When hospice reverts to the lowest common denominator and leaders obsess about metrics, it's time to speak. Self-inflated leaders assume clinicians give until their backs break, given no raises for years. A clinical ladder is a rainbow’s pot of gold. Others have a sorrier job and must be motivated by money. Abysmal leaders dangle extrinsic rewards for admission, hiring and EDBITA targets. “Sign on” bonuses entice people into a poor work environment. Employees’ voice equals their raise, zero.
Thursday, October 30, 2014
Two Suspect Areas of Better Together
Once upon a time Human Resources ensured people were paid appropriately for their education and skills. Gentiva transferred that responsibility to employees via its complex, convoluted clinical ladder. Kindred characterized the clinical ladder as "well respected and well established." It's neither at our hospice site.
Kindred also called Gentiva's paltry investment in electronic medical records "significant." When our hospice paperwork multiplied like mice, Gentiva leaders said it was in preparation for EMR in early 2015. How will Kindred's closing on Gentiva, also in early 2015, impact this molasses paced rollout? That question was not answered in the company's latest "better together" missive.
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GentivaLink has turned what used to be a one page nurse's note into 7 pages sometimes. It's crazy!
ReplyDeleteYeah because the hope was that poor nursing documentation would improve... It's about time nurses grow up and act as professional nurses. I'm tired of hearing people complain about documenting... It's part of our job!
ReplyDeleteThe part that's paid or unpaid?
ReplyDeleteIf they want nursing documentation to improve they need to allow adequate time for the visit and pay accordingly. When you are told you can complete a SOC in 2 hours including driving 45 minutes to get there, you are going to get rushed paperwork.
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