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.
Sunday, June 21, 2015
Anti-Teamwork: Management Doesn't Listen
StrangeTony,
Do you have any advice for hospice employees working for managers who say they believe in teamwork but act autocratically, who say they're open to input but never seek it, who hold it against employees finally fed up enough to take the risk to speak out?
This is all the more jarring in hospice with its interdisciplinary team emphasis. How can hospice be a team when management views us as a collection of individual parts that must be controlled, directed,, externally motivated, kept in the dark, even micromanaged?
My company lets anything go management wise as long as census and admissions are fine. They believe our Branch Manager is solely responsible for good volumes and positive budget performance, as opposed to the sixty seven non-management employees busting their backside to provide great service on a daily basis.
Should volumes drop our Branch Manager delegates blame to anyone but them. Corporate nits suddenly start hovering around looking for who to pressure, reduce or eliminate. They offer exhortations like "pick up the pace."
A wise physician's message to corporate types: Take care of patients and employees and census will follow. Nobody's listening.
Anonymous (from Gentiva, a Kindred at Home company)
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A good business model is not a good health model.
ReplyDeleteThis post is disheartening to read, but it is true. So many hospice teams across the country are taking care of their patients IN SPITE of poor management. Poor leadership breeds poor leaders, and so on. These days, "success" is paid for in overworked and under appreciated field staff. Hopeless...
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