Published Jul 25, 2007
time4meRN
457 Posts
So , I work in an ER in a fairly small community hospital. It is a hospital associated with a large hospital system. Over the last couple years we've had letters from the hospital board of directors saying, if the hospital continues on the course it's on they agree the doors will shut. Then this year they hire a consulting firm to figure out why we are loosing money. We had a meeting with the firm telling us that much of our income in lost due to poor documentation. (not putting start -end times with a rate of IV infusions, including O.9 nacl, antibiotics etc. )If we don't say in the narative that we used 3 nurses to put a foley in some confused pt then we loose money. But, if we go to the trouble to use the translation line (you know , first we have to find it, dial, explaine , well you know the drill ), we don't include that in documentation because we can't descriminate against a pt because of special needs. Yada, yada yada ..... SOOoooooo, any way,,,,,,,,They swear we're doing OK, but, seems to me hiring such a company is a last ditch effort to stay open. Any one else had experience with closings?