Published Jan 28, 2005
Shell5
200 Posts
Do these people get bonuses and % of admits? Just curious. There are times that I give tours to possible admits on weekends when I work weekend doubles and some of them become possible admits.
Also, was wondering if DON, Administrators get bonuses for keeping costs down?
CHATSDALE
4,177 Posts
OF COURSE...that is the any business is run...it is determined how much it costs to run a business...if they can bring it in under costs they get a bonus for good work...this gets somebody to keep an eye open for costs...good management can cut down on waste, make sure that charges are properly done to appropriate party. that staff is adequate to do job and a lot of other things that chew up profit
HOWEVER you will find some administrators who really cut down on the quality of care...i have seen places where the amount of laundry detergent was inadequate to clean clothes...adm would allow only one samll cup for a washer packed so full it could not properly wash the clothes
same facility...NO detergent was to be used in cleaning floors...bm. ememsis. and sputum all mopped up with plain water..reason given that it stripped was from floor
there has to a special place in hell for those who can treat their fellow man so
donmomofnine
356 Posts
Not where I work!
southern_rn_brat
215 Posts
lol if they do get those bonuses then I want a raise! :chuckle
every single tour I have given on the weekends in the past 4 months has been admitted to us!
hey wait...that's pretty good aint it
now im kinda proud of myself
pmchap
114 Posts
In Australia everything is regulated - right down to the admins pay packet. it is only when you get to the ceo's of private places and the ceo's of health services for the public places that they negotiate their packages. The negotiations are kept pretty quiet but you can quarantee that performance indicators would make up part of the package. IE - overall patient length of stay drops and the $$ saved can mean a fortune - it wouldn't take much imagination to think that the top dogs want a little of that savings.
The public is pretty vocal about health care in Australia so the chances of someone abusing the process to the detriment of patient care is fairly remote. (or I may just be gullable and believe the boss....)
meownsmile, BSN, RN
2,532 Posts
Yes,, it all surrounds budgeting. Each unit is allotted a budgeted amount for staffing,etc. Anything they come in under that allotted budget gets dispursed as bonuses, usually at Christmas or FYE. It stinks, and is taken on the backs of staff. But historically thats the way business is usually run. If the CEO's and shareholders dont get it, the administrative staff does.
sassynurse78
153 Posts
Ours do, even our dietary managers do. I have overheard that it usually is a few thousand! Our dietary manger has done a great job at preparing for his bonus, our pts was upset today because the menu of cheesburgers and tatertots was a small 4oz cheeseburger, with four yes I said FOUR tater tots. Bonus systems work I guess!
unknown99, BSN, RN
933 Posts
I worked in one facility where the DON got a trip to Cancun and $10,000 as a bonus for keeping cost down.
zuchRN
44 Posts
would you feel the same way if bonus's were based on clinical factors rather than keeping costs down? What if the measurement for bonus was a percentage of prussure ulcers, weight loss, restraints, antipsychotics, CMI?
DreamRN
6 Posts
I am an ADON for a facility that has no empty beds 99% of the time. I do not get bonuses nor does the DON.
jyoung1950
157 Posts
Do these people get bonuses and % of admits? Just curious. There are times that I give tours to possible admits on weekends when I work weekend doubles and some of them become possible admits. Also, was wondering if DON, Administrators get bonuses for keeping costs down?
At the nursing home I worked for, I know the heads of the dietary, housekeeping, laundry, maintenance got them.
So we saw a cutback on real juices for med passes and meals (now the residents get orange drink instead of orange juice for breakfast), bandaids on maintenance problems, no fabric softener for the residents' clothes, and other things that frustrated the direct care staff and lowered the standard of living at our residents in their "homes".