I agree...waste in healthcare needs to be eliminated: start with the over-bloated hospital administrators and their high salaries and bonuses....then go after CEOs/CFOs/COOs making millions at "not for profit" hospitals. It'd be a great start. You can take the savings and use it to increase staff salaries...especially CNAs, RNs, and Respiratory Techs...you know, the people that actually take care of the patients. You guys keep forgetting that without us, you have no "business".
While that is of course true, you also seem to forget that none of the people you mention know how to actually get a payment for their services. Don’t demean the skills of ancillary professionals just because they aren’t actually giving the injection, or taking the XRay. Fixed costs in hospitals runs far higher than clinical staff only.
I agree that those people need raises, my wife is an RN, but you have to remember, to keep the hospital open, means it must be profitable, you need all of the managers as well. In short, you need each other.
Thank you for your diligent work, your delivery and your passion on all your subjects. You have been a tremendous help to me and to others as well, I am sure.
What important if you don’t support the system in these rural places, then there is no access when it is needed. That’s why they are called critical access hospitals
Great video... ive watched so many. However, I'd had to say that without safe staffing (above the skeleton crew), there will be a drop in quality of care, a decrease in work satisfaction, an increase in people looking elsewhere to work. As demonstrated in the past two years, people leave hospitals when overstressed. It is crucial not to add too many responsibilities and too much work on people carrying out tasks on the frontline. Example, keep the janitor. They are crucial to cleaning the rooms and sanitizing while the healthcare staff is running around with their heads cut off without bathroom breaks. So, I'd have to agree with the CFO. Providing income for their staffing is long term. They're building loyalty. Their staff can rely on the income to buy food and pay for housing. On the other hand, hospitals that operate below the skeleton crew have such a high turnover rate. They offer so many sign-on bonuses rather than fixing the problem. Which leads me to my question, would you happen to know why there are more incentives for new hires than retention?
Thank you for watching and sharing your perspective. Regarding bonuses, the hospitals know that it is more difficult to get a new person to join the the team than to keep an existing employee on the team. Inertia is a powerful force.
I have first hand experience being expoited at Wesrchester Medical Center. I was seriously ill and near death. The doctor's marked me off for dead. They then subjected me to numerous MRI's and other procedures milking the life out of the insurance company involved. I got to the point where I refused to be subjected to any more of anything. THEN THEY RELEASED ME. Shortly after they sent an agent to my home wanting me to sign some documents to claim more services. Guess what? I'm 100% recovered and moved on. Today when I visit that same hospital due to their state of the art facilities, they still try. I refuse their reccomended MRI"s and sonograms and look and feel very good with no complaints. I'm a no money grab for them but do watch myself.
I love your videos and don't usually comment, but talking about nurses like they can just be cancelled when patient census is low is super rude. These are people with families. Telling them they can't work and earn because the hospital census is down is unconscionable when a hospital is spending so much money on stupid stuff that they don't need. This is a critical access hospital. Those nurses need to be available when they are needed, not jerked around because the hospital can't keep the census up. I seriously hope you reconsider this comment.
I agree that a source of massive waste In hospitals are useless personnel. But why do they always target nurses and lower paid physicians in this issue? Why is it always us? I worked in hospitals where they have a “chief nursing officer of medication administration”, an absolutely useless title who got paid over 300,000 dlls per year where most primary care physicians did not get paid even the national average. And then, they were surprised by the fact that they could not recruit internists to staff their clinics.
@@ahealthcarez Could you help by telling me if there is anywhere that does for-profit healthcare in a way that can be said to be "good"? I'd really be interested to know before making career decisions in healthcare.
Kudos for calling out hospitals who try to go skeleton crew to save money. It is short sighted and you just end up paying more in the long run. You should always staff for average-high volumes and never sent staff home because "we are slow". Inevitably, you will get a wave of patients and not be able to provide the level of care needed to keep the hospital moving patients through it. If the ER has a large wave of patients, it means surgery, outpatients, and in-house patients all have to wait and costs you more money in the big picture. Plus, sending people home is the best way to tank employee morale and get less work out of your people.
As a current medical student looking to get into the health care admin this is very insightful, thank you very much!
Thank you for watching.
you should do a series where you breakdown a hospitals public financial statement and give your thoughts on it and how to improve
Thank you for your suggestion.
This is such an amazing idea
I agree...waste in healthcare needs to be eliminated: start with the over-bloated hospital administrators and their high salaries and bonuses....then go after CEOs/CFOs/COOs making millions at "not for profit" hospitals. It'd be a great start. You can take the savings and use it to increase staff salaries...especially CNAs, RNs, and Respiratory Techs...you know, the people that actually take care of the patients. You guys keep forgetting that without us, you have no "business".
Great point. Thank you for watching.
While that is of course true, you also seem to forget that none of the people you mention know how to actually get a payment for their services. Don’t demean the skills of ancillary professionals just because they aren’t actually giving the injection, or taking the XRay. Fixed costs in hospitals runs far higher than clinical staff only.
I agree that those people need raises, my wife is an RN, but you have to remember, to keep the hospital open, means it must be profitable, you need all of the managers as well. In short, you need each other.
Hmm, I think your solution might be a tad too simple.
@@ldkellandshaw those C level employees don't know how to either. That's why they hire people that do know how to
I think in the staffing section, they could now in 2024 look to contract out nurses providing services via telemedicine, or nearby hospitals
Thank you for sharing your thoughts.
Thank you for your diligent work, your delivery and your passion on all your subjects. You have been a tremendous help to me and to others as well, I am sure.
Thank you for watching and for your kind words.
Looking to be a health economist, your video is truly insightful. Thank you.
Super! Thank you for watching.
What important if you don’t support the system in these rural places, then there is no access when it is needed. That’s why they are called critical access hospitals
Great video... ive watched so many. However, I'd had to say that without safe staffing (above the skeleton crew), there will be a drop in quality of care, a decrease in work satisfaction, an increase in people looking elsewhere to work. As demonstrated in the past two years, people leave hospitals when overstressed. It is crucial not to add too many responsibilities and too much work on people carrying out tasks on the frontline. Example, keep the janitor. They are crucial to cleaning the rooms and sanitizing while the healthcare staff is running around with their heads cut off without bathroom breaks. So, I'd have to agree with the CFO. Providing income for their staffing is long term. They're building loyalty. Their staff can rely on the income to buy food and pay for housing. On the other hand, hospitals that operate below the skeleton crew have such a high turnover rate. They offer so many sign-on bonuses rather than fixing the problem. Which leads me to my question, would you happen to know why there are more incentives for new hires than retention?
Thank you for watching and sharing your perspective.
Regarding bonuses, the hospitals know that it is more difficult to get a new person to join the the team than to keep an existing employee on the team.
Inertia is a powerful force.
@@ahealthcarez that is true. Thanks for the reply!
I have first hand experience being expoited at Wesrchester Medical Center.
I was seriously ill and near death. The doctor's marked me off for dead.
They then subjected me to numerous MRI's and other procedures milking the life out of the insurance company involved. I got to the point where I refused to be subjected to any more of anything.
THEN THEY RELEASED ME. Shortly after they sent an agent to my home wanting me to sign some documents
to claim more services.
Guess what? I'm 100% recovered and moved on.
Today when I visit that same hospital due to their state of the art facilities, they still try.
I refuse their reccomended MRI"s
and sonograms and look and feel very good with no complaints.
I'm a no money grab for them but do watch myself.
Thank you for sharing your experience.
Great video! Good info here. I work for a health insurance company and really enjoyed the video.
Thank you for watching and for your comment.
Wonderful summary. Thank you
Thank you for watching!!
I love your videos and don't usually comment, but talking about nurses like they can just be cancelled when patient census is low is super rude. These are people with families. Telling them they can't work and earn because the hospital census is down is unconscionable when a hospital is spending so much money on stupid stuff that they don't need. This is a critical access hospital. Those nurses need to be available when they are needed, not jerked around because the hospital can't keep the census up. I seriously hope you reconsider this comment.
Thank you for sharing your thoughts.
Excellent
Thank you for watching and for your comment.
Exactly why you shouldn't have a for profit system 🧘🏾♂️
Thank you for sharing your thoughts.
The only thing about RN's is they are in a union and we can only call them off a certail amount of days. But yes call them off. I concur
Thank you for watching and sharing your experience.
Can you share Steve Genus’ video. I don’t see it in the show notes.
ua-cam.com/video/N-SumPdb2PI/v-deo.html
What is the lost revenue and cost of an empty hospital bed?
Most hospitals don’t do cost accounting, so by diagnosis or treatment, they Don’t Know.
I agree that a source of massive waste In hospitals are useless personnel. But why do they always target nurses and lower paid physicians in this issue? Why is it always us? I worked in hospitals where they have a “chief nursing officer of medication administration”, an absolutely useless title who got paid over 300,000 dlls per year where most primary care physicians did not get paid even the national average. And then, they were surprised by the fact that they could not recruit internists to staff their clinics.
Good question. Maybe because of relationships formed among administrators. Hard to layoff someone you know… easier to layoff someone you don’t.
Ty
Thank you for watching!!
Wow you must be a photographer physician assistant or a barber
Both. 😉 Thank you for watching.
So what you're saying is. For profit healthcare bad?
The way it functions today in America… Yes.
Thank you for watching.
@@ahealthcarez Could you help by telling me if there is anywhere that does for-profit healthcare in a way that can be said to be "good"? I'd really be interested to know before making career decisions in healthcare.
Kudos for calling out hospitals who try to go skeleton crew to save money. It is short sighted and you just end up paying more in the long run.
You should always staff for average-high volumes and never sent staff home because "we are slow". Inevitably, you will get a wave of patients and not be able to provide the level of care needed to keep the hospital moving patients through it. If the ER has a large wave of patients, it means surgery, outpatients, and in-house patients all have to wait and costs you more money in the big picture. Plus, sending people home is the best way to tank employee morale and get less work out of your people.
Thank you for watching and for your comment.