Can pretty much guarantee

Post #317,175 by mhuber 11/12/09 2:15:35 AM Reply	Can pretty much guarantee That every item on the list is, if you know the details, justified. Except for a small number of errors that probably aren't a significant factor. It's all good people doing the best they can. System failure.
Post #317,191 by crazy 11/12/09 10:27:54 AM Reply	I just saw this The GF is a nurse. The state just introduced 5-20 minutes of paperwork per day per resident that she has. It concerns interviewing for pain, medicating for pain, judging the result, documenting the results, justifying the result. This seems to make sense. Obviously, they are worried about the old folks in pain. They want to know what works and who's paying attention. it's just a little bit effort, right? She has between 18 and 22 residents. She is already very busy. Do the math of the additional time required. Start multiplying the cost of this piece of paper (or computer entry) per resident. Do you think management takes into account each of these additional pieces of paper when determining how to staff? Don't forget to multiply by all residents in all the homes in the state when determining extra hours. Yeah right. Now add each of these pieces of papers that someone else thought was a good idea, without understanding the cost.
Post #317,195 by drook 11/12/09 12:04:44 PM Reply	Solving the wrong problem I think most of us (including your GF) would say a 22-to-1 patient/nurse ratio is way too high. If they don't have time to do things that they should be doing, the correct solution is not to just not do those things. -- Drew
Post #317,210 by crazy 11/12/09 4:54:44 PM Reply	oh, agreed, but it really doesn't matter. Staffing is determined by budget, not the other way around.
Post #317,226 by Mycroft_Holmes_Iv 11/12/09 10:04:43 PM Reply	Yes and no I can guarantee that every item on there is, and has been, justified by a bean counter somewhere. The funny part is that probably 1 in 100 will never pay anywhere close to that amount. Most insurance companies negotiate costs, so that a $30,000 charge becomes a $3,000 charge. (Yep, a 10-1 reduction) Say that's 70% of the people treated. Of the 30% remaining, more than half are broke / can't pay. (They then write off the $30,000 as a business loss.) Another nearly half has some money, so they get some return on it, but they still write off the rest. Oh, and I forgot the ones who died. They have to collect from the estate of the deceased (if they didn't have insurance). You can be pretty wealthy (at least in Florida) but if you die, lots of stuff gets transferred over before it ever enters probate. (Houses, cars, etc.) Only at the probate level do they get even a chance at any cash.

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