Just because your hospital based group operates within the bureaucratic world of the hospital does not mean that it must be bureaucratic itself.
The trick is to operate an entrepreneurial entity partly within those bureaucratic bounds. I say “partly within” because the most successful groups move outward from there.
It’s sometimes difficult for group leaders to see that it’s much safer outside the bureaucratic web.
In working with clients in the course of The Strategic Group Process™, clients sometimes needs new goggles, so to speak, in order to perceive that that hospital’s bureaucratic web is not a safety net, it’s a spider’s web. If you’re not the spider, that’s a dangerous place to be.