Yes its true folks those darn little rascals at medicare are up to their old hijinks once again. This time they have decided that they are no longer going to pay for the following hospital complications: UTIS, bedsores, falls, mediastinal infections post heart surgery. It seems they think that if they continue to pay, we in the hospital scene will have no incentive to prevent such complications from occurring, since they pay us whether there are complications or not.
Here is a no brainer: nobody wants any patient to develop complications during their hospital stay. But hey scathingly brilliant suits at Medicare, do ya think some of the reason for this stuff could be that PATIENTS ARE SICKER, THERE ARE NOT ENOUGH NURSES?!!! Duhhhhh.....When you are running your butt off on a daily basis to keep up with your assignment, trying to turn granny every two hours gets difficult. Ditto wathcing grandpa every minute to make sure he don' fall. UTI's? Technique is probably to blame for some of it. Could a compromised immune system due to serious illness be another reason cap'n?
If anybody who works at JCAHO or CMS/Medicare has actually ever done bedside patient care will they please take a giant step forward now.....I don't see anybody....
Here is a message that should be written across the sky, piped into your meeting room, tatooed on all of your foreheads - IF YOU KEEP COMING UP WITH INCREASING COMPLEX, TIME CONSUMING REGULATIONS AND POLICIES THERE WILL BE NO NURSE TO CARRY THEM OUT FOOL!!! 'Cause we are getting to the point of no return with all of this shit!! Uncle! Enough already!! Cease and desist! Come back down to earth!
I think I will make it my personal mission to find out the names of all the decisionmakers at said organizations and distribute it nationwide so that we all know when you or your loved ones present for care, we can tell you when you press
that call light that we are sorry we are unable to help you because we are busy reconcilling your meds, we are even more short staffed due to decreased revenue from your idiotic policies, I'm trying to remember the codes for the room where we store everything that can't be at the bedside anymore, etc etc etc, so your chest pain, shortness of breath, faint feeling, lethal arrythmia is going to have to wait.....good luck with that..
6 comments:
I have transported a parent of a medicare worker.Only the best for mom.In the back of the ambulance a doctor escorted my partner and I.Was it an emergency?Oh yes it was.....she was getting an xray of her hammer toe operation.We were all nervous.If we messed this up we could lose our jobs.When we arrived at the hospital I felt like I was winning an award.....the staff was awaiting our arrival.They were all at attention and overly concerned about the patient.Medicare will never see the down side because there loved ones only see the best that a hospital has to offer.I will never forget that day as long as I live.
If you get the list of the CMS people, could you share with me?? I have a couple of reimbursement issues that I'd like to share:) I'd also like to know where the heck our billing number is also!!!
Well said! I second your anger!
*clutches his free Canadian health care card*
And to further exacerbate their stupidity they have made a mandate that says if a medicare patient decides they don't want to leave the hospital THEY DON'T HAVE TO. That is right, they can stay there until an appeal is arranged. At hospital expense of course.
welcome to America. It is said no business can exist without breaking laws as the bureaucrats have made so many regulations.
Even the IRS denies it understands the tax code.
what makes you any different. Work gets done in spite of management
I met the idiot who worked on the UTI recommendations, she spoke here not to long ago. She's so dense the lights dimmed when she walked into the room.
I don't remember her name but she was mind numbingly BORING as a speaker. She recommended per new medicare guidelines that nursing home patients cannot have indwelling caths except in a very narrow list of DX.
That will have the effect of increasing the rate of decubitus ulcers because some old people just won't get out of bed to pee even when they can.
What would any government job be if they didn't make more work for people who are actually productive.
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