Re: Department heads yippeeee!
I work for a non-profit LTC. I hope our residents and their families don't feel abused or neglected.
We lose about $30 per day on our Medicaid patients, but their care is as good as private payers, sometimes better. A resident who is getting a chest x-ray for free tends not to hesitate, while one with out-of-pocket expenses might delay treatment by waiting to see if that pesky wet cough goes away on its own.
From my perspective, a huge problem with Long Term Care isn't that we're dealing with limited resources (and who in health care isn't?) but that LTC has this nasty reputation. Residents and families come in and scrutinize us, looking hard for evidence that administration is "trying to make a buck and screw the patients."
LTC is the most highly regulated industry in my state. If things really are bad in the industry, I'd like to hear some suggestions (other than more regulation) for improving things. I think most homes do a darned good job - otherwise I wouldn't be working in this area.
Nursing News