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The Busy PT's Guide to Finding Balance

The Director as Liaison

Published June 16, 2011 11:43 AM by Janey Goude

One of the most difficult roles of a department manager is that of liaison between staff and administration. Administration's bottom line is financial. The staff's bottom line is quality service. The manager's job is to convey the importance of one to the other. Achieving this delicate balance ensures the success of the department.

The key is effective communication. When speaking with the staff, the manager must relate the financial issues to quality service. When speaking with administration, the manager must relate how providing quality service impacts the financial health of the department.

Sometimes the director must implement administrative changes that do not sit well with the staff. How this is communicated can mean the difference between resentment and buy-in. A director who hands down an edict that seems counterproductive will likely face resistance from his staff. When no explanation or empathy is given, the staff feels like the director has forgotten his roots and doesn't understand the impact of what he is asking.

A director who explains the reasoning behind the change will usually get buy-in, even when the change being requested is not palatable. Being able to see both sides of the situation, the director may be able to relate how the change will improve quality care. Other times the director may explain he doesn't agree with the change, but it has to be done. When the director acknowledges he understands the additional work created for the staff, they can work together to find ways to lessen the pain.

Other times the director admits the idea seems counterproductive, but putting administration's idea into practice will be necessary to prove why it won't work. This director communicates he is part of the clinical team and understands how the change will impact his staff and the clients.

Is your manager an effective liaison? Managers, what has been your biggest liaison hurdle and how did you overcome it?

2 comments

An impressive outcome by any measure, but even more remarkable having been achieved in 6 months.

Listening...always a good first move :-)  Unfortunately it is not often implemented as such.

Thanks for sharing a wonderful example of how powerful the director liaison can be.  

The real pity - you walked all the way across the pond.

Janey Goude June 17, 2011 7:48 PM

I was asked by an old friend to take over and manage a rehab department 6 months prior to a JCAHO survey. The department resented management, HATED the old director, felt isolated, alienated, and was threatening to fail the JCAHO survey on purpose to punish management.

The first thing I did was listen. The next thing I did was some small victories for my staff. I risked the friendship that had requested I take over in the first place (upper management). I was up front and honest with staff about things beyond our control. I brought staff that was lagging behind up to speed to take the burden off of the "stars" who were picking up the slack. My door was never closed  unless a staff member needed a private chat. We were the only department that did not require corrective action after the survey and actually received acknowledgement for jobs well done. I came to admire and enjoy that whole department!

Unfortunately the post wasn't offered to me on a permanent basis at a salary I could accept and had to walk away. What a pity.

Dean Metz June 16, 2011 5:52 PM

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