Tell me about the Liasons where you work.....

[jschut]

Our liasons are given pretty much reign to promise whatever they want, to say what they want, to do what they want with no recourse. I find this a bit disturbing, to say the least.

Do your liasons search through patient charts for information?

Do your liasons go above the CM's head to the CD and then tell the CM what they want done?

Ours do. Is this a normal behavior in hospice? I'm just not sure what to think of this. It's as if the liasons are above the RNs and not co-worker.

[vampiregirl, BSN, RN]

It sounds like the liasons at your hospice either do or SHOULD have an RN after their names. The liasons at my hospice have no such medical credentials.

Yep, all our Liaisons do have an RN after their names:) As do our managers. It's a pretty well thought out set-up.

[vampiregirl, BSN, RN]

That is what ours are supposed to do too... but this one digs in charts if she doesn't agree with what I have to say and calls the clinical director or executive director and they pull ideas (most of them half truths) to get that census up... it just boggles my mind that they are so desperate for numbers that they allow people to do what they are not supposed to....

The "tricks" to get numbers up. When I worked LTC I ran into this a lot, inappropriate patients with whom the ones who "recommended" them to be admitted then never had to deal with them or their care.

Very thankful this isn't how my current employer rolls:) Not so say we don't have an occasional patient that leaves us all shaking our heads as to what we thinking when we admitted them!

[nutella, MSN, RN]

This sounds disturbing.

I work for a non for profit agency and the hospice liaison is not only a RN, she is also certified in palliative and hospice care. She is not a marketer although she will give presentations. A lot of times she goes out after a hospice referral and does the initial eval and information.

Also I do not feel that patients are getting admitted to hospice who are not meeting criteria. In the past when I felt that a patient does not meet criteria after a referral and eval I will speak up and explain why I think that the pat does not meet criteria.

[jschut, BSN, RN]

Ha!

How interesting.... the patient in question is being discharged next week. Failure to decline... imagine that!

[BerryhappyRN, MSN, RN]

OMG you must know my company's liaisons!!! Yes, they are horrible monsters of the universe! I think they even make commissions off of hospice referrals! There is plenty of death out there without liaisons trying to drum up new business. It is so creepy! Ours have no medical background just MBA's. Also, they stalk MD's and stalk facilities looking for referrals. All under the guise of assisting the sick and dying. I do not understand how this position is not full of HIPPA violations.

[chopwood carrywater]

Gray hair and a cough....

Sign 'em up!$!$

It's frustrating, it's sad, and I fear the fallout is hurting a lot of people and a lot of good hospices.

[jschut, BSN, RN]

OMG you must know my company's liaisons!!! Yes, they are horrible monsters of the universe! I think they even make commissions off of hospice referrals! There is plenty of death out there without liaisons trying to drum up new business. It is so creepy! Ours have no medical background just MBA's. Also, they stalk MD's and stalk facilities looking for referrals. All under the guise of assisting the sick and dying. I do not understand how this position is not full of HIPPA violations.

I do not understand it either... especially when they can just get into the charts and go above the RN to get people....