He oversees all maintenance, but who knows how the responsibilities fall below him. Each one of those areas listed that he oversees would most likely have a single person that is in charge and reports to him. Then it goes on down the chain until you get to the people with the screwdrivers and hammers.
I get that because I was a screwdriver and hammer guy, now one step up. I know my boss and his boss are out talking to patients and nurses to find out if my guys are doing what they need, so while the buck stops here is true, that goes pretty far up. My question is at what level is the decision made that here is where we are going to save the $. And if it is at a low level, are the upper levels so out of touch that they allow the priorities to be hijacked? This is devolving into a rant on management styles, then again this is new executive structure thread.