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If a hospital has to pay many more $80,000 a year nurses and $300,000 a year hospitalists to take care of these long-term patients, it has to get the money somewhere. Or shut down.
Maybe the 3 day readmission being rolled into one will be extended to 30 days -- but with DRG's that doesn't increase the payment to the hospital. What happens if the hospitalists -- who are hospital employees after all are instructed not to admit certain types of patients from the ER -- and the patient is elderly and goes home and dies? The hospital saves a whole lot of money.
And more and more the patients' own physicians don't care for the patient while in the hospital. The patient is turned over to a hospitalist who does not know a thing about the patient and as the hospitalist works for the hospital - who knows how much a hospitalist would stand up to his/her employer.
Why don't you post some links showing an average nursing salary of $80K and a hospitalist salary of $300K?
It's apparent that these naysayers have never been in a situation where their loved one was admitted for something, and then had to return 3 weeks later due to an issue that was the result of the procedure they came in for.
I dealt with a hospital in NYC about four years ago, where my mother was re-admitted 3 times in the same week because the assisted living home found her in no condition to be in the facility. The hospitals should be charged a fine that is triple the ER visit at a minimum. By the third time, I had a lawyer and a private nurse (paid for by co-insurance) there within hours taking photos and copying notes. There was no 4th time.
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And more and more the patients' own physicians don't care for the patient while in the hospital.
Thats not where the problems sit. Usually patients go to hospitals that their doctor (or their office ) is associated with. The problem is the hospital physicians who follow the orders of hospital administrators. Most discharges happen after private doctor visits or after office hours/weekends and the hospital physician does the discharge. The private physician doesn't even know about it.
Actually staying longer does not always mean more money. Hospitals get paid by what is called the DRG- diagnosis related grouping system. It consisted many variables but basically if a patient comes in for let's say pneumonia, the hospital gets one set amount, whether they stay five days or seven days. So it does pay to release earlier.
They do have a three day rule in place that if a patient is re-admitted within three days for the same illness, the. both admissions are combined and the hospital still only gets one payment.
interesting - did not know that. That does explain a lot.
Thats not where the problems sit. Usually patients go to hospitals that their doctor (or their office ) is associated with. The problem is the hospital physicians who follow the orders of hospital administrators. Most discharges happen after private doctor visits or after office hours/weekends and the hospital physician does the discharge. The private physician doesn't even know about it.
That's what I was referring to -- it's not like not too long ago when your own doctor would admit you and follow up on your care while in the hospital -- more and more, they may send you to the hospitalist and the hospitalist which is a hospital employee who doesn't know you from Adam will be your doctor. Your own doctor may or may not do hospital visits.
That's what I was referring to -- it's not like not too long ago when your own doctor would admit you and follow up on your care while in the hospital -- more and more, they may send you to the hospitalist and the hospitalist which is a hospital employee who doesn't know you from Adam will be your doctor. Your own doctor may or may not do hospital visits.
hospitalist in general are not an employee of the hospital. They usually are part a medical group and they bill for their own services.
The lowest 10 percent earned less than $44,190 and the top 10 percent earned more than $95,130.
--- besides hourly wage, the hospital has to pay overtime if hourly, benefits and a portion of the taxes.
I can tell you, as a registered nurse, those numbers are inflated. The numbers you quote from the first link state these are "possible salaries". The BLS salaries are more believeable, but even there 10% making >$95,130? On another thread in another forum, I posted a link stating the average nursing salary here in Denver is $55K. You may do a search.
Medicare To Fine Hospitals With High Readmission Rates Among Seniors RATIONING STARTS.....NOW...
Well, well, well..... Just darn sad! Isn't this Gov control over a persons healthcare called RATIONING!!!!!!!!!!!
PHILADELPHIA (CBS) — Medicare was set to begin fining hospitals on Monday that have too many senior patients readmitted within 30 days. The move is part of a government effort to improve health care quality while saving taxpayers money.
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