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Posted: 10/28/2022 2:01:31 PM EDT
[#1]
Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services.
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Posted: 10/28/2022 2:03:11 PM EDT
[#2]
FPNI
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Posted: 10/28/2022 2:03:44 PM EDT
[#3]
Fire the administrators
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Posted: 10/28/2022 2:05:20 PM EDT
[#4]
Quote HistoryQuoted: Fire the administrators How much are they paying the CEO because the last on my wife worked at five years ago was getting a million a year. |
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Posted: 10/28/2022 2:08:51 PM EDT
[#5]
Hospitals are extremely bloated with administration.
Get the Registered nurses out of an office and back on the floor. Because of the huge amount of data the government is compiling on its citizens via hospitals and clinics, move staff to support positions, like a scribe, who will enter the information a doctor is getting and allow the Dr to be a Dr. Same with nurses, especially at high intensity departments like ER and BH. There are so many regulations fromthe government now, it would be extremely difficult to make money at a hospital if you have an ER. EMTALA is horrible and should be repealed but it never will be. |
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Posted: 10/28/2022 2:09:35 PM EDT
[#6]
Having spent enough time in hospitals doing nursing clinicals to have some relevant perspective to where waste occurs and significant experience in reducing costs in manufacturing, I can say with complete confidence and certainty that there is a plethora of low hanging fruit ways a hospital or clinic could reduce its costs that would be considered standard best practices anywhere I've worked in industry, and that none of them are palatable to hospital leadership and so they will instead cut their nose off to spite their face and simply cut operational capacity.
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Posted: 10/28/2022 2:13:51 PM EDT
[#7]
Not pay executives and admins exorbitant salaries.
There was a list here recently that showed non-profit payroll. Non-Doctor hospital CEOs made more than the DRs... |
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Posted: 10/28/2022 2:14:19 PM EDT
[#8]
Stop paying staff for doing TicTok dances?
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Posted: 10/28/2022 2:14:48 PM EDT
[#9]
If you ask hospital CEOs they'll tell you "just have fewer nurses care for more patients... what could go wrong?"
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Posted: 10/28/2022 2:15:40 PM EDT
[#10]
Why would they want to save money?
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Posted: 10/28/2022 2:23:38 PM EDT
[#11]
Look at supply chain stuff, like optimizing what size contrast media vials are used (bulk vs single dose) .
Instead of providing cable TV in rooms, if there's decent guest access have people bring their own firestick/chromecast/whatever. Buy a few to loan to elderly people that don't have one. Take a hard look at service contracts and warranties on medical devices. The manufacturer is not loosing money on them, accepting some risk of being down/unexpected expenses is worth it in many cases. Bribe the local ambulance services to take their medicare/no-insurance patients to a competitor. |
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Posted: 10/28/2022 2:34:22 PM EDT
[#12]
I'd look at how often your updating your charge schedule.
My employer was doing them annually. Changes in allowable reimbursements change frequently and when someone looked at how many codes we were billing at under the allowed amounts with insurance companies, the dollar amount left on the table was in the millions. |
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Posted: 10/28/2022 2:35:54 PM EDT
[#13]
Quote HistoryQuoted: Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services. That's a good way to lose a lot of money thanks to EMTALA. |
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Posted: 10/28/2022 2:38:05 PM EDT
[#14]
Reuse gloves and needles.
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Posted: 10/28/2022 2:38:58 PM EDT
[#15]
1099 everyone.
Or Have the hospital broker deals directly with other medical services in the area to bypass insurance company bureaucracy for benefits. PM me for reward. |
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Posted: 10/28/2022 2:39:46 PM EDT
[#16]
Quote HistoryQuoted: Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services. I was going to say deny service to anyone with unpaid medical bills. 
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Posted: 10/28/2022 2:45:01 PM EDT
[#17]
Replace everyone with pronouns listed in their email signature.
They spend less-than-average time doing productive work. ETA Fire everyone that has posted to social media during their shift hours. EATA Yes there is administrative bloat, but you cannot fire them all. Pronouns and TikToks are indications that the person should be reviewed carefully if not just replaced. |
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Posted: 10/28/2022 2:45:22 PM EDT
[#18]
Start asking why things are done the way they are. If the only answer is "we've always done it that way" there is an opportunity to review a process.
Look at high frequency, expensive tests. Are there cheaper options that can be used first? Chat with your supply department. Do they have stocked items that are routinely being disposed of due to expiration dates? We removed airway boxes from all crash carts because they were never being used. Departments that need/want them have a standalone box. We also removed central line kits years ago for the same reason. How much turnover do you have? I think the last estimate was $80-$100K to train a new nurse. Retention is cheaper than replacing. Engage your high performers. Do exit interviews to identify opportunities. Are generic meds the first option in the system and require an extra button to order more expensive options? Do you have centralized linen or is it contracted out? Any idea how much equipment you lose in the laundry? Is there an option to centralize a service with other organizations in the area to consolidate costs for everyone? |
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Posted: 10/28/2022 2:45:39 PM EDT
[#19]
Quote HistoryQuoted: Fire the administrators SPNI. |
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Posted: 10/28/2022 2:47:34 PM EDT
[#20]
What do your readmit rates look like? Any similarities between them? If you have a large group coming from a specific service see if there are some things to tackle to reduce readmits.
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Posted: 10/28/2022 2:48:03 PM EDT
[#21]
Gatorade IV's? It's gotta be cheaper.
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Posted: 10/28/2022 2:48:42 PM EDT
[#22]
Quote HistoryQuoted: Instead of providing cable TV in rooms, if there's decent guest access have people bring their own firestick/chromecast/whatever. Buy a few to loan to elderly people that don't have one. Quote HistoryQuoted: Instead of providing cable TV in rooms, if there's decent guest access have people bring their own firestick/chromecast/whatever. Buy a few to loan to elderly people that don't have one. Are you for real? Bribe the local ambulance services to take their medicare/no-insurance patients to a competitor. Extremely illegal |
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Posted: 10/28/2022 2:50:12 PM EDT
[#23]
Quote HistoryQuoted: Are you for real? Extremely illegal That used to be a $50K fine for each occurrence. EMTALA certainly has its pros and cons. |
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Posted: 10/28/2022 2:50:46 PM EDT
[#24]
Quote HistoryQuoted: Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services. |
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Posted: 10/28/2022 2:52:36 PM EDT
[#25]
Quote HistoryQuoted: Well, FPNI, as usual. Send em to county Kiss all of your Medicare money goodbye. |
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Posted: 10/28/2022 2:53:51 PM EDT
[#26]
Look at clipboard nurses to fire.
Find the VP redundancies to eliminate. Limit the CEO compensation. Maximize ASC and GI clinic efficiency. Have the surgeons compete against each other. Examine anesthesia for oversight fat and bid against national companies. Contact local nursing schools for internship pipelines with contracts. Find ways to keep the non-payers to clinic instead of ER.(if you can get other hospitals, doctors, etc to help to fund a free clinic in the worst part or near worst part of town for a write off, you will save money for all the non-payers) Have a vicious billing practice that gets all info at the door and pursues payment. Actively have suppliers bid against each other and go in together with the other hospitals in the area. Take on medical residents in bulk. I’ll find you savings, but it must be balanced with smart investments in production staff, not admin/exec bonuses. |
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Posted: 10/28/2022 2:57:22 PM EDT
[#27]
The nursing staff at hospital where I work is almost 50 % travel nurses. They cost a shit ton of money. But still admin won’t increase pay.
I say every time they replace a travel nurse with a full time nurse they should take the money they save and divide it up among the regular nursing staff. Eventually they will have an stable, appropriately paid staff. It won’t cost a dime and someday they will stop having to retrain all the time. That’s where they will save the money. But no this is just a temporary problem that will pass. Then they can get back to paying slave wages. |
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Posted: 10/28/2022 3:01:44 PM EDT
[#28]
Charge a cover charge.
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Posted: 10/28/2022 3:05:48 PM EDT
[#29]
outsourcing their IT dept
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Posted: 10/28/2022 3:11:28 PM EDT
[#30]
Quote HistoryQuoted: Are you for real? Extremely illegal Quote HistoryQuoted: Quoted: Instead of providing cable TV in rooms, if there's decent guest access have people bring their own firestick/chromecast/whatever. Buy a few to loan to elderly people that don't have one. Are you for real? Bribe the local ambulance services to take their medicare/no-insurance patients to a competitor. Extremely illegal Only hospital owned or operated ambulances are covered by EMTALA, and the 250yd rule is real. If the free loading no insurance patient never sets foot in that zone... |
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Posted: 10/28/2022 3:15:18 PM EDT
[#31]
Fire the insurance companies. It seems like most over-pricing is to cover the massive insurance needed to run a hospital.
Also, change the mindset of people that being a Doctor is a one-way ticket to riches. |
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Posted: 10/28/2022 3:17:25 PM EDT
[#32]
Quote HistoryQuoted: Fire the administrators This is the obvious answer, but probably won’t win you the contest |
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Posted: 10/28/2022 3:17:26 PM EDT
[#33]
Quote HistoryQuoted: Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services. Winner winner chicken dinner!!! My hospital,a rural 65 bed facility,had 20 customers that ran up over one million in unpaid charges for ER visits that didn't result in admissions or transfers. |
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Posted: 10/28/2022 3:17:26 PM EDT
[#34]
Quote HistoryQuoted: That's a good way to lose a lot of money thanks to EMTALA. Quote HistoryQuoted: Quoted: Quit giving out free ER visits to illegal assholes who have a sniffle, who never intend to repay the hospital for its services. That's a good way to lose a lot of money thanks to EMTALA. |
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Posted: 10/28/2022 3:18:16 PM EDT
[#35]
You can save a shit ton by reusing medical supplies.
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Posted: 10/28/2022 3:23:49 PM EDT
[#36]
Quote HistoryQuoted: The nursing staff at hospital where I work is almost 50 % travel nurses. They cost a shit ton of money. But still admin won’t increase pay. I say every time they replace a travel nurse with a full time nurse they should take the money they save and divide it up among the regular nursing staff. Eventually they will have an stable, appropriately paid staff. It won’t cost a dime and someday they will stop having to retrain all the time. That’s where they will save the money. But no this is just a temporary problem that will pass. Then they can get back to paying slave wages. THIS Except some hospital systems said said "no more travel nurses and only minimal raises" so nurses are quitting... and they increased patient to nurse ratios to make up for staff losses.... and more nurses are quitting... but the CEO makes 2.8mil |
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Posted: 10/28/2022 3:32:51 PM EDT
[#37]
Quote HistoryQuoted: THIS Except some hospital systems said said "no more travel nurses and only minimal raises" so nurses are quitting... and they increased patient to nurse ratios to make up for staff losses.... and more nurses are quitting... but the CEO makes 2.8mil Well I have news for them. This problem isn’t going to fix itself. |
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Posted: 10/28/2022 3:34:30 PM EDT
[#38]
Quote HistoryQuoted: Reuse gloves and needles. We had a patient who got injured pressure washing interstate bridges come in. He was from Russia,and was very concerned about whether our syringes were sterile. |
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Posted: 10/28/2022 3:35:56 PM EDT
[#39]
Quote HistoryQuoted: The nursing staff at hospital where I work is almost 50 % travel nurses. They cost a shit ton of money. But still admin won't increase pay. I say every time they replace a travel nurse with a full time nurse they should take the money they save and divide it up among the regular nursing staff. Eventually they will have an stable, appropriately paid staff. It won't cost a dime and someday they will stop having to retrain all the time. That's where they will save the money. But no this is just a temporary problem that will pass. Then they can get back to paying slave wages. Average RN wage in the U.S. is $82,750, and in many large metro areas the average is $120,000. Hardly "slave wages" as you allude to. |
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Posted: 10/28/2022 3:36:23 PM EDT
[#40]
Quote HistoryQuoted: Well I have news for them. This problem isn’t going to fix itself. Quote HistoryQuoted: Quoted: THIS Except some hospital systems said said "no more travel nurses and only minimal raises" so nurses are quitting... and they increased patient to nurse ratios to make up for staff losses.... and more nurses are quitting... but the CEO makes 2.8mil Well I have news for them. This problem isn’t going to fix itself. Don't try to tell a narcassistic MBA what to do...
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Posted: 10/28/2022 3:38:05 PM EDT
[#41]
Quote HistoryQuoted: Fire the administrators |
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Posted: 10/28/2022 3:39:22 PM EDT
[#42]
Stop hiring travelers and just pay the rest of the staff better
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Posted: 10/28/2022 3:41:23 PM EDT
[#43]
Generate some of your medical gases (mainly oxygen, but also nitrogen) on site.
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Posted: 10/28/2022 3:42:05 PM EDT
[#44]
Quote HistoryQuoted: Stop hiring travelers and just pay the rest of the staff better |
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Posted: 10/28/2022 3:43:24 PM EDT
[#45]
Quote HistoryQuoted: So, who is going to run the hospital and do all the essential non-patient care pesky stuff like CEO, CFO, COO, accounting, negotiating contracts, ensuring compliance, QA/AI, data/reporting, etc. etc. Quote HistoryQuoted: Quoted: Fire the administrators lmao...you don't need all those people |
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Posted: 10/28/2022 3:43:58 PM EDT
[#46]
Quote HistoryQuoted: You apparently have no clue how much nurses make. Most the RNs in my hospital earn $50-$75./hr. We use traveling nurses not because wages are too low, but because there simply are not enough nurses to meet demand. A lot of old(er) nurses retired and got out of nursing, and the younger generations would rather be Tik Tokers or YouTuber Streamers than laborers. Quote HistoryQuoted: Quoted: Stop hiring travelers and just pay the rest of the staff better well 12 hour shifts suck, |
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Posted: 10/28/2022 3:46:27 PM EDT
[#47]
Stop giving gift cards to people to find a way to save money and have the administration do their fucking job
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Posted: 10/28/2022 3:47:18 PM EDT
[#48]
Quote HistoryQuoted: lmao...you don't need all those people Quote HistoryQuoted: Quoted: Quoted: Fire the administrators lmao...you don't need all those people |
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Posted: 10/28/2022 3:49:00 PM EDT
[#49]
Fire the entire HR team. Also fire about 90% of the accountants.
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Posted: 10/28/2022 3:53:31 PM EDT
[#50]
Quote HistoryQuoted: You apparently have no clue how much nurses make. Most the RNs in my hospital earn $50-$75./hr. We use traveling nurses not because wages are too low, but because there simply are not enough nurses to meet demand. A lot of old(er) nurses retired and got out of nursing, and the younger generations would rather be Tik Tokers or YouTuber Streamers than laborers. Supply and demand. Make it 200,000$. I’m sure the shortages wouldn’t last. And before you say that’s absurd, that’s what they spend on a travel nurse. |
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