sas5814 Posted September 24, 2018 Share Posted September 24, 2018 I have seen this kind of madness reported elsewhere but my organization just announced each provider's "star rating" based on Press Gainey scores will be published on our web site and available on Google. The project is supported by all the people in admin that don't see patients. Resumes are being sent now. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted September 24, 2018 Share Posted September 24, 2018 What is wrong with medicine? It is an ART, not a hotel or McDonalds. My star rating will change daily based on what bad news, major changes or issues I have to address. When did doing something right become a punishable offense? How depressing......... Link to comment Share on other sites More sharing options...
sas5814 Posted September 24, 2018 Author Share Posted September 24, 2018 The problem is I work in UC where we are often at odds with people's expectations such as wanting antibiotics for colds. Combine that with admin making stupid policies that leave us to suffer the abuse of angry patients and THEN publish our Press-Gainey scores? It is just too much. I have sent my resume to 4 different jobs in the last 15 minutes. It's time to shuffle on. Link to comment Share on other sites More sharing options...
Guest HanSolo Posted September 24, 2018 Share Posted September 24, 2018 Sorry to hear that. Good luck with the search. Hopefully you can convince everyone else to quit, too. That's pure BS and should be illegal. Link to comment Share on other sites More sharing options...
sas5814 Posted September 24, 2018 Author Share Posted September 24, 2018 Well they already lost 50% + of the APPs. The leadership is like a bunch of Moonies...all Press-Gainey and patient satisfaction while giving lip service to employee satisfaction. They actually said, with a strait face, losing 50% of their APPs from the UC in a year was "normal attrition." They are deluding themselves. Criminey... Link to comment Share on other sites More sharing options...
Moderator ventana Posted September 24, 2018 Moderator Share Posted September 24, 2018 higher ratings for sale ABX for viral URI Vicodin for any sprain strain (atleast 50 tablets - review directly related to # of pills dispensed) and the list goes on..... Link to comment Share on other sites More sharing options...
CAdamsPAC Posted September 24, 2018 Share Posted September 24, 2018 2 minutes ago, ventana said: higher ratings for sale ABX for viral URI Vicodin for any sprain strain (at least 50 tablets - review directly related to # of pills dispensed) and the list goes on..... Sounds like the typical "Suit" thoughts on the practice of medicine! Link to comment Share on other sites More sharing options...
Cideous Posted September 25, 2018 Share Posted September 25, 2018 Welcome to my world brother. We had our "provider" survey meeting today....yes we have it once a week. They read all the reviews out loud and then lecture us on how we can do better to get those review scores up! Yea....go us. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted September 25, 2018 Administrator Share Posted September 25, 2018 I'm sorry, but who owns Press-Ganey ratings? I would never tolerate mine being published anywhere, let alone externally, assuming I even allowed myself to be rated in the first place. Link to comment Share on other sites More sharing options...
sas5814 Posted September 25, 2018 Author Share Posted September 25, 2018 Rev I suspect they would call it a condition of employment. They pay for the data on us as employees and are free to use it as they see fit. Link to comment Share on other sites More sharing options...
Joelseff Posted September 25, 2018 Share Posted September 25, 2018 Our company just announced we are not using Press Gainey anymore! Yayyy! Now we are using another ratings system (forgot the name) that's EXACTLY like Press Gainey... Our admin used to be 90% ex clinical people who moved up to management and were sympathetic to clinicians needs for the most part. Our company is one of the highest payers for APPs and we were pretty happy here but recently the board, wanting to "keep up" with Kaiser, Sutter, Stanford Health, University Health (UC) and the myriad of other large corporate Healthcare entities moving in on Medicine in the area, brought in new management from the east coast who are 90% Non Clinical and we are seeing the drop-off in providers (we lost 5 docs and 6 APPs in 2 years almost a month apart resignations). I am the only PA left in Primary Care. The other APPs in PC but 2 (all NPs) are choosing our after hours (think low level UC/minute clinic type) clinic vs Continuity care. I have been approached by several specialty clinic medical directors (PM&R, Neurosurgery, Occ Med, and GI) to see if I would like to switch shops. (I have backgrounds in these specialties). I'm staying put for now but I'm thinking of going back to my private practice but the downside of that is less pay and Bennies and perhaps going 1099... Right now I'm on disability (non work related) but when I recuperate, I have to start to think of an exit strategy. I'm either going to leave primary care or corporate Healthcare or both. Or leave clinical practice altogether. Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
sas5814 Posted September 25, 2018 Author Share Posted September 25, 2018 I would go back to private practice if there were any. They are becoming harder and harder to find and in my neck of the woods we are ruled by 4 major hospital corporations. Link to comment Share on other sites More sharing options...
eighthnote24 Posted September 26, 2018 Share Posted September 26, 2018 Well, @sas5814, I mean, it looks like you don’t have to worry, actually, since their press release just says “such as nurse practitioners”....in typical fashion, PAs aren’t even mentioned.... Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted September 26, 2018 Administrator Share Posted September 26, 2018 13 hours ago, sas5814 said: Rev I suspect they would call it a condition of employment. They pay for the data on us as employees and are free to use it as they see fit. Yeah, they can do that, but we can also negotiate it into or out of contracts, just like call. If a larger organization wants to hire me, there will be a clause about reviews... Link to comment Share on other sites More sharing options...
Cideous Posted September 26, 2018 Share Posted September 26, 2018 3 hours ago, rev ronin said: Yeah, they can do that, but we can also negotiate it into or out of contracts, just like call. If a larger organization wants to hire me, there will be a clause about reviews... I'm not trying to be a jerk, but then you wont get hired in the vast majority of places at least here in Texas. It's just not something that is up for negotiation. Especially with the over saturated job market the way it is. Link to comment Share on other sites More sharing options...
SoCal_PA Posted September 26, 2018 Share Posted September 26, 2018 If you leave, make sure to let them know that the ratings were a major factor in your decision Link to comment Share on other sites More sharing options...
BruceBanner Posted September 26, 2018 Share Posted September 26, 2018 Sas I dont know if there are any in your area but you might want to look into college health. In a university setting you are immune to the satisfaction metrics used by for-profit entities. The patient population is also pretty good (young, healthy, little drug-seeking) and you get the benefits of being on an academic calendar. Downsides are you have to put up with some liberal post-modern identity politics (LGTBQ/trans care and mental health screening shoved down your throat) but it's a small price to pay overall. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted September 26, 2018 Administrator Share Posted September 26, 2018 10 hours ago, Cideous said: I'm not trying to be a jerk, but then you wont get hired in the vast majority of places at least here in Texas. It's just not something that is up for negotiation. Especially with the over saturated job market the way it is. There's your problem. I could make a LOT more money than I do, but if money was the issue, I could go work as a HIPAA consultant, live out of my suitcase, see my family maybe one week per month, and clear $250k a year. I intentionally 1) work multiple jobs, so no one job has a stranglehold on my livelihood, and 2) work for smaller places where I can argue face-to-face with the decision maker(s). THAT has its own drawbacks, but I strongly prefer freedom over 401(k)s. Link to comment Share on other sites More sharing options...
ravenspac Posted September 26, 2018 Share Posted September 26, 2018 14 hours ago, rev ronin said: Yeah, they can do that, but we can also negotiate it into or out of contracts, just like call. If a larger organization wants to hire me, there will be a clause about reviews... This isnt realistic in major hospital systems. They dont really negotiate significant concessions with PA's. Its basically take it or leave it anymore at larger places...even "prestigious universities"... If you aint doing research, your moving meat Link to comment Share on other sites More sharing options...
Cideous Posted September 26, 2018 Share Posted September 26, 2018 25 minutes ago, rev ronin said: THAT has its own drawbacks, but I strongly prefer freedom over 401(k)s. Or health insurance? Link to comment Share on other sites More sharing options...
TWR Posted September 26, 2018 Share Posted September 26, 2018 Rev, I would be forever unemployed and blacklisted if I came at any employer they way you suggest. It just isn't realistic in the real world basing my opinion on 32 years experience in FP. As en emploer if some PA came at me with this is what I will and will not do or have done, I would politely get up and hold the door so it didn't hit them where the good lord split him! There are a lot of PA's out there looking for jobs. Just my opinion based on life experiences as an employer in NYC and an employee in Texas. Link to comment Share on other sites More sharing options...
Cideous Posted September 26, 2018 Share Posted September 26, 2018 4 hours ago, TWR said: Rev, I would be forever unemployed and blacklisted if I came at any employer they way you suggest. It just isn't realistic in the real world basing my opinion on 32 years experience in FP. As en emploer if some PA came at me with this is what I will and will not do or have done, I would politely get up and hold the door so it didn't hit them where the good lord split him! There are a lot of PA's out there looking for jobs. Just my opinion based on life experiences as an employer in NYC and an employee in Texas. ^^^ Exactly. Mic drop. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted October 5, 2018 Administrator Share Posted October 5, 2018 On 9/26/2018 at 9:20 AM, Cideous said: Or health insurance? My family participates in a faith-based healthcare cost sharing plan; don't need insurance. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted October 5, 2018 Administrator Share Posted October 5, 2018 On 9/26/2018 at 9:24 AM, TWR said: Rev, I would be forever unemployed and blacklisted if I came at any employer they way you suggest. It just isn't realistic in the real world basing my opinion on 32 years experience in FP. As en emploer if some PA came at me with this is what I will and will not do or have done, I would politely get up and hold the door so it didn't hit them where the good lord split him! There are a lot of PA's out there looking for jobs. Just my opinion based on life experiences as an employer in NYC and an employee in Texas. Yep, large corporate medicine is like that. You have the choice to resist or submit. Resisting usually means being a lot less direct than I am on the forum, since I'm focusing on what to say, not how to say it. If anyone wants lessons from me in diplomacy, then that would be a different topic. I've left two PA jobs so far, both because of how they wanted me to practice medicine. One of them just hired me back at a decent salary increase, I'm guessing because the staff and patients actually liked how I did medicine. But your point about market saturation is a very, very good thing: We need to take positive action to keep the job market from being oversaturated, PRECISELY BECAUSE we then get treated like replaceable parts. That's not the case around here, but NYC is lousy with new grad PAs. Link to comment Share on other sites More sharing options...
sas5814 Posted October 5, 2018 Author Share Posted October 5, 2018 "You have the choice to resist or submit." Yes.... after 18 months of beating my head against the wall about bone head ideas cooked up by people who don't seem to understand what we do I just gave up. I pay no attention to any crazy stuff coming out of admin because I can't change it and they don't want my (or anyone's) opinions about anything that contradicts what they have decided to do. It has been liberating in many ways. I come to work...see patients...go home. Lather, rinse, repeat. If they have some crazy policy or thing that needs to be done I just ignore it until someone makes me. So far I'm ignoring most everything and nobody seems to be noticing. This morning the head of outpatient medicine sent a survey link. The first thing it asked for was your name.... nope. No name...no opinion. Wheeeeeeee...... Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.