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HH Administrator Seeking Feedback About Productivity



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No. 30
Old Jun 24, 2009, 10:32 PM

Default Re: HH Administrator Seeking Feedback About Productivity
DKS3132: A neutral party from our HR department conducts the exit interview. HR gives me the feedback. I try to make improvements based on that feedback.

The subject of micromanaging is a valid one and something that I'm doing some soul searching on as well. I don't like to think of myself as being a micro manager so I work at that one. It's a difficult balance because the issues that my own job performance is evalated on is often directly linked to that of my staff. So~ I try to offer feedback in a coaching style so we can all reach our goals. Honestly, I'm not perfect in that micromanagement issue. Gosh~ I do try though because I completely hate being micromanaged. I am probably more guilty of micromanaging issues when they arise. I have lots of projects and other tasks that I'm accountable for so I really do have a whole lot of time to micromanage anything. Especially now that we're short staffed. Your point is well taken though! Thank you.

My primary reason to be on this site was to investigate if our caseload/ visits per day is too high and if our internal processes were not supportive enough for our RNs.

Someone had commented on a start of care being more time consuming than a recert. They take about 3 hrs to do We realize this and give it 3 points. I can do a recert in about 2 hrs. But we go ahead allow 3 points for a recert too so the RN will have plenty of time for proper coordination of care, chart reviews, etc.

I've actually been able to gleen several outsider perspectives and a few good ideas from this website and I'm very appreciative.
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No. 31
from LuLu2008
Old Jul 11, 2009, 12:32 AM

Default Re: HH Administrator Seeking Feedback About Productivity
Originally Posted by CooperNurseRN View Post
Thank you for the feedback. I'm really proud to work for an agency that is committed to working with our RNs to find that happy balance. We realize that in today's market, RNs have options. We are a for-profit agency but we're not only focused on the profit margin. However, with the changes in Medicare, we've had to put on our thinking caps and really learned to be smarter with the reimbursement that we receive. We have all sorts of tools for our nurses and the arsenal is getting larger. We have telehealth devices, clinical pathways, wound care algorithms. I've been in another agency where I took care of patients armed with a bag full of basic supplies, equipment, and an ink pen. Anything beyond that came out of my own pocket. It's exciting to know the agency I'm affiliated with is so much more than that. We are committing to improving patient outcomes and their quality of life.
When can I start working for YOU????
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No. 32
from Rachael25
Old Jul 21, 2009, 05:50 PM

Default Re: HH Administrator Seeking Feedback About Productivity
productivity ..... A word that I hear all too often I work for hh agency in williamsburg va and the productivty expectation is completely unreasonable 1 or 2 admission 6 visits and drive 125-150 miles a day 20+ phone calls a day from the office and every staff member inviloved on a case calls to my home after hours when im not on call and 2-3 hours of paperwork a day. I have been doing this for four years and As the nurse in home care everything falls in your plate and i am really tired of it thinking about quitting nursing all together. If more nurse managers actually cared about the staff and the reality of being the field nurse would a wonderful world it be.
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No. 33
from KateRN1
Old Jul 21, 2009, 10:20 PM

Default Re: HH Administrator Seeking Feedback About Productivity
How are things going now, CooperNurseRN? I'm sure I'm not the only one who would like an update to your story.
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No. 34
Old Jul 22, 2009, 01:32 PM

Default Re: HH Administrator Seeking Feedback About Productivity
UPDATE: I have hired 4 new RNs so I'm only one RN down at this point. They are in training. I have hired a mixture of RNs- a couple with previous home health experience and a couple without. So far, everything is working out well. They are eager to learn and excited about a new career path. The clinical supervisor and I work with the scheduler to ensure that the visit load isn't overwhelming. She and I are both case managing about 70 pts each to keep other nurses from getting overloaded as we train the new ones. We've both been on call for over a month now. However, there is light at the end of the tunnel and I'm confident it's not a train. :-) I think the existing staff can see that we do genuinely care and want to help them maintain that happy life-work balance. I have to say that I've gleaned a lot of insightful information from this site...from how I might be perceived to ideas on how to develop a more cohesive team. I'm always open to idea, suggestions, etc. So thanks to everyone who has commented.
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