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View Diary: It's Such a Dirty Word (89 comments)

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  •  small change... (4+ / 0-)
    expectation of continued growth of profits in a business is often attempted by trying to increase employee productivity.
    •  That is their end goal. Doesn't highlight how (2+ / 0-)
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      askyron, Gorette

      it affects workers and how middle managers push the employee work loads to achieve it.  More sales, more customers, more widgets per hour...  

      In health care it is how fast you can admit, treat and discharge the patient, given the diagnoses, if any. That takes the care out of health care. Which makes it a far less valuable product in both outcome and satisfaction.

      Years ago tribal witch doctors were studied to find out how they managed to heal so many of their patients without even rudimentary diagnostic and treatment methods. The researchers found that the patients trusted the doctors, who they knew, and received caring attention during the illness. Actually reinforced something I had said about a lot of medical care: it relies very heavily on good nursing care. If you take away the high tech, keep the person fed, clean, moved, and feeling cared for, most of the time the body will heal itself. Take's longer, tribal societies have less of an issue there than industrialized ones. ;)

      Health care management still does not structure their business model on the primary source  and basis of income: nursing care. In hospitals it is usually included in the room/bed fee. Not only would the doctors be unable to get paid for most their services without us, a lot of other paid services hinge on the patient being in house with nursing care.

      After hospitals/ins co sped up the length of stay (LOS) too much, Medicare noted such an increase in hospital readmissions in short time periods, they stopped paying for a readmission for the same diagnosis in 30 days. The docs began factoring that into discharges after the hospitals started seeing those denials.

      The comment I replied to cited the management emphasis on payroll when they needed to 'reign in costs'. The jobs I've had in health care certainly never emphasized the idea of increasing profits. Be sure you charge for all the stock you use or the annual bonus raises won't be as high. Come to think of it, they added a measurement on our annual evals that had to do with fiscal responsibility. Charging items, taking care of equip, etc.

      When it suits their situation, the top brass will even brag about how many more employees they have added.


      "People, even more than things, have to be restored, renewed, revived, reclaimed and redeemed; never throw out anyone. " Audrey Hepburn "A Beautiful Woman"

      by Ginny in CO on Wed Jul 04, 2012 at 05:37:02 PM PDT

      [ Parent ]

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