Tying Patient Satisfaction to Medicare Reimbursement is Problematic - page 4

by TheCommuter Asst. Admin

16,777 Unique Views | 62 Comments

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 significant effect on Medicare... Read More


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    I 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.
    sistasoul likes this.
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    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.
    roasted and sistasoul like this.
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    Quote from jrwest
    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.
    Yup!!! 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?
    dudette10 likes this.
  4. 0
    yes- 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.
  5. 0
    Quote from TheCommuter
    I 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 :-)
  6. 0
    Quote from jrwest
    They won't change the staffing- they will just can the "low performers" and get new ones, since nurses are a dime a dozen....
    I suppose you are correct. It's sad!
  7. 1
    Quote from ParkerBeanCurdRN,BSN
    So, these community hospitals will close their doors, creating a more compounding effect on rural healthcare. Who comes up with this crap?
    Bureaucrats 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.
    jrwest likes this.
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    After 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?
    That's right doc, just give me a hug and listen to me and CMS will reward you or at least not dock your pay. This blog post points out an unintended consequence. The boutique hospitals will get bonus payments while the safety net hospitals get penalized.
    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?
    batmik and Jessy_RN like this.
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    ^^^ 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
  10. 5
    Quote from TheCommuter
    Bureaucrats 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.
    Who comes up with this?

    From President Obama's 2013 State of the Union address:

    "We’ll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn’t be based on the number of tests ordered or days spent in the hospital. They should be based on the quality of care that our seniors receive."

    Really, Mr. President? So should my bill at Applebee's not reflect how much food I ordered or how many Mucho Margaritas I consumed but rather how much I enjoyed my meal and if it was served with a smile? ********.


    http://articles.washingtonpost.com/2...e-enterprise/2
    Last edit by TheCommuter on Mar 14, '13 : Reason: Terms Of Service - profanity
    Sammie7, Jessy_RN, Tina, RN, and 2 others like this.


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