Tying Patient Satisfaction to Medicare Reimbursement is Problematic - page 3
Patient satisfaction surveys have been receiving an amplified amount of attention at hospitals and other types of healthcare facilities, especially since the results of these reviews now have a... Read More
Mar 10, '13Every CMS measure has open comment before it becomes Rule. Anyone can comment, yet I would bet not one had posted a response on the CMS web site. AT insurance companies it is a medical director who is a physician making decisions.
Mar 10, '13Great article, and I agree with you 100%. Too many times have I witnessed a client be given superb hospitality during the stay. We setch sodas, magazines, anything to try to keep the score high. We even goes far to say "Thank you for choosing _________, we hope that you will give us all 5's" Though, at discharge you find you now have an angry pt because they have been prescribed torodal rather than dilauded. Guess what we're getting on the cards.
Second note, our healthcare system has now set itself up for pt satisfaction that we will have to start saying "Welcome to the Hilton". It's a beast in the making. Thank you to the government.
Mar 10, '13Quote from ImKosherSecond note, our healthcare system has now set itself up for pt satisfaction that we will have to start saying "Welcome to the Hilton". It's a beast in the making. Thank you to the government.
too late - it's already started.
What I'd like to know is why are hospitals sooo stupid that they actually think they will get glowing scores even if we serve the pt trays on silver platters with a personal waiter?? This is a no win situation,and I can't wait to see the aftermath when hospitals will not be getting paid for any services. What , are they going to can everyone that has to do with pt care and perception? They won't be canning the docs; they'll be canning the nurses. Heck, they probably won't even can the ancilliary staff. Seriously, after a few months/years of not getting paid( because medicare will eek out of having to pay) how long do we think hospitals will hang around for this???
More food for thought..
Mar 11, '13I wish that they would factor in the fact that you can't please everyone. Lately - and I don't know if it's the long winter, or what - but we've had some real humdingers of miserable folks. I don't mean miserable as in they're upset because they receive bad care, they're miserable and yell at the nurse. Then the CNA. Then at their wife or husband or dutiful niece or nephew or daughter or son. They get mad they we don't have Sweet 'n' Low but we do have Equal, Splenda, and sugar.
I had a patient who was upset that he was "woken up too much". This is someone who had an elective joint replacement. We do vital signs twice during the night shift. So being an eager-to-please nurse, I waited until the lab come around to draw his blood at around 5:30AM, went and found the CNA to grab vitals while I gave his meds, and we all three went hustling in to his room to attend to his needs quickly. He got upset that there were too many people in his room.
Mar 12, '13Like someone else said,I'm quite confident that medicare or who ever knows that the scores will suck, so they wont have to pay, and therefore line their own pockets.
Mar 12, '13Quote from jrwestYup!!! Not to mention the whole industry of the satisfaction survey wonks. No one at Press-Gainey or NRC-Picker is getting poor from all of this nonsense! Someone complained they did not like being on isolation and it made it in to the survey comments our managers pass out via email. really??? What were we supposed to do about that one?Like someone else said,I'm quite confident that medicare or who ever knows that the scores will suck, so they wont have to pay, and therefore line their own pockets.
Mar 12, '13yes- no win. had to move a pt from a private to a semi for a pt and family in which the family was very large( like 20 people would be in the room at one time) and that pt with the large family was possibly going to be put on comfort care. The family was very grateful. I bet we might even get a good score on that one. Only to be cancelled out by the person who was upset that they got moved.
Mar 12, '13Quote from TheCommuterI think a handful of the small hospitals that lack deep pockets/capital will fold up, go under, and close their doors for good as the result of continual monetary losses.
So, these community hospitals will close their doors, creating a more compounding effect on rural healthcare. Who comes up with this crap?
Sorry for the double post, but I forgot to quote The Commuter :-)
Mar 12, '13Quote from jrwestI suppose you are correct. It's sad!They won't change the staffing- they will just can the "low performers" and get new ones, since nurses are a dime a dozen....
Mar 13, '13Quote from ParkerBeanCurdRN,BSNBureaucrats who do not work on the front lines of healthcare are the ones who conjure up this crap. And you came up with the correct word: CRAP.So, these community hospitals will close their doors, creating a more compounding effect on rural healthcare. Who comes up with this crap?
Mar 13, '13After all, should I care that my surgery went well or that the medicine team chose the right abx to help cure my infection? No, what I really care about according to CMS is
- During this hospital stay, how often did doctors treat you with courtesy and respect?
- During this hospital stay, how often did doctors listen carefully to you?
- During this hospital stay, how often did doctors explain things in a way you could understand?
How Obamacare penalizes safety net hospitals
I was talking with a couple of physician friends recently. They have metrics to meet regarding the percentage of their DMII patients with good A1C. The dilemma they have is what to do with patients who refuse to take their insulin and therefore continue to have high A1C values. Should the providers make home visits to personally give the morning insulin, should they discharge these patients from their practice, or should the providers accept financial penalties for continuing to treat these patients?
Mar 14, '13^^^ I feel you should write an editorial to a local paper on that one- it makes complete sense.
I'm sure most everyone is happy that they had a good outcome as opposed to the red carpet service.
I still think it's an ulterior (sp?) motive to get out of paying. why this stuff is based on froo froo stuff ,- it is unrealistic to think that the perfect doctor/nurse with the perfect bedside manner with the perfect outcomes , exists