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.
Saturday, September 24, 2016
Yet Another Visit from Kindred VP of Some Sort
StrangeTony,
Our hospice site had another visit from a Kindred high up. I offer coaching from their recent visit, plus comments shared from other Kindred hospices.
1. "Pick up the pace" & "Close hard"
Census drives revenue, plain and simple. Any recognition of excellent service meant nothing to the hierarchy of number obsessed executives. Executive exhortations are barked out in a manner based on their unchecked assumptions. My co-workers are already working hard, doing their best, with love, care and passion. What might they feel pressured to do to meet management's numbers expectations? Executives cared not the consequences as long as patient headcount rose.
2. "Senior leaders love us the same way our nurse assistants love their patients."
Our nurse assistants don't take things away from patients, like senior executives did with PTO, health insurance and retirement benefits. All three benefits have been reduced in the last few years by Gentiva/Kindred executives. One is slated for elimination, if it hasn't already disappeared. That's the company retirement match.
I do see the love shown Gentiva COO/Kindred at Home President David Causby in his serial $1,000,000 bonus opportunities.
The company does treat us like our site treats our nurse assistants (overworked, underpaid and at best underappreciated) Local management consistently tells our NAs they are the low men/women on the totem pole.
3. "Your site makes the company a lot of money."
Never have they shared how the monstrous amount of money our site made the company comes back to those of us doing the actual revenue generating work. I assume this money ends up as bonuses for people up the chain. We, the people supposedly being "Taken Care of", aren't seeing any of our monstrous profits.
4. "Get it together folks. Census matters. Profit matters."
Apparently employees need to be motivated from above to work harder, jump higher, and recruit more patients in order to save the jobs of people sitting on either side of our chair. It was fitting that barbecue was served given our site is under performing.
I've never heard a sacrifice senior management has made to keep things going in difficult times. They show up, bark out their prized financial metrics, launch a few platitudes, rarely offer a sincere thank you, readily dispense brow-beatings, and move on. It's a relief when I can exit the building. Kindred executives have a way of using up all the oxygen.
A few never bothered to ask my actual role at our hospice. I've been called nurse and social worker and I'm neither. When Kindred executives leave breathing and sphincters can return to normal. Seeing a patient or family member is the balm for exposure to toxic leaders, as is hearing from other dedicated hospice workers. Thanks to Generic Hospice readers who e-mailed me their experiences.
Anonymous (from Causby's baby)
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