Has anybody noticed how hospital adminstration has become mor elike wallstreet???

Nurses General Nursing

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Specializes in operating room nurse.

In the wake of Obama care hospitals are faced with huge financial cuts. The unfortunate part about this is it has become a business like mentality. The only people that benefit are the hospital administration. The cuts that are made do not affect the huge salary's and bonuses that administration takes for themselves. I equate this with the huge financial gains that wall street exec's take for themselves. It is fascinating to hear that a CEO selling a hospital system in the red walks away for himself with millions of dollars. Does anybody in congress care to take a hard look at that? So much for the Hospital staff that work long hard hours to care of the sick, with perhaps a $20.00 walmart card as an end of the year gift, or an occasional meal ticket to pacify them. Nursing administration has become less advocates for their staff.They are given hefty bonuses for meeting budget cuts. These budget cuts fall on the heels of creating the environment of an assembly line of patient care. Staff is graded on their timely performance to get the job done. In the right to work state that I'm from staff is hired on the premise of getting a 40 hour work week, but when the case load is down they are told they must go home. "Take one for the team", administrators are exempt from that scenario. I don't know about you, but I would certainly like to see some real changes made in this area. How about you?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

All very true....all very sad. Until nurses unite and stand together and force accountability through collective bargaining I don't foresee any changes. We are going back decades in the strides that were made towards patient care and patient safety.

It makes me sad.....just as they are firing seasoned nurses to save money....https://allnurses.com/general-nursing-discussion/hospitals-firing-seasoned-970435.html

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Specializes in Pediatrics, Emergency, Trauma.

This problem is not new...this problem stated in the 1990s with the birth of HMOs, and changes to reimbursement...HCAPS were developed in the mid 2000s and slowly rolled out over time, and most people don't look into a course on healthcare economics to realize these changes were WELL implemented before The ACA.

My area was hit with the corporate influence of healthcare...community hospitals were swallowed up and closed, others scrambled to be part if larger health systems; in turn hospital beds closed, and suddenly, there were a surplus of nurses scrambling for jobs, driving down wages.

Fast forward to preset time with people being more sicker, healthcare corporations (it's not just hospitals btw) is not placing the emphasis on having the right kind of ratios to promote higher mortality and morbidity; they are circumventing laws and policies that are for nurses to be involved in, and nurses and even doctors are paying the price.

The best thing one can do is learn about the history of said healthcare policies, utilize EBP and formulate policies and plans that make sense. :yes:

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How is it that every malfunction with hospital healthcare (actually, ALL healthcare) for the last thirty years is being blamed on the so-called "Obamacare"?

I believe Obama was just a wee babe when much of the described mess began to surface.....but hey, it was probably all his fault then, too! :confused:

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

The system is a victim of itself. It has been abused for so long it isn't funny.

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Specializes in ER.

I'm not an Obama voter, but I, too, weary of everything being blamed on him. I felt the same about George Bush, whom I also didn't support.

The commercialization of hospitals started awhile back and has nothing to do with Obamacare.

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Specializes in Med/Surg, Tele, Dialysis, Hospice.

I, too, am no fan of the President, but seriously, while I'm also not a big fan of Obamacare, I can see that it has really become somewhat of a scapegoat for everything that is wrong in the healthcare industry. I have been an RN since 1990 and I don't remember a time when employers didn't look at their bottom line first and live to appease the top brass. It has gotten much, much worse in recent years, to the point where I don't think most staffing situations are probably even safe anymore, but is it truly because of Obamacare, or is that a convenient excuse to cut, cut, cut, all the while building fabulous new facilities and paying healthcare CEOs multi-million dollar salaries?

I currently work at a somewhat upscale dementia care/ALF. We are short staffed on pretty much every single shift, every single day, but yet they just spent a fortune putting in all new carpeting, furniture, and wallpaper in every part of the building, even though the "old" carpeting, furniture, and wallpaper was only a couple of years old. We can't blame that on Obamacare. We CAN blame it on poor management and poor priorities. The prevailing attitude seems to be, "Let's get them in here by wowing them with our brand new decor, then reality will hit them when they have to wait half an hour to get their meds or go to the bathroom because the staff is stretched impossibly thin but by then they'll already be settled in."

I'm soooo glad that I'm not a young nurse just starting out in this industry. I hate to say that, but with all of the huge cuts combined with the influx of the baby boomer generation over the next several years, it is going to be just plain UGLY.

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