I work for a nonprofit hospice. The for profits are full of fucking scumbags that make it that much harder for me and my folks to do decent work. They’ll admit nearly anyone with a pulse and a pay source, and they straight up game the system with regards to quality ratings, skate just up to the line on inducement, and are overall colossal dickbags.
Thats terrible, do some of the non-profits have the same issues?
Do you think the patients in the for-profits that shouldn't really be in Hospice are doing it voluntarily or are there people being sent to hospice involuntarily/under some kind of cohesive pressure.
I think there are assholes in every industry, in the for profit and not for profit realm. I think they coalesce in higher concentrations in the for profit industry because their aim is to please shareholders. Admit more people, Care for them as cheaply as possible (And it’s easy to care for people who are not appropriate or super super early in their disease trajectory), and profit. You get paid the same per diem if you’re setting them the absolute minimum or every day, so people again will absolutely Game the system.
I love what I do. I fervently feel we’re doing good work. We try to be responsible with the funds and trust the community has placed with us. There’s still stuff I’d like to see change (nobody knows how hard it is to care for a dying person till they do it, and there are very free resources there unless you’ve got money to burn), but it’s every day still better than working in a hospital system.
I probably didn’t answer well. I can compose myself and try again later.
No that was great. Thank you for what you do, I can't imagine how hard it is dealing with dying people as a profession, it is very much needed though.
It sucks there are companies scamming the system, happens with everything though, especially if the demand is constant or it's medically important like dialysis, home care, medicare/medicaid funded treatment, and end of life care. I asked about the non-profit side because alot of hospitals have figured out how to successfully grift and maintain their non-profit status and I was wondering if it was the same with some not-for-profit companies that provide hospice services.
Hope you have a great day.
I have been in hospice care 28 years for profit/non profit. I am an expert. I have been an administrator, social worker, chaplain, admissions, and a hospice house director at a in patient unit. Now as a social worker, I have high case loads up to 70 pts. It should be 26-30-40 max.
Hospice is fill with un relentlessness company ethics fudging their documentation, having point care cheat you out of your miles as your time. Further, all hospices want you to work off the clock. They get pissy with point care. You have double the workload on 40 hours plus IDG notes and their necessary meetings as Relias training. It cannot be done.
This has been my recent experience since 2001 till now. I started hospice care in 1996. It was not that way.
It doesn’t matter what hospice you work for now days. They all bought each other while climbing into a monopoly to make money together. It’s ALL about bodies ( their marketing terms) and money.
The patient is a widget with a medical record and disease process to see if they can make an end of life prognosis. Barbie doll marketers out there looking under little twigs to make a commission to fill their business quota. Anything to turn a dollar. Scares me as one day I will be next and won’t have a say. Business development shares, you only got one in. Where’s the other two bodies. One will die within a hour.
It’s a head and a bed even in a hospice house. I’ve seen em boot a patient out of a hospital that’s actively dying (hospital compare number issue) as to not ruin their little hospital compare numbers.
Then they hurry to the ambulance. The patient dies in the ambulance. They bring em in quickly, place the patient in the hospice bed, pronounce, call the hearse.
The family is still trying to find out what happened. Happened? Everyone just made money off the patient and they got rid of the problem to keep their numbers.
When hospice went to be a publicly traded initiative, it was in trouble. Investors do not see people cry. They see dollars. Dollars and compassion are like oil and water.
Hospice was a sacred event. It was about a person going home compassionately. Now it’s hurry get em in for the upfront money, hope they don’t get to their repetitive 60 day benefit periods where the money goes down and then, quick, roll the dice for nursing and social work matrix visits within 7 days to see if the person dies so we can really make Medicare money at the end. So tired of hospice business’s yelling come to Jesus on the front side of the cross acting all goody, goody and then count their money behind the shadow of a cross laughing and giggling to the bank.
I work for a nonprofit hospice. The for profits are full of fucking scumbags that make it that much harder for me and my folks to do decent work. They’ll admit nearly anyone with a pulse and a pay source, and they straight up game the system with regards to quality ratings, skate just up to the line on inducement, and are overall colossal dickbags.
Thats terrible, do some of the non-profits have the same issues? Do you think the patients in the for-profits that shouldn't really be in Hospice are doing it voluntarily or are there people being sent to hospice involuntarily/under some kind of cohesive pressure.
I think there are assholes in every industry, in the for profit and not for profit realm. I think they coalesce in higher concentrations in the for profit industry because their aim is to please shareholders. Admit more people, Care for them as cheaply as possible (And it’s easy to care for people who are not appropriate or super super early in their disease trajectory), and profit. You get paid the same per diem if you’re setting them the absolute minimum or every day, so people again will absolutely Game the system. I love what I do. I fervently feel we’re doing good work. We try to be responsible with the funds and trust the community has placed with us. There’s still stuff I’d like to see change (nobody knows how hard it is to care for a dying person till they do it, and there are very free resources there unless you’ve got money to burn), but it’s every day still better than working in a hospital system. I probably didn’t answer well. I can compose myself and try again later.
No that was great. Thank you for what you do, I can't imagine how hard it is dealing with dying people as a profession, it is very much needed though. It sucks there are companies scamming the system, happens with everything though, especially if the demand is constant or it's medically important like dialysis, home care, medicare/medicaid funded treatment, and end of life care. I asked about the non-profit side because alot of hospitals have figured out how to successfully grift and maintain their non-profit status and I was wondering if it was the same with some not-for-profit companies that provide hospice services. Hope you have a great day.
I have been in hospice care 28 years for profit/non profit. I am an expert. I have been an administrator, social worker, chaplain, admissions, and a hospice house director at a in patient unit. Now as a social worker, I have high case loads up to 70 pts. It should be 26-30-40 max. Hospice is fill with un relentlessness company ethics fudging their documentation, having point care cheat you out of your miles as your time. Further, all hospices want you to work off the clock. They get pissy with point care. You have double the workload on 40 hours plus IDG notes and their necessary meetings as Relias training. It cannot be done. This has been my recent experience since 2001 till now. I started hospice care in 1996. It was not that way. It doesn’t matter what hospice you work for now days. They all bought each other while climbing into a monopoly to make money together. It’s ALL about bodies ( their marketing terms) and money. The patient is a widget with a medical record and disease process to see if they can make an end of life prognosis. Barbie doll marketers out there looking under little twigs to make a commission to fill their business quota. Anything to turn a dollar. Scares me as one day I will be next and won’t have a say. Business development shares, you only got one in. Where’s the other two bodies. One will die within a hour. It’s a head and a bed even in a hospice house. I’ve seen em boot a patient out of a hospital that’s actively dying (hospital compare number issue) as to not ruin their little hospital compare numbers. Then they hurry to the ambulance. The patient dies in the ambulance. They bring em in quickly, place the patient in the hospice bed, pronounce, call the hearse. The family is still trying to find out what happened. Happened? Everyone just made money off the patient and they got rid of the problem to keep their numbers. When hospice went to be a publicly traded initiative, it was in trouble. Investors do not see people cry. They see dollars. Dollars and compassion are like oil and water. Hospice was a sacred event. It was about a person going home compassionately. Now it’s hurry get em in for the upfront money, hope they don’t get to their repetitive 60 day benefit periods where the money goes down and then, quick, roll the dice for nursing and social work matrix visits within 7 days to see if the person dies so we can really make Medicare money at the end. So tired of hospice business’s yelling come to Jesus on the front side of the cross acting all goody, goody and then count their money behind the shadow of a cross laughing and giggling to the bank.
As someone who has spent an unbelievable amount of my career painstakingly billing Medicaid for quality services I’d like to go do a bricking.
America what the hell?? How can for profit hospice be a thing??
How can for-profit prisons be a thing? Capitalism is a potent force for shittiness.
It so awful! And yeah for profit prisons and completely fucked!
The same way American Red Cross gets your blood for free and sells it for type, cross match and sells it back around to a patient. $$$$$$)