tag:blogger.com,1999:blog-24021163.post8733883671093258681..comments2024-02-18T01:56:38.508-06:00Comments on M.D.O.D.: We Don't Want You to Get Hurt911DOChttp://www.blogger.com/profile/06466669111561150174noreply@blogger.comBlogger63125tag:blogger.com,1999:blog-24021163.post-63360552093179681942009-12-06T03:19:39.064-06:002009-12-06T03:19:39.064-06:00Well, TJC is supposed to show up any day now, and ...Well, TJC is supposed to show up any day now, and we have all been basically informed that our jobs are on the line if we do not produce change in the satisfaction scores... Being a large suburuban teaching hospital that ranks at the top in quality, is just not good enough. If nurses don't push the dilaudid quickly enough, another poor score. If the fan control only goes to a 4, not a 5, another poor score. Think I am kidding here? Come on down and view the real world executives, if you think you can handle it.In the past, I never understood why people who were passionate about healthcare would just pick up and walk away.....now I know.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-65185356396059520682009-11-04T21:50:21.764-06:002009-11-04T21:50:21.764-06:00Amen, brother/sister. I f-king hate how they hire...Amen, brother/sister. I f-king hate how they hire extra housekeeping to polish the lobby before a surveyor comes, but let the needle boxes ( sharps) overflow the rest of the year, because there is only one housekeeper per two floors, and looking at them is like watching a drowning person.<br /><br />We now have posters up saying if "you are not ready to mark us as outstanding , please call 1 800 administrator so that we may improve our service" Service? I'm not giving you service, I taking care of you, whether you like it or not. If you didn't want an IV, why did you come to the ED? If you didn't want to be "bothered" every hour by your blood pressure cuff, then why are you in the ICU?woolywomanhttps://www.blogger.com/profile/14798060848062776281noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-69933584707358137392009-10-28T22:00:37.311-05:002009-10-28T22:00:37.311-05:00SPEAKING OF PROTECTION RACKETS! Yesterday every P...SPEAKING OF PROTECTION RACKETS! Yesterday every Press Ganey employee received a "Drive to 500" shirt. We are expected to grow this thing from $150MM a year to $500MM within 5 years! If you think you are paying a lot now for these surveys, think what this is going to do to your pricing on the next contract cycle! Can you say massive increase?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-72165755805694644542009-10-16T11:18:22.560-05:002009-10-16T11:18:22.560-05:00As a note, I work for Press Ganey. It is indeed th...As a note, I work for Press Ganey. It is indeed the evil empire. I can tell you clearly that their focus is on money and not on improvement. This company works on a 40% gross margin on all products. The earned over $90 million last year alone on the mailing of surveys. It is hard for an ED to EVER get enough back to really be able to have valid and reliable data. National response rate averages for EDs is about 10%. Realistically, in most areas, it runs 6-8%. Most facilities simply cannot afford to get a valid sample. <br /><br />Something to keep in mind when looking at the data. Benchmarking is effective to see where you stand on the grading curve. On the other hand, it is something you cannot control. Your percentile ranking falls into the "area of concern". Your mean score falls into the "area of control". You can only work on your own facility, you cannot effect the outcomes of another. Administration needs to understand this basic fact and tie performance to that which can be controlled and effected. It is demoralizing to staff when they do not make their percentile rank goal. Take two facilities and say one has more buy in at the top and more resources to make things happen. Both have the save level of committed staff members. Logically, the greater resource facility will improve faster with all else remaining equal. Hence, the other facility see a lowered percentile ranking in comparison, even with the same amount of effort. Be aware of the benchmark, but focus on you!<br /><br />Let's be completely honest here, ALL survey companies fall into this boat. They have used statistical manipulation to pad their pockets and hold healthcare hostage. In the end, data is data. This is another commodity product. With Press Ganey you pay for a 23 year old college grad in South Bend that has little to no healthcare experience. What they provide cannot be justified at the price point you pay. For a hospital that has in excess of 100 beds the ED contract price is over $8000. Want to get the patient's comment? Add another $4100+ As far as mailing, to get the bare minimum for a report, add another $15-$18,000. Suppose you had 10 ED docs that you wanted breakout data. Hold onto your seats, but it would cost over $54,000 just for the mailed surveys! Over $66,000 a year just for data. Do yourself a favor, hire another nurse and find a cheaper provider.<br /><br />This company is changing by the day and its reputations is far from what it was. You can do better and you all deserve better!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-5707696266074941872008-05-18T10:24:00.000-05:002008-05-18T10:24:00.000-05:00Something more to ponder: TJC/JCAHO and CMS standa...Something more to ponder: <BR/><BR/>TJC/JCAHO and CMS standards are becoming more and more similiar. Apparently there are several hospitals/facilities that are "subscribing" to the adherence of CMS standards/elements of performance in lieu of JCAHO/TJC-- which are, as a generality, more strict than JCAHO/TJC. Interesting.<BR/><BR/>If you've ever read the specific JCAHO standards you'll also note compliance to meet the standards is relatively easy as a whole... facilities often seem to make the simple more difficult. ;)<BR/><BR/>Lastly-- perhaps a better measure of "medical effectiveness" without measurement of "soft skills" (e.g., interpersonal skills-- which has been researched to demonstrate that it is a core component in clinincal competence) would be the IHI tools?<BR/><BR/>PS: I do agree that Press-Ganey in the ER is simply and succinctly, retarded for the reasons someone has already stated. :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-70417083232842361842008-04-14T11:53:00.000-05:002008-04-14T11:53:00.000-05:00dear anon, you may have a point, but proving racis...dear anon, <BR/>you may have a point, but proving racism or bias is impossible unless you are psychic and i would argue against this plan and attack PG scores based on waste, fraud, and abuse. especially in the ER, let's rate physicians on patient outcomes and the like and stop there.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53304382060169135802008-04-11T21:37:00.000-05:002008-04-11T21:37:00.000-05:00Not to mention that you're more likely to get favo...Not to mention that you're more likely to get favorable patient satisfaction scores if you are a white male. The LOLs in NAD will take the time to write the hosptial how wonderful 'their sweet dear doctor' was when he looks like their grandson (or the grandson they WISHED they had). <BR/><BR/>OTOH, the black and latino patients (if they can even write English) will likely NOT write anything, even if you were the bestest doctor ever. <BR/><BR/>My point is, if you happen to be someone other than a white male, you're not as likely to impress the type of people who will likely take the time to write a positive review.<BR/><BR/>I think that the PG scores are inherently racist, sexist, and biased!! Maybe I should do a study proving this to be true...and due away with all of the bullshit!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53918947255445737852008-04-11T17:18:00.000-05:002008-04-11T17:18:00.000-05:00Hi Richter and Amy: OIC, and W/B. BTW, I'm glad Ri...Hi Richter and Amy: OIC, and W/B. BTW, I'm glad Richter is NAD. Glad you decided to D/C the unsafe commenting, which was clearly AMA. Your comments are WNL. BTW, I'll BRB. We're off to the ED (really) because my son's been hiding an infected tattoo.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-50730644205439578492008-04-11T16:07:00.000-05:002008-04-11T16:07:00.000-05:00lol: laughing out loudroflol: rolling on floor la...lol: laughing out loud<BR/>roflol: rolling on floor laughing out loud<BR/>roflmao: rolling on floor laughing my ass off<BR/><BR/>Other acronyms as E.V.E.N.T.S. warrant.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-14472085046999059732008-04-11T15:38:00.000-05:002008-04-11T15:38:00.000-05:00ROFLMAORollingOnFloor Laughing My AssOffROFLMAO<BR/><BR/>Rolling<BR/>On<BR/>Floor <BR/>Laughing <BR/>My <BR/>Ass<BR/>OffAmelia Ameshttps://www.blogger.com/profile/17296224743117560163noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-24054097895209986812008-04-11T15:28:00.000-05:002008-04-11T15:28:00.000-05:00Our hospital almost told JCAHO to shove it with th...Our hospital almost told JCAHO to shove it with the prospective medication review in the ER requirement business, but, oh, well, okay, I guess we'll make the staff wait 20 minutes for a pharmacist to approve an ibuprofen order from the triage nurse for a person who broke their hand and not tell JCAHO to shove it because JCAHO is God and doctors need help prescribing stuff.Nurse Khttps://www.blogger.com/profile/06408755992926959084noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-29722781137338840542008-04-11T14:13:00.000-05:002008-04-11T14:13:00.000-05:00Richter: Even my boys don't know what roflmao is....Richter: Even my boys don't know what roflmao is. They knew the others. Help?Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-77934708156005452012008-04-11T12:30:00.000-05:002008-04-11T12:30:00.000-05:00I'd like to go on record saying that it's much mor...I'd like to go on record saying that it's much more fun when you guys dissect the JCAHO charlie foxtrot than watching the fairly thorough gangrape of whoever the fuck "richter" is. It's fun, he's annoying, and it feels good, I know, but JCAHO's a little more....uh......relevant.<BR/><BR/><BR/>lol <BR/>roflol<BR/>roflmao<BR/>(Richter is amused. Richter is also trying to practise "safe commenting." Because, if Richter was banned, Richter would be bored, and Richter does not want to be bored.)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-71067116072233667622008-04-11T09:03:00.000-05:002008-04-11T09:03:00.000-05:00Must be a girl thing--my boys are pretty tame in c...Must be a girl thing--my boys are pretty tame in comparison! I'm glad I never had any girls. I was, of course, a horrible teenager myself.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-17623552803395848102008-04-11T08:43:00.000-05:002008-04-11T08:43:00.000-05:00Devorrah, Anger is the natural state of ...Devorrah, <BR/> Anger is the natural state of teenagers of all species. The laid back friendly Tyranosaurus simply couldn't have enough kids to survive so eventually you end up with meanies. My own daughter makes those Columbine kids look like the Dali Llama, happily she takes out her aggressions on the softball diamond. I feel sorry for the instructor pilot who gives her a bad grade 5 years from now.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-65424408211489311902008-04-11T00:27:00.000-05:002008-04-11T00:27:00.000-05:00Ruby, sorry to digress. And you're right, hockey l...Ruby, sorry to digress. And you're right, hockey leaves me...cold. We don't do hockey in California. <BR/><BR/>Richter: Last thing. I can't sleep worrying about a teenage girl who is so angry, I have a foster son your age, and I'd be very concerned and sad if he had this much anger that he couldn't control. As a public school teacher and a Mom, I hope you'll go see your counselor (it's free!) I'm sorry for whatever has made you so angry: You don't want to stay this way, for your own sake. Life gets better after high school, you want to be able to enjoy it.<BR/>Good luck, and yes, I know, I can go fuck myself. Take care.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-34054758885251562102008-04-11T00:08:00.000-05:002008-04-11T00:08:00.000-05:00Devorrah- Nope, but if we don't stick with some se...Devorrah- Nope, but if we don't stick with some semblance of the topic, eventually somebody's gonna go whip us all into a mad hockey frenzy, and we'll forget all about hospitals for a while. Outside of Siberian bloodsport, hockey's maybe the best place to see two pale honkies turn each other's faces into Pollock paintings. <BR/><BR/>I have a feeling you didn't just shoot out of your chair, furiously fist-pump the sky, and scream "AWESOME!!!" Maybe it's a guy thing.<BR/><BR/>Amy- Oh yeah, the old CF, a military term. I think it dates back to WWII, maybe even before. I'm going to base this on the loosely anecdotal fact that my grandfather (B-26, later C-130 pilot) used the term frequently when describing events from long ago and across the pond. JCAHO is pretty much your typical CF; a ton of people running around doing, well, not a whole lot of good.<BR/><BR/>For those of you who find yourselves curious, yes, this post has been approved! It's so comforting, like a warm pile of linens fresh from the dryer. Or just a warm pile.<BR/>http://www.urmc.rochester.edu/ortho/patient/about-us/images/JCAHO_goldseal.jpg21https://www.blogger.com/profile/09560786230715552515noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-289833141808794012008-04-10T23:08:00.000-05:002008-04-10T23:08:00.000-05:00"JCAHO charlie foxtrot"OMG. That's funny. It's l..."JCAHO charlie foxtrot"<BR/><BR/>OMG. That's funny. It's like a secret code...and this time I GET IT!!!<BR/><BR/>Yes I am slow. I speak toddler all day.Amelia Ameshttps://www.blogger.com/profile/17296224743117560163noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-58950599277970027042008-04-10T22:44:00.000-05:002008-04-10T22:44:00.000-05:00Is space limited?Is space limited?Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-74675263807304822662008-04-10T21:11:00.000-05:002008-04-10T21:11:00.000-05:00I'd like to go on record saying that it's much mor...I'd like to go on record saying that it's much more fun when you guys dissect the JCAHO charlie foxtrot than watching the fairly thorough gangrape of whoever the fuck "richter" is. It's fun, he's annoying, and it feels good, I know, but JCAHO's a little more....uh......relevant.21https://www.blogger.com/profile/09560786230715552515noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-40704410762285632462008-04-10T20:23:00.000-05:002008-04-10T20:23:00.000-05:00"I'm just trying to say that it's pathetic how lit..."I'm just trying to say that it's pathetic how little all of you know about statistics. that's all."<BR/><BR/>Oh, my dear, young friend, you do not have any idea what we know, or where we have been, or what we have done to earn the privilege of membership in our various professions.<BR/><BR/>Thinking about medical school, eh? Good for you! That is a noble ambition, and I wish you well. Maybe, in a few years, you will have experienced what it means to be responsible for the life of a human being who is depending on you to help them. On that day, you will, I am sure, have many interesting and informed insights to share with us. I would like to hear from you again, if that day should ever come.<BR/><BR/>Very best wishes,<BR/><BR/>C.R.CountyRathttps://www.blogger.com/profile/10228262536418983673noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-6390784001807613502008-04-10T20:09:00.000-05:002008-04-10T20:09:00.000-05:00You can search online on at www.qualitycheck.org t...You can search online on at www.qualitycheck.org to see which hospitals are accredited. Mayo is not only accredited, it has the "Gold Seal of Approval." SIGHDixieLaurelhttps://www.blogger.com/profile/00658821057129131740noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-49076701155336939872008-04-10T19:10:00.000-05:002008-04-10T19:10:00.000-05:00Richter, Actually, I do have a big heart, and yo...Richter,<BR/> Actually, I do have a big heart, and you don't even have common courtesy. Please go find another outlet for your out-of-control anger, and don't expect anybody at hospitals or blogs to be nice to you when you're spewing malice every time you open your mouth or browser.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-75445185616879887082008-04-10T19:00:00.000-05:002008-04-10T19:00:00.000-05:00OOoohhhh! I just got called with one of those sur...OOoohhhh! I just got called with one of those surveys, about my son's procdure he had 2 weeks ago. They asked me all sorts of questions like:<BR/><BR/>Did the surgeon do anything to make you think he didn't know what he was doing?<BR/><BR/>Were you afriad at any time that they might screw things up?<BR/><BR/>Did you hear any staff bad mouth any other staff?<BR/><BR/>And the usual was the joint clean, etc?<BR/><BR/>And this one was strange: Was your son given any medications that he hadn't had before? <BR/><BR/>Now how would I know that? I did recieve an itemized list today of the meds and their costs today, but I have no clue as to what they doped him up with his last surgery besides demerol because he growled at the nurses.<BR/><BR/>If only the crackheads just knew that they needed to growl at the nurses. Course they don't want demerol do they?<BR/><BR/>FYI: It wasn't Press-Ganey, I asked. It was something and Jansen.Amelia Ameshttps://www.blogger.com/profile/17296224743117560163noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-36472325576165265342008-04-10T18:59:00.000-05:002008-04-10T18:59:00.000-05:00richter, "Everybody: I don't know that much about ...richter, <BR/><BR/>"Everybody: I don't know that much about statistics. I'm not that educated, yet. (I'm just thinking about being pre-med, maybe.) I'm just trying to say that it's pathetic how little all of you know about statistics. that's all."<BR/><BR/>first, take logic 101. <BR/><BR/>secondly, and quite seriously, are you on medication? who exactly are you angry at? <BR/><BR/>come here with an opinion, defend it with logic, and we can have a discussion. otherwise, go get your own blog and quit bothering people with your nonsensical ramblings.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.com