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Chief
I think it does affect patient care. When roles are stretched or merged, quality can quietly drop even if it is not immediately obvious.
Exactly what's happening to one of the Best Skilled Nursing Facility in Tucson. The employees can't take on the additional responsibilities, causing poorer patient care, low moral, employees quitting from to management to those of us on the front line. The ship is sinking fast but the CEO does nothing to change it, except for the worst. I used to love my job, now I hate it. Unfortunately, the same is true for most employees than not.
Chief
I'm not sure what changes you are referring to. I did a little research and could not find where the care would be lessened, but unfortunately, if we're talking about a corporation that is publicly traded, their first responsibility is to their shareholders. And so that means making more money, and this is unfortunate in the healthcare realm.