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30 Days of US Healthcare: The Hospital C Suite
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- čas přidán 8. 09. 2023
- Day 9. Thanks for watching!
Here is the 30 Days of US Healthcare playlist: • 30 Days of US Healthcare
Also, help me raise money for young adults impacted by cancer. support.firstdescents.org/fun...
You can apply this to literally any organziation. 300 high roles that do nothing and earn 80% of the money generated while the rest is severely underpayed.
True. And we shouldn't stand for it in any arena, but it is especially evil that we let it happen when it comes to matters of literal life and death.
Schools are a big one here, administration takes up so much of the school funding while teachers have to buy their own class materials a lot of the time.
Not any organization. Co-ops exist.
In 1986 my college professor pointed out how we suddenly needed a Provost- and then a secretary for that office. Then an assistant provost, and then their admin assistant… and multiple other examples of middle management expansion. He said the job that needed doing hasn’t changed- what are they doing?
I had 64 passwords, when I retired, for all the little data collection/continuing ed/this will only take 15 minutes programs my district had signed us up for. The suicide prevention modules were especially bad - the instructors spent a third of the time listing their credentials. @@MrEvan312
Spot on Doc. I was amazed by how many "people" earn astronomical salaries at my local hospital. They don't actually work there but their titles earn them enormous paychecks.
Something needs to give. They are offering bonuses for nurses but can't find any. I wonder why?
in mexico, we call those "aviadores" (plane pilots), they only arrive at work, check in, go back to do whatever the hell they want, come back to check out, and get pay checks
usually, they are friends/family of a high level person in whatever place does it (hospitals, cops and politician places are the most common)
Glau inspires me.. My parents said if i get 50K followers They'd buy me a professional camera for recording..begging u guys , literally
Begging..
@@namantherockstarIt’s incredibly rude to beg on someone else’s channel.
I love that "people" is in airquotes but not "earn"
@@Mexican00bThat’s funny because where I’m from, when you deliberately choose an incredibly easy class in high school or college either to get an easy high grade or just to goof off for a while, we call that a “fly class”.
It's a real testament to your character work that you can trust us to recognise Bartholomew Banks and understand his motivations based PURELY on the malicious facial expression, without even naming him.
I realized it was him immediately because the room became a little chillier and I felt s shiver run down my spine when he appeared.
Along with his suit. Beware a person in a suit when your assets are on the line.
We have a "Vice President of Patient Experience" who (spoiler alert) has actually no idea how our floors are laid out and I still don't know what she does all day. I am certain she earns six figures to do it and works 9-5 hours. No holidays.
I earn $34.00/hr with 50k+ in student loans to manage emergency, trauma, high-risk drugs and be assaulted in the ER for 12 hours straight. We are continually denied lunch breaks (which is illegal) and we had a near-fatal assault a few weeks ago. A patient almost strangled our tech to death. She ended up in ICU and her colleagues had to intubate her. Hospital promises they will "make changes to security" that Joint Commission pointed out months ago. I received a 60 cent raise for my glowing performance review.
Still no change in our pay, incentives, or working conditions.
Pretty sure that person asks for summaries of patient surveys then compares it to last month and flips a magnetic arrow on the executive fridge to point up or down. Maybe an annual PowerPoint they delegate out.
Also sorry to hear about those issues at your job. I know that amounts to a Facebook like as far as usefulness goes, but it's all I have here. Unfortunately the only way for it to get better is for less people to choose to be nurses and doctors until they make sweeping changes to the industry to try and get staff levels back and that's going to be a horrible time for the country.
Betting that they'll deny covering those medical expenses for the tech because of some technicality too.
60c is that like a joke?
Pssssst! "Unionize..."
Nope. Dead serious.@@micicici4345
I see this firsthand every year at the hospital I work at. End of the year We nurses get sent a congratulatory email for being healthcare heroes but that times are tight so no bonuses….. and yet the CEO and board still manage to achieve 5 figure bonuses. You know…for continuing “to steer us through pandemic times” 🙄
I'd like to see a hospital CEO last an hour helping out on an actual ward.
That must be poor hospital, only paying 5 figure bonus to CEO...
@@ada5851to be fair, its rare but some close used to be doctors.
The guy in charge of phizzer or however its spelt was
*ceo
BUT there's no requirement that any executive has medical experience or education.
I think I remember reading in a newspaper that there's a clause in the aca prohibiting doctors from owning and running hospitals. They were worried about doctors being self interested and billing too much...
Obviously finance bros don't have that problem, as we are all aware.
Yes I have a video on that in a couple days
@DGlaucomflecken SPOILERS!!! I want to be surprised by how ungodly horrible it all is!!!
@@ada5851
No.
Them finance bro can't possibly do the wrong thing.
After all they who are rich earn their position.
Totally not because of their rich daddy.
Totally not.
I don't know all the ins and outs, but Houston tried that doctor owned hospital a few years ago, and Memorial Hermann put a stop to that.
I’m a Biomedical Sr. engineer and shadowed my VP at a finance meeting where the language was “gotta tighten the belt this year and find savings and make cut and sacrifices.” Yet my VP is asked to speak to the Board of Directors at their annual retreat in Palm Springs where they rented out a whole Hotel Wing and spent an obscene amount on food/ drinks/AV technology probably eating into the hospital budget. Ridiculous
Worked as an admin assistant at a private medical practice last year, they did the exact same thing. I was continually floored by how much they blew what was most likely the company budget on obscenely expensive steak dinners
The "knock knock" confused me at first, because we all know that no med student would *ever* be allowed anywhere near there.
Last week, I was speaking to a trainee health professional (kept vague, just in case) who did a 'leadership placement' in this type of Chief environment. They loved the placement because, in their words "I didn't have to do anything but attend meetings for 3 months," and just swanned around not accomplishing anything or fully understanding the problems in the hospital. They passed their placement with a feedback comment that the trainee "fully understood the role of the leader in the health service". Sums it up, really.
@@cphilips502I mean, to be fair, the review wasn't wrong.
To everyone thinking that the C-suite has high salaries, it’s nothing compared to their bonuses. The academic hospital I worked at had bonuses for some SVPs that were 4x their (already pretty high) base salary.
That's the trick. They show off the low salaries, but then dump all the profits into bonuses for the higher ups, taking a 'loss' at the end of the fiscal year despite high profits in each individual quarter. They then take a tax break on account of taking a loss on top of the tax break they get for being a 'non-profit'. FYI for those not in the know, the singular requirement for a hospital in the US to be declared a non-profit legally is to provide medical treatments; no ifs, and, or buts - that is literally it.
When the rank and file complain about not being able to afford housing and essentials for the family, the wigs show their own salaries as if we don't know they are taking bonuses every quarter. They say times are tough for the hospital, but celebrate record setting numbers and profits every year. It's all a shell game full of bullshit, and they know damn good and well a few of them are only paid a full time salary to keep the game going by cooking the books as legally as they can.
All VPs are in charge of making healthcare more expensive, it's an important job that insurance can't do alone.
Somebody has to also actually work to fund the lavish vacations, jewelry, and super-cars. And its not these people portrayed in the video.
I got a better one from my rural hospital. The administrator of our hospital was caught embezzling from the facility and got arrested and sent to jail. The thing was there was no one else to take the job, so he continued to serve as the hospital administrator while being in jail for embezzling from the hospital. Sadly, rural medicine has some of its own crazy corruption issues.
Sounds like cronyism and more widespread corruption rather than “nobody else to take the job”.
Sounds about right, affirms the rural vet.
They should have let Texaco Mike take over!
Oh. That's... that's something.
A hospital CEO in Denver tried to take a $300,000 bonus on top of her $1million yearly salary at the start of the pandemic when they were asking nurses to take a pay cut.
that is morally wrong: make sure your team eats FIRST. that is a true leader.
They don't care, because there is nothing to hold them accountable. This situation usually consists of friends hiring friends and nepotism.
You should check out what the CEO of Ochsner makes, a supposed "non-profit" that prides itself on how much money it "saves" Medicare.
Reminds me of "Office Space".
"And you know what else, Bob? I have 5 bosses right now! So every time I make a mistake I've got 5 people pestering me about it"
Sounds like the Bobs have important work to do .
Sometimes I think I went into the wrong line of work. Then I remember that I have a soul
It’s incredibly frustrating. As a nurse in NYC they started this “HRO” high reliability organization thing where they pay livable wages to 10 talking heads who just come once a week and we complain about not having thermometers or blood pressure machines and they say ok 👍 and go to the next unit. Nothing gets done. I want that job though.
Ugh my hospital in Oregon is doing the exact same HRO gunk.
Whoever came up with CQI/HRO/etc. is a genius because it allows the higher ups to pretend they're doing something while ultimately putting it on the nurses to do the actual CQI tasks and wasting our time with huddles that lead to nothing.
Glau inspires me.. My parents said if i get 50K followers They'd buy me a professional camera for recording..begging u guys , literally
Begging..
Ya I want one of these jobs that are just a middleman to point out obvious issues and then do nothing about it. I'm tired of skipping meals and fearing foreclosure
@@-Duo Really hoping things improve for you! I feel for you, b/c as someone who was hospitalized for three weeks and the mistreatment I received there, part of which was due to severe understaffing, the for profit medical "industry" hurts us all. This is why we all need Universal Healthcare paid for by our collective taxes, like the police department or medicare.
"We don't have the money"
_gestures broadly at all the C-Suite execs_
I am always amazed as people in leadership positions in the hospital rarely have healthcare degrees or experience. They manage nurses and doctors yet they are a mba or some obscure business degree.
This baffles me. In my country the general manager and the manager for each section are all medics
My Annual Review raise last year, for working as a Patient Services Rep in a 33,000 employee healthcare system, was 46 cents. Apparently, they just couldn’t afford 4 cents more to make it an even 50 cents! That would’ve cost nearly *gasp* $75.00 annually and we wouldn’t want that ginormous VP suite to be deprived of one morning’s donut run, ha! 😂🤬😰
What a slap in the face! How insulting.
Brutal. I work at a university. A faculty heading elsewhere just sent out a scathing email about the cost of administration vs services for teaching or to students. It isn't just in healthcare.
Its even more absurd *because it’s taking place in healthcare
That's exactly what I came to say and that's exactly the field, except it's even worse before the kids get to higher education. You might think it absurd and Healthcare but the quality of healthcare is still pretty high, whereas hijacking educational funds for so long has completely corrupted the schools and unless children are going to well-to-do families, there are not getting a good education any more, in this country
"This could pay the entire nursing staff $100 more each week..."
Nah man they'd only spend it on quality of life, if they enjoy themselves who's to say they won't take time off?! Much safer to start giving ourselves a Tuesday bonus, for the patients you understand
I gotta save these for later; getting my ire up so high every single day isn't good for my heart. So glad Dr. G answered my call for action by the medical community; a million thanks. I'll do my part at the voting booth and letters to politicians for whatever good that will do. I'm hoping persistence will pay off.
Spot on. I work for a large unionized HMO on the USA west coast. Sterile processing tech, so considered "less skilled" and bottom of the ladder, even though surgery can't be performed safely without us. Going through contract negotiations once again and asking for higher wages to match ridiculous cost of living increases. Were just offered 3% by management, whilst executives makes a minimum $1 mil/year. Oh and don't forget all those bonuses, lunches, and expense accounts.
Tell me again how you can't afford to pay a living wage 🙄😬
We love you for what you do! You’re absolutely right, it’s a thankless job but one of the most important. You have to work in a dungeon with no windows cleaning surgical instruments all day and night while you get fussed at for not getting it done fast enough. 😢 I’m sorry people don’t get to “see” you; but I’m grateful for you!
@@surgerystudio7654 Thank you!
I appreciate our SP SOOOO much! You’re right, can’t do surgery without you. We currently have the best SP techs I’ve ever worked with and tell them all the time. They rarely get recognized for the work they do.
Thankyou for your service
@@vickiecoles8214 Thank you for being one of the few who do tell them. You help keep us going!
I just got accepted into medical school and I just can’t wait to deal with this bureaucracy. It’s actually why I became a doctor, so I can struggle to help anyone due to automated systems.
Best of luck you sweet summer child. Seriously though, I do wish you much success in your quest!
You're really just going to become part of the problem. Doctors make head and shoulders above what their colleagues do (yet they depend on us), are the most physically safe on the job, and have the option of going into private practice (so no holidays, no weekends).
I love a lot of the doctors I work with, but I'm very clear they're not on my level and don't have my struggles.
@@veevee306 Their levels of stress and responsibilities are also well above yours I am guessing. They earn a decent salary because they've gone through years of specialized training and are required to be correct on high-stakes decisions so often.
@@veevee306doctors had to go through so much more than most of the other staff. Just because they depend on someone else to also do their job doesn't make the other person their equal.
That doesn't mean doctors should be disrespectful of the other staff, but it's also no excuse for all the nurses coming into the room bad mouthing and gossiping about the doctor I'm trusting with my life. In fact the ratio of nurses to doctors that I could describe as professional skews completely towards the doctors.
@@bac1308yes if you are a dog of the system who throws roughly 25-30 years of life to "education" I would say you will be highly obedient
Oh goodness, this hit right at home. My hospital has around 20 'Chief' or 'Executive' posts. I've never seen any of them, know only half of their names, nor do I understand what they do. These Executives are so accomplished, they have bought in something like 15-20 different private consultancy firms to try and 'improve matters' (Author note: They have not improved anything). Yet in the clinical services we've been threatened with redundancies as there is no money left from next April. My team's budget will be zero I've been told, so we have to find 'alternative income'. Oh forgot to mention, this is the NHS, not America.
Absolutely happens in government run orgs too.
The Tories have been working to gut the NHS and institute American style "healthcare" for well over a decade now
So very true. Every hospital is like this. Massive administrative bulk when you consider salaries, benefits, etc. And none of them need a license, privileges, malpractice insurance, narcotic licenses, board certification, continuing medical education, etc.
I can't guarantee about hospitals, but a lot of the executives in corporations are part of a professional order. Cpa, fiscalist, engineers (lots of engineers end up there later in their career), lawyers, etc...
I would assume hospitals are the same to some extent.
Nope. No clinical experience is required to become a healthcare administrator. A few are former nurses, pharmacists, etc., but it doesn't require them to keep up their license as they are no longer in a bedside role.@@Jet-ij9zc
@@Jet-ij9zcHell yes! Why would anyone want to take on medical school debt? It's easier and faster to pay off business school debt, and you get to go home, eat a real meal, get to know your own family and sleep at night.
@@MyCleverHandle The tradeoff is instead of helping people, you spend all day nivagating insurers, shareholders, and angry patients. Why more negatives without the same emotional positives. The system is just broken.
Yes Minister did a great episode about a hospital that hadn't opened to the public, but was fully staffed by admin. It was running at peak efficiency, and was boosting the numbers nationwide for "spare beds" like a champ!
The irony of that episode (which can essentially be summed up as a hospital with 500 administrators, but had been assigned no money for medical/nursing staff and therefore had no patients) was that it came from the imagination of the series two writers (Antony Jay and Jonathan Lynn), but after it was broadcast they discovered that it was actually unintentionally representative as there were several hospitals or new wings of hospitals that had been built, but were empty for very similar reasons. The exchange in it that I love is when the chief administrator proudly states that the hospital has been "nominated for the Florence Nightingale Award" and when asked what that is by the minister she says it is "awarded to the cleanest hospital" 🤣🤣
@@DrSDavis Also read 'Company' by Max Barry.
@@DrSDavis"Florence Nightingale Award" made me wince/laugh because my sister literally won that award, for graduating at the top of her RN program... The first hospital she worked for, she quit because of bureaucracy like this... 🙄
That was a great episode!
The folks on the podcast "Well, there's your problem" like to say that the ideal railroad runs no trains and owns no track. I guess the ideal hospital has no doctors or patients...
Better pay and improved staffing ratios? Can't the medical staff and nursing, in fact, all persons providing patient care just catheterize themselves so they don't have to waste precious hospital time using the rest room? Just think of all the time that could be saved. Naturally, the catheterization and emptying of the bags would be done before and after clocking out... Thank you again for bringing these issues to the forefront.
"The hospital would happily like to announce it's new program to help deal with nurses 'FEELING' they don't have enough time to adequately treat patients!
STOMAS FOR ALL!"
And just think of the water and electricity that would be saved by all those staffers not taking elevators to the non-public restrooms and not flushing toilets! Some marketing-minded executive could qualify for another huge bonus for the reduced utility bills!
I was not prepared for the chief liquidations officer
We recognize Barty when we see the slimy bastard.
I swear if I ever run into Dr. G in a suit, with slicked down hair and that smug smile, I will run for the hills!!!
😂
Thank you for the brief introduction into US medical system. It can get overwhelming to understand for a simple european as myself, but now I got all the information I need and finally I am 100% ready NOT to travel to USA.
Hell yeah. Please stay in Europe. Far away from this arrogant hellhole. Maybe help make it easier for Americans to immigrate over there. I mean, at what point can we get refugee status? Lol...😢
Aw its fine, just don't get sick.
Barty Banks stepping in as the chief liquidation officer, of course.
Thanks for making this video. From a nurse
this seems like a horribly universal problem. hospitals, companies, universities.
hell even in the military, we have high ranking, senior personnel that have literally no job.
a lot of organizations out there need to clean house.
Reminds me of the 90s, when I worked in the switchboard of a large clinic. We started hearing about how tight budgets were, and, suddenly, a large percentage of the MDs became VPs as well.
As someone who lives in the US’s neighbour, this series really explains a lot about the healthcare situation in the US.
Edit: corrected typo
Healthcare tourism to Mexico and Canada by Americans accounts for over 1.4 million trips by US citizens a year, with various Central American countries being the third most common destination.
Leaves?
@militustoica And countless visits to U.S. hospitals when those Mexican and Central American hospitals cause nosocomial infections.
@@mirzaahmed6589Don’t be an idiot. Context clues “lives”
@@mirzaahmed6589 *lives, it was a typo
I worked in medical for a couple of decades and I'm standing up in the rafters with my Bic lighter lit waiting for an encore concert from you! You are spot-on!
Thankyou for your service
I remember being evicted from my nursing accommodation because it was being converted into offices for administrators.
Which is why healthcare MBA recruiting is such ass right now. In MBA for energy, my healthcare classmates are struggling bc hospitals are realizing this.
It's wonderful to see
My state funded organization just gave out raises for the first time in a while. I haven't been here that long, but it is crazy how much an extra $200 goes. I have room to pay for things besides bills now. Like groceries.
Thankyou for your service
I saw the notification, and got my daily dose of anxiety and frustraion over laughs...then I was like wait - I'm in Canada. Oddly enough, I'm still walking around with that lingering post nightmare feeling.
One more thing. It's not just the salaries that work me it's the unreported bonuses and perks then undoubtedly lurk in the dark recesses of these Hospital's administration pay checks. The Unseen perks that cost Millions. I'd love to know what those are.
Was that Bartholomere Banks?
Private equity
I read that in such a worried tone. 😂
His stench could be smelled from the hall.
It's amazing that Dr G has trained us to recognise different characters on sight, even when literally all of them are just himself with a different outfit and facial expression. You can feel the malice emanating from him just from that brief shot.
The fact that the character isn't even named here is testament to his confidence in that training.
@@tscimb The stench of brimstone and sulfur
Wait is the chief liquidation officer Batholomew Banks, private equity??!
I have been working for almost 2 years in education now as a teacher. I am still discovering more people every month who get paid so much for doing almost nothing
This series should be televised the same as the congressional hearings were for the January 6th Insurrection. Luv ya Dr G
Abso-f******-lutely!!! 👍👍
I feel like this is underestimating it, because there's a VP chain for every chief officer department. I look at financial audits for my job and funny enough they never break out the executives separately on the "salaries and benefits" line item
Same problem most companies have when going through financial difficulties. Too many chiefs and not enough braves.
The show 'Yes Minister' made an excellent example of this situation. They're was an entire hospital without any patients and only administrators and they were all overworked
Thats about right.
I hope you get a lot of publicity for your truth, because no one translates like you do :)
Well done.
Dallas, TX
The happiest day of my of my life was the last day I worked as a RN in the ER. Retirement without the stress of hospital bullshite is like entering the doors of Nirvana.
Thankyou for your service
Ouch this seriously hurts, nurse patient ratio (50% more patients than i should have) and growing administration it's just my everyday at work.
When did you visit my hospital? I didn’t even see you there. You clearly got the gist of the place. I was always under the impression that there could only be 26 things you could fit between C and O but was proven wrong (looking at you Chief Medical Information Officer).
I... I want to know how that's different from chief Data officer. WTF does a data officer do, if it's not security or IT?
@@Terrafire123statistics
Thank you for recognizing us nurses
I’ve been a nurse 47 years
It’s very difficult to be safe and to meet our patients needs
I’m sorry to even be a nurse anymore
I have to beg for a bathroom break
I never get a lunch
Some of my patients feel neglected and they are right
It breaks my mind, heart and body
I feel like I’m a piece of Pooh on someone’s shoe
The Secretary of Veteran's Affairs was paid $210,700 a year in 2019 for running both the Veteran's Health Administration and the Veterans Benefit Administration. There is a LOT less administrative burden in the VA.
As a nurse who's worried about having to strike this year for fair pay and better staffing ratios, yeah, this checks out. 😢
Thankyou for your service
You had me grinning the entire time, doc! Great video!
There are so many execs and yet you somehow managed to come up with a unique "look" for each of them 😂
Anyone with a title of chief or vp gets a bonus simply for showing up to work on that day, whether they show up on time or sober doesn't matter
Keep them coming, Doc!! It’s way past time things are drastically changed in our healthcare system.
I ran a small nursing home and everyone said oh you need a manager and a full time secretary blah blah. I said no, I need staff to give the care! And that’s what I hired!
My was was until recently an executive recruiter for the c-suites for hospitals and placed many CEO’s, CFO’s Medical Directors, Chief nursing officers etc. I have met many of them during the social gatherings and dinners. Only very few left me with an impression to be a truly competent leader. Most of them are meh…..
Thank you Dr G for these skits, they are so valuable
This one is priceless - literally! Dr. Glaucomflecken has done it again. Share. Share. Share.
Reminds me of how UMC of El Paso went from a non profit hospital helping the community and the less fortunate to a money maker screw the less fortunate and pay millions to its “hospital administrators “ 🤦♂️..
No one knows but our state funded only level 1 trauma center in the state that also supports three local states is absolutely hemorrhaging money
This one would be funnier if it didn’t hit so close to home. Trying to improve our efficiency and productivity while maintaining quality and patient satisfaction to reach incentives when there’s no equitable accountability for administration. They also complain about meeting with us after office hours, but… that’s when we work. Not everyone punches out at 3 after a few meetings.
Thankyou for your service
As a patient, I always wish they'd send satisfaction surveys for the administration of the medical system. Closest I've gotten was a survey for the complex case management, which got a very bad review since they don't really help the patient at all and just are annoying, my guess is looking for ways to save Medicare money to increase the healthcare system's upside risk reimbursement. I haven't gotten another survey about them in a couple years though. Seems like they only send surveys when you see a doctor that they know will get a good review.
I am loving this series!
Oh yes, the plague of the modern world : the apparent need for 125 managers in a group of 400 persons
Because apparently paying everyone decently and making them work fair hours is too hard.
But hiring dozens and dozens of guys from business schools so they can oversee very very specific aspects and mostly spend their days doing meetings with each others and sending mails that could be shortened into "are you done yet ?" to everyone every hour, and paying them the salary of 10 normal workers.
Now, somehow we have the budget for that.
If only people knew how ABSOLUTELY REAL this is
I'm enjoying the sad reality of these healthcare short videos. Well done.
Currently OHSU (Oregon Health and Science University) is looking to buy out Legacy Hospital here, so this video hit extra close to home!
I was wondering if this video was a dig at that. Not sure when he made it in relation to when they announced that deal.
It's almost as if he's familiar with health care in Portland...
Though the problems are pretty much the same anywhere in the US.
@@RNdonneurIn case people don’t know, the real doctor behind the Dr Glaucomflecken persona is based in Oregon.
They make it sound like its already happened based on emailsi get from Legacy. Guess I better watch more closely 😢
@3countylaugh it hasn't been approved by anti-trust regulators yet, but the terms between ohsu and legacy have been agreed upon, they just need the green light from government administration.
Uggh. this. 😢 you nailed it doc ❤
Straight up genius!!
Nailed it as usual. Many of the non admin types in healthcare organizations who can really make meaningful differences in patient care and outcomes are suffocated by administrative bloat.
Don't worry, Bim. Those mean nurses won't be bothering you with their signs much longer. We have addressed the concern. Now that you're one of us, you can use the executive entrance. No no one else knows about it, even those pesky nurses. It's the one left of the bat cave through the raging underground waterfall. It takes you right up to our suite. We even paid extra to have the car elevator use 6% less electricity than a standard car elevator. we're such good people.
This series is very clever and, unfortunately, accurate. So accurate, that I have to watch these episodes in the morning because I need the rest of the day to calm down so I can get to sleep at night.
And let’s have a series of meetings to arrange meeting schedules so we can organize or meeting calendar.
Yes, this is nice, but my real question is whether those VP's calling cards are eggshell white or bone.
This entire series is simultaneously funny and depressing. Thanks doc!
I read about three hospitals in Connecticut, nigh on bankruptcy, trying to get subsumed into the Yale Health system, just yesterday. This hits close to home.
Aaargh- RN here. While my hospital in Colorado puts on the pretense of taking care of its nurses with flex shifts and job sharing, our wages are still low and not keeping up with inflation. It is like the magic shell game. Look over here look at this freebie- just to distract us from the bottom line fact that our wages are not keeping up with inflation. Union is sounding real good these days
This is painfully accurate.
My general guideline was that the more word in a C-Suite jag’s title, the less you work they did and the less respect they were owed. Pretty universal coast to coast, I was an infection control consultant.
Spot on, this also happens in a lot of other countries
Same in the UK. We have pay banding for everyone but dentists and doctors and very senior management - same party bands for all admin, support staff, nurses, AHCPs, Pharmacist etc., IT, finance.
We have a theory that the first question on how banding is worked out is "drop one band if staff member is patient facing". It's the only justification for a PA that types up minutes and manages a diary earns a band 5 wage, whereas a ward receptionist or the reception and admin in A&E are band 2 (imagine the customers your have to deal with and book in and the angry queues. For context all staff nurses are in band 5.
Nothing against PAs, some are amazing, but they earn the same as ones that cannot type up minutes or set up meetings. And it's the same wage as the staff nurses, junior physios, radiographers etc.
Dr. G must still have friends in Iowa City. This is exactly what happened/is happening here. The community hospital has been run into the ground by bad management and the UofI is trying to purchase it.
Higher education too. I used to do HR stuff for the higher echelons of a university, and the amount these leeches make vs. adjuncts is disgusting. They're also more than willing to blow whatever on catering, business travel, minor marketing color scheme changes, etc.
Nothing like a good Bimothy to make me crack up! Spot on as usual doc!
One of the highest earning CEOs in the entire state of Indiana is a hospital CEO. He lives in Tennessee and has only visited the hospital like a handful of times since the start of the pandemic.
Wow just nailed it!!!
Excellent work, sir.
NY took care of me through a horrendous time. I understand the system cannot be improved. NY was great with me.
Literally happening right now to my old employer. Absolutely have been posturing themselves to get bought out.
Have you been secretly moonlighting in the NHS? This is scarily like an NHS hospital. So many managers. (getting rid of most of them would solve a lot of the NHS' problems)
This was the first video in this series that made my blood pressure go up
Very similar to the veterinary centers of America (vca). Now owned by mars who also owns banfield. Antech laboratory which is the lab all the VCA matthews is also owned by BCA as are many of the imaging companies at least their equipment to the hospital. You’ve discussed it before vertical ownership or whatever that’s called. Head guys are out playing golf paying the doctors reasonably well and charging clients up the ass.
Thank you for this series!!!! Hospitals have gone insane. It's not about healthcare at all and those who try to help are punished
Mate you do make me cry.
So good, but also - depressingly real ...
I NEED to send this to my nurse friend