Are all for-profit hospitals soul-sucking despots that truly only care about the bottom line

[klone, MSN, RN]

At the sacrifice of employee satisfaction and safe patient care standards?

Asking for a friend.

[DowntheRiver]

Ah, I had this moment today as well. Doesn't help in these parts there is a full moon tonight. So very tired of working short staffed.

[klone, MSN, RN]

7 minutes ago, DowntheRiver said:

Ah, I had this moment today as well. Doesn't help in these parts there is a full moon tonight. So very tired of working short staffed.

It's less a "moment" and more a "general state of being."

At least, that's what I'm told by my friend.

[Sour Lemon]

Yes, that's how the world generally works.

[guest974915]

I've worked in maybe 12 or 13 hospitals and it matters little-'non' or 'for profit', religiously affiliated or secular and yes, it has been my opinion that they are all 'soul-sucking despots' to greater or lesser degrees-welcome to corporate healthcare!

[catsmeow1972, BSN, RN]

I find the culture is a little different. I’m my experience, non profits (real ones, not those that merely claim to be) are better.

The bottom line is always a consideration. Non profit does not mean no profit. I have found though that the For profit ones seem to have plenty of money to put a nice new fountain in the lobby but never enough to staff properly or buy decent equipment. A decent nonprofit will funnel that money back in to the place.

To me the idea of making money of the backs of sick people is nauseating. For profit healthcare is an oxymoron.

On principal I refuse to work in a for profit facility.

[Davey Do]

Your thread title could be interpreted as being pretty radical, klone.

Maybe you should get together with another radical and cut an album:

[OldDude]

We have two non-profit hospitals in our area...both are lockstep with the for-profit model with the upside down wedding cake structure...employees at the bottom supporting the bloated uppermost layer. I think the non-profits actually have an easier time generating income and dealing with corporate regulations since they can always play the charity card and throw in a religious association.

[Davey Do]

13 hours ago, klone said:

It's less a "moment" and more a "general state of being."

At least, that's what I'm told by my friend.

Chronic pain is often defined as any pain lasting more than 12 weeks.

If you've noticed that this "sacrifice of employee satisfaction and safe patient care standards" has lasted more than 12 weeks, then it can be considered chronic or more of "a general state of being".

[JKL33]

The soul-sucking doesn't have anything to do with FP/NFP status.

[Supporting statements redacted].

At some point, there's something to be said for any corporation that calls itself what it honestly is.

[Daisy4RN]

I have worked for both non-profit and for-profit. I was no difference, both have equal employee opportunity for soul sucking.

[HomeBound]

Doesn't matter which model, both of them do one thing---bill to get paid. Yes, a certain amount of care has to be provided at reduced rates or free--in order to qualify for government subsidies--but these corporate entities, even the "non-profit" hospitals...are now pouring every ounce of energy into scrabbling for that last dollar.

I learned something outside of my usual ER/ICU world.

Interqual. Look it up. Take a look at how these people coach providers on "how to chart" in order to maximize reimbursement. There's a powerpoint online that states, "Avoid saying ______" say it this way instead "________" How to avoid ordering "high ticket" tests like MRI or PET scans.

They call it "decision support" using "evidence based practice". How to word a progress note to make it seem that the "intensity" of a patient's illness is more than what it actually is in order to be compensated at a higher rate.

The manipulation alone is making me question every single thing I do now. Is this really what this doctor thinks is best for the patient? I can disagree all I like---even use this vaunted evidence based practice that is allllllll the rage now in nursing---

and it don't mean squat.

This isn't about patient care and hasn't been for a very long time. I'm truly annoyed and it just chaps my a$$ to have been listening to these unit managers and educators harp on this evidence based practice thing when doctors and administrators don't even give a rat's rump---it's all about how to word the charting so we get the highest compensation from insurers.

And you wonder why everyone above the ones actually doing most of the work are soul crushing tyrants?