Strange Tony,
Our hospice met the new Regional-Local Assistant Vice President of Operations Minus Marketing Marcy Quarter. She shared her priorities as our hospice awaits sale to yet another financial rapscallion with multiple last names (Clayton Dubilier Rice).
Marcy wants to lever technology to cut expenses as it pushes a "one size fits all" hospice model. She said:
The company used big data to find the average use of medications and supplies for each hospice diagnosis. Any item exceeding company averages will not be allowed without extensive review and approval from the RLAVPOMM level.
Similarly we data mined staff mileage and mileage above the company average will not be paid unless documented thoroughly. Your tablet will no longer automatically calculate mileage to the patient's home for reimbursement purposes. That is now your responsibility. However, you should not fudge any mileage figures as your tablet will be used as a data validity check on any submissions.
Overtime has been banned for all hourly employees. For all other key measures the former average is the new maximum. That said, the executive team's expectations of increased census and revenues remain in place. Customer service scores remain important but are secondary to expense control and revenue enhancement. Any questions?
A foolish new chaplain asked Marcy to clarify things for him should he find himself in a home with a dying patient as his clock hits forty hours for the week.
"You are to cease work when you hit the forty hour mark."
He commented that his faith and assessment of the situation might require him to remain with the patient and family.
"That is not allowed."
It's but the latest insult to our once great hospice. We're now under the Hand of Marcy. Lord help us.
Anonymous
Our founding hospice physician would share how new corporate hires were taken into a special closet in the corporate office where the company would suck out half their brains. It was usually in an IDG after some restrictive corporate edict that harmed patient care. It was a treat to watch the corporate faces fall as they realized they'd just gotten feedback from a true hospice legend.
ReplyDeleteMost hospice patients went without basic supplies to reduce costs.
ReplyDeletehttps://www.glassdoor.com/Reviews/Employee-Review-Kindred-Hospice-RVW66342820.htm
We have this to look forward to:
ReplyDelete“This proposed transaction will enable a partnership with the CD&R Entities to maintain patient care at Kindred Hospices while optimizing the efficiency of shared operations.”
This is going to hurt as patient care is not a priority now. Census, admissions and revenue are all that matter to executives who torment staff from afar.
RN in Virginia said:
ReplyDeleteGetting anything of increased cost for your patient is a minefield of paperwork and fighting management
They don’t pay competitive wages compared to other hospices
They don’t pay the government suggested mileage rate and tell you you can claim the difference on your taxes(you cant)
As salary staff you have to work when they say, work life balance is a drea
Pay the aides as little as possible.
If they need you in another city you have to go
Never pay bonuses timely and will not pay it if they think they have a chance
Won’t roll PTO to next year even if they won’t approve your time off and they only pay 0.50/1.00
Getting anything of increased cost for your patient is a minefield of paperwork and fighting management
Virginia KH staffer said:
ReplyDeletePros
Very rewarding work if management were better
Cons
Terrible patient care provided by some nurses. No accountability for field staff or office staff. They blatantly don’t follow Medicare regulations. Complaints from patients and families aren’t taking seriously or addresses. Unclear job expectations. Expectations are always changing and you’re made to feel like you’re never good enough. Patients certainly don’t come first. The needs and laziness of staff comes before patient care. If someone’s out sick or on vacation instead of getting visits covered they just decrease visit frequency to better suit them rather with no care or concern for the patients needs.
Georgia RN Patient Care Manager said:
ReplyDeleteAdministration is untruthful and belittles employees. Awful place to work Case load for staff is unmanageable, supplies were scant and did not provide what patients need. All staff overworked.
No work life balance. Disrespectful and untruthful administration