Chief
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What is the average pay for Dialysis Technicians
Can I get 15 likes so I can DM please!!??
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How can I, as a manager, increase patient care? Outside of harping to my nurses, which gets then all anxious? No. This is a recipe for disaster
Chief
I think it's risking driving talent away from healthcare leadership roles
Disagree if you don’t perform well or care about a pay rise if it is guaranteed then you’ll get people who do the minimum wh
Very bad idea and will only result in more people leaving ( which may be the actual purpose of this idea). Define ”improve patient care”. Does that mean recording more visits? Do you have the rooms and staff to accommodate such visits? Do you have access to the lab tests and referrals and pharmacies that will actually make the visit productive? Will the patients comply? Are they even able to comply with recommendations for healthcare without additional help and supervision? Can they afford to change their diets even if they agree to do so? Do they need an ambulance to get to your clinic?
Health care is not the same as manufacturing widgets. When you scale up and keep people alive longer you often end up with a pool of older people who need a lot of extra care and some young people who wouldn’t have been alive without intensive medical intervention so the problems of access increase. And, somehow doctors and nurses are expected to also be social workers and police and insurance managers and disability experts and psychotherapists and lawyers. In a 15 minute visit.
My issue I would first address is why are your leaders strained? You clearly recognize it's an issue, so, for example, unless you further burdening them with additional stress will somehow actually bring in further revenue in order to help hire on more supporting staff, you're looking at overturn.
Sidenote, your idea is basically what the rest of the world is already doing, including moving away from fee-for-service and more towards capitation for better patient outcomes 🤷🏽♂️
Chief
You raise a great point—addressing why leaders are strained is essential. Adding pressure without support risks turnover. Instead, systems should focus on better staffing, sustainable workloads, and rewarding effective practices.
I do not think pay should be linked to patient outcomes. There are too many variables for outcomes to be exclusively affected by providers. I too believe it will cause even more shortages of qualified staff/leaders.
Bo matter what level of service is provided, patients decide what they are willing to follow. Different areas bring different medical issues. You cannot ever make the playing field level. It us impossible to comoare a set of cases to another and they be the same. Management will always have favorites to give the more compliant patients too. You could be willing to take the least compliant patients and your reward is poorer performance when compared to others that get the better patients.
I definitely think it should be linked to patient outcome and satisfaction as well as staff satisfaction we are not given pay rises if we don’t meet preset standards
As a former NHS employee, I think paying CNAs more than $9 an hour would be a good start.