Quality and Initiative (Rant)

Before I came to Home Health I worked for a not for profit (ya right) hospital system. Seems there was ALWAYS some annoying new "Quality Initiative", competition for national awards, or JHACO thing going on. Lame as it was to constantly be dealing with the latest pep-rally or added job requirement, I have to say it served a purpose. My co-workers and I had little choice but to participate and consequently the focus was on quality care. It was second nature to aim for the highest standard at all times. Imagine that.

Now I work for a private corporation and in almost 2 years I have NEVER heard the word, "Quality" from the supervisors, the trainings, the study modules, mission statement, or from other co-workers. And it shows. My personal work ethic has not changed much. I still really aim to provide quality care to the patients and a value for my pay at the company and have maintained my usual excellent work and productivity. But, I have to say my initiative to "go the extra mile" is pretty much kaput since I started this job (what's the point!). My attitude is shameful. I feel like it's pointless to put forth the effort to try and improve and fix and revamp things or offer my ideas and suggestions.

I love my work. However, I am indifferent toward the corporation, but the local office is generally pitiful. 90% of my "supervisors" seem to be total self-important losers with a title, and the ones who don't get fired or quit in exasperation seem to tread water and generally be as unproductive as possible to give the appearance of being swamped all the time. Never mind, "What can I do to help you or make your job better?" I have offered good, sound suggestions and various supervisors tell me, "We'll take that into consideration at the next blah-blah meeting." But NOTHING EVER, ever, ever comes of it. To get a new piece of equipment or address a process problem takes at least 3-5 attempts to get heard. The squeaky wheel and only the squeaky wheel gets the grease. There seems to be absolutely zero accountability of any clinician unless the issue or concern is regarding or affecting payment in some way.

That's my rant, thanks for listening.