What makes a hospital tick?

Going into the trip, the central question I had in mind was: what makes a hospital “tick”? I’ve worked on the technical side of healthcare systems, but I wanted to better understand how all the moving parts come together in real time on the operational and clinical side.
What stood out most was that a hospital doesn’t run on any single role, department, or system—it runs on coordination and connection between all of them. It’s honestly hard to capture everything I was able to learn in just a few days—from hearing about the deployment of new dialysis machines, to the process of opening a new behavioral health hospital, to how telehealth is being used for neurosurgery consults in the ED. Throughout the visit, I had the opportunity to see this coordination from multiple perspectives. I spent time with a nurse educator, which gave me insight into how staff are trained and supported to maintain consistency in care. I observed a thrombectomy and learned from the stroke coordinator about how time-sensitive, high-stakes workflows are orchestrated across teams.

I also saw how bed deployment decisions are made and how patient transporters play a critical role in maintaining flow—something that’s easy to overlook but essential to keeping everything moving efficiently. I also had the chance to speak with MHA-trained professionals, including an outpatient surgery operations manager and a fellow, which was especially impactful. They shared how their programs equipped them with the tools to navigate complex operational challenges, make data-informed decisions, and lead across clinical and administrative teams. Hearing how they applied those skills in their day-to-day roles helped me better understand the value of that training and how it translates into real-world impact within a hospital system.

 

Mentor Brandon DaGrosa ( Scranton '22) and Mentee Rachel Irish (Fordham University ’22)

Across all of these experiences, the common thread was the importance of relationships and communication. Systems, workflows, and protocols are critical, but what truly keeps a hospital running is how effectively people work together across roles. Whether it was coordinating a stroke response, managing patient movement, or supporting staff education, success depended on clear communication, trust, and shared understanding between teams.
What makes a hospital “tick,” then, is not just the systems or the individual roles, but the strength of the connections between people—how well they communicate, coordinate, and support one another in real time.