Hospital CEO Salaries: Are The Big Bucks Justified? - Page 8

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  1. Jul 21, '12 by
    I some how think there is a lot of LPN's and ADN's out there that could run a hospital a lot better than most of the MBA CEO's. AndThose hospitals would probably be alot more sucessful- because at least they would be providing safe quality patient care- which is what patient's will remember, not which ones have the CEO's with the biggest portfolios or biggest billboard add. There would probably be less lawsuites- because the patient's would get "Patient Care"!

    HM-8404- could you share with us some of your clinical credentials/years of clinical hands on experience?
  2. Jul 21, '12 by
    Quote from kcmylorn
    I some how think there is a lot of LPN's and ADN's out there that could run a hospital a lot better than most of the MBA CEO's. AndThose hospitals would probably be alot more sucessful- because at least they would be providing safe quality patient care- which is what patient's will remember, not which ones have the CEO's with the biggest portfolios or biggest billboard add. There would probably be less lawsuites- because the patient's would get "Patient Care"!

    HM-8404- could you share with us some of your clinical credentials/years of clinical hands on experience?
    I have 8 years experience as a Navy Corpsman, 5 of those was what is called an Independent Duty Corpsman. I started out working in military hospitals. After being in for 3 years I was chosen to attend school to become an IDC. Much of my training was at the UCLA Med. Center Trauma/Burn units. When I completed my training I worked with almost total autonomy. I did assessments, diagnoses, prescribed meds, sutures, minor surgery, etc. I worked where there was no doctor for hundreds of miles at times. There is not an MD in forward bases with Seabee's or Marines, on submarines, or every Navy ship. All of the medical care falls to Independent Duty Corpsmen. Actually,the job I held is why the PA exists today.

    Prior to that I owned my own business. I know how much work is required to run a small business that generates 250K-300K in business a year. I can only imagine what would be involved in something as complex as a hospital. As an employee you leave your job at work, if you are smart. If someone else screws up it is really no sweat off your back. As CEO of a large company you are ultimately responsible for the actions of everyone on your payroll.

    If you think an LPN or an ADN could run a hospital you are sorely mistaken. It takes years of experience working your way up the ladder to even get an interview for a CEO position. They don't hire a CEO straight out of college. I agree the patients may remember the great care they got at the hospital that was run by either the LPN or ADN. They would tell their friends how great the care was back before that hospital went bankrupt.
  3. Jul 22, '12 by
    There's a major differnce between being a military corpman in a military environment and a licensed nurse( LPN or RN) in the civilian world.
    A corpman in the military doesn't translate into anlicensed independent practioner(PA, NP RN) or a Licensed Nurse(LPN) in civilian world. A corpman in the civilian world will have to take a Training course and a certification exam to become a medical technician/assistant(MT or MA) or a nursing assistance(CNA). I know this first hand - I worked as an RN in a MTF and many corpman I worked with tried to get LPN and RN licenses upon separation- the civilian world told them differently. Some even thought they could just apply to the BON and obtain Nursing licensure- where are they today- doing their time in nursing programs( and blogging on facebook how hard these programs are) just like the rest of us in civilian world had to do. The military medical/nursing world is regulated by the federal governemnt. The civilian medical/nursing world is regulated by the state. I also know for a fact( first hand ) that a Doctor of Vetinary medicine will be placed in a Human Family Practice Clinic and expected to see human patients. This is not a practice in civilian world.

    Needless to say- the military service member can not sue the governemnt for any real or percieved medical errors. I also know military corpman are called "doc" on the battlefield. But life changes off that battlefield and into the civilian sector: in the area of independent practice, licensure regularions and legal accountability. Civilian patient's can and do sue in the civilian world. Patient's are programmed to sue the doctor or the nurse it's high time they started to sue the CEO and hold them responsible and accountable - the ones making the life altering decisions( staffing and budget cuts) in an industry they are not educationally prepared in.

    Oh, I also know that the navy corpman are attached to marine units because the marine' s don't have a medical unit. Had to go through them to get my marine patient in for labs into the MTF. Not too much 'over head operating expenses out there on the battlefields. And medical Group Squadron Commanders don't make anything near what a civilan hospital CEO makes., yet the MTF's floors are clean, polished, carpeted and maintained, bathrooms clean and trash emptied better than any civilian hospital I've ever worked in- might it have something to do with the Congress stating to the military - "you only have "X" amount of dollars for the heathcare budget and allocating those dollars out to specific areas and once the money is spent that is it- tough luck til next fiscal year": Not the Squadron Commander scooping up 3/4 of the money pot for themself and running the joint with the 1/4 thats left over.
    Last edit by kcmylorn on Jul 22, '12
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  4. Jul 22, '12 by
    Quote from kcmylorn
    There's a major differnce between being a military corpman in a military environment and a licensed nurse( LPN or RN) in the civilian world.
    A corpman in the military doesn't translate into anlicensed independent practioner(PA, NP RN) or a Licensed Nurse(LPN) in civilian world. A corpman in the civilian world will have to take a Training course and a certification exam to become a medical technician/assistant(MT or MA) or a nursing assistance(CNA). I know this first hand - I worked as an RN in a MTF and many corpman I worked with tried to get LPN and RN licenses upon separation- the civilian world told them differently. Some even thought they could just apply to the BON and obtain Nursing licensure- where are they today- doing their time in nursing programs( and blogging on facebook how hard these programs are) just like the rest of us in civilian world had to do. The military medical/nursing world is regulated by the federal governemnt. The civilian medical/nursing world is regulated by the state. I also know for a fact( first hand ) that a Doctor of Vetinary medicine will be placed in a Human Family Practice Clinic and expected to see human patients. This is not a practice in civilian world.

    Needless to say- the military service member can not sue the governemnt for any real or percieved medical errors. I also know military corpman are called "doc" on the battlefield. But life changes off that battlefield and into the civilian sector: in the area of independent practice, licensure regularions and legal accountability. Civilian patient's can and do sue in the civilian world. Patient's are programmed to sue the doctor or the nurse it's high time they started to sue the CEO and hold them responsible and accountable - the ones making the life altering decisions( staffing and budget cuts) in an industry they are not educationally prepared in.

    Oh, I also know that the navy corpman are attached to marine units because the marine' s don't have a medical unit. Had to go through them to get my marine patient in for labs into the MTF. Not too much 'over head operating expenses out there on the battlefields. And medical Group Squadron Commanders don't make anything near what a civilan hospital CEO makes., yet the MTF's floors are clean, polished, carpeted and maintained, bathrooms clean and trash emptied better than any civilian hospital I've ever worked in- might it have something to do with the Congress stating to the military - "you only have "X" amount of dollars for the heathcare budget and allocating those dollars out to specific areas and once the money is spent that is it- tough luck til next fiscal year": Not the Squadron Commander scooping up 3/4 of the money pot for themself and running the joint with the 1/4 thats left over.
    I know that the Corpsman rate does not make you eligible to move into a civilian nursing position. I knew this when I enlisted, hence why I am starting nursing school next month. The point I was making about Corpsmen and PA is after Vietnam the Corpsman coming back were actually over qualified to move into a nursing job. The PA programs were set up so the skills those people had were not wasted.

    You don't think that hospitals have a budget they have to operate under? That budget is determined by how much money they have coming in, profits. They can't just go to congress and ask for more money next year if they need more. A CEO does not set his salary. It is set by a board of directors.
  5. Jul 23, '12 by
    Part of the motive for these exoribitant pay rates is because if the CEO isn't paid a lot, it gives an image the company the CEO leads is not doing well.

    At least that's what the people upstairs say.
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  6. Jul 23, '12 by
    I think the people upstairs will say anything to justify their actions.I helps them sleep at night and live with themelves. I don't think the people downstairs are buying it.
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  7. Guide
    Jul 23, '12 by
    I think the truly best hospitals have top management who respect the professional judgment of the nurses. Hospitals exist because people need nursing care.
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