i work at a bay area hospital (hiding hospital name for privacy/anonymity). while im opposed to PIP culture that i read about here on blind, i am extremely frustrated and think its a necessary evil. i know we have staffing shortage but there are seriously underperforming members on my team. for example, this provider verbally abuses/yells/berates our MA’s/RNs and takes advantage of every loophole available from scheduling, provider to patient ratios, coverage ect. in fact many of us wrote a letter and complained to management and explained how serious this was/creating a hostile workplace environment. this person is still here unfortunately. in terms of handling patients, they refuse to ‘graduate’ patients so they can hold onto their easier patients and limit new patients. for new patients, this is partially why its impossible to find a new provider. when a complicated patient arrives, they try to pawn them to other providers so they wont have to deal with them. in the weekly/monthly staff meetings, they know exactly which metric to manipulate to boost their own metrics. they are very friendly with management so…u know, brown nosing i can go on and on but seriously these providers need to be PIP’d. theres pros/cons of our labor unions that protect us and a shortage of providers but where do we draw the line? if these providers were at any tech company i feel like they’d be immediately put on focus/PIP’d or outright fired on the spot. we need change to this incredibly inefficient healthcare system, good grief. #healthcare
I think you can report a hospital worker to the govt officials directly instead of just your employer, tried that?
havent tried it but actually a good suggestion, thanks!
are you telling me you can be an underperformer for life and NOT get laid off? Sign me up
Sounds like every F500 ever. People rarely get cut for under performance and if they do it literally takes years
Working for a bay area health system I'd say Yelp seems to trigger a knee jerk reaction. But if no patient complaints you don't have a leg to stand on.
Healthcare is tough right now. We need to elevate wages for nurses and other folks to ease the shortage, thus giving ourselves the ability to be more picky. Quality has definitely declined and I see/hear horror stories all the time.
nurses make $200k/year. Plus constant strikes if they want more money. How much more would you like them to make? Would you like it to cost $50k/day to spend at a hospital and $1k for a doc visit?
lol. I guess if you just casually assert that nurses make almost 2.5x what they actually make then it may become true one day. The national average salary for a nurse is like 82k —there are way easier and less consequential ways to make 82k so it’s not attractive. I’m talking like 100-110k to draw a better crowd in. There are lots of really indefensible reasons healthcare costs are out of control and “overpaying” nurses isn’t one of them. I could give you a massive list of things we could do to make healthcare more affordable. You definitely don’t want to go into healthcare economics with me —you clearly have no idea what you’re talking about.
You’re confusing PIP culture with basic performance management and the absence of it. PIP culture is predominantly rooted in forced turnover for the sake of “maybe getting a rockstar next time”. That is toxic. Managing out underperformers because of their performance is different from that. It’s done to remove them for poor performance, not arbitrarily just to make room for the next “experiment”.
Well, hospitals care about the customer experience deeply. Except that the customer is the insurance company for the most part. If there is a metric that affects the customer, try highlighting that.
Does your job have a union? The union is probably part of the problem by protecting the underperformers who you think should be managed out or put on a PIP.
healthcare systems suck. PIP those Also, banks make way too much money with doctors student debt, and these costs snowball to patients. IMO make med school a 6-year undergraduate course (instead of 4+4) and have the smartest compete for 100% free tuition.
Now that's a root cause fix!
This is the correct solution but we can't forget this is corporate America and govt. is part of that.
Sounds like a lawsuit can help more than pip.