had B.S. and M.S. degrees in microbiology from Louisiana State University in Baton Rouge, and an M.S. degree in Hospital and Health Administration from the University of Alabama in Birmingham. He later added an MBA degree from the University of Tennessee and a Doctor of Health Administration from the Medical University of South Carolina. (Five degrees, and, somehow, he and his wife still managed to rear a family.)
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James L. Decker |
He describes an industry in almost constant upheaval and re-invention over the course of his own career. Pressures to expand services and add new technologies have faced their own pressures of cost containment. Caught in the middle has been the people who comprise the industry. Decker not only writes with compassion, but also advocates for compassion, from administrators, hospital board members, and all the people who makes the healthcare industry work. He owns up to his own failures and describes how he worked to do better. Especially effective is his use of both professional and personal stories, including how his last position, as CEO of a regional blood supply center, during which he had to lead through the COVID-19 pandemic.
Decker’s received many recognitions and awards during his career. He was named Alumnus of the Year by the University of Alabama-Birmingham, a Healthcare Hero by the Knoxville Business Journal, and Distinguished Alumnus of the Year by the Medical University of South Carolina. He also received the Meritorious Service Award from the Tennessee Hospital Association. He’s a Life Fellow of the American College of Healthcare Executives (ACHE) and past ACHE Regent for Tennessee. Decker also holds faculty appointments at the University of Tennessee and South College. He lives with his family in Tennessee.
Reviving the Heart of Leadership is likely aimed at health care industry executives, but it’s also a valuable resource for people who work in hospitals, doctors, and even patients and consumers. To see how the industry has changed over the past half-century helps in understanding where it is today. And, Decker might add, where it can be better.
Some Monday Readings
Why the Odyssey Matters – Andy Owen at The Critic Magazine.
The Devious Deceiver: Chaplain Fr. Joseph Bixio, S.J. – Rev. Robert Miller at Emerging Civil War.
We are letting schools poison our children – Hadley Freeman at The Times of London.
The second birth of JMW Turner – Michael Prodger at The New Statesman.
“Take Me Home, Country Roads” by John Denver – Anthony Esolen at Word & Song.