...my patients have been my reward.... I want...to be able to stand up for the patients, and do the right things, and not get beat up for it.
I just want it to be better. I know that's your goal too. ...a former PRMC nurse.
As I've said, the only way I can see the hospital(s) surviving is an employee ownership situation. North Campus is preferable because it would be a smaller-tighter running unit, and more practical in a later expansion.
The physicians have the possibility of pulling the greatest amount of funding, but the employees have to be vested to make it work and generate the loyalty, because right now, there is none.
One of the biggest faults that both McCu/StJo had was attention to detail, or lack of it when it came to finances. When they affiliated with larger corporations, their overall tone changed--the wrong way. Their philosophies were take it-or leave it to the physicians. In this area, that doesn't work. However, what compounded it was the fault--that was still there.
To make this work, someone has to be running billing like the billing manager from Red River; the people that are entering the orders have to be more mindful of the importance of their jobs, and be paid more because of it.
There are a number of things that could be corrected in the model that is in play, but Essent is firmly committed to the way they do business. And their arrogance is what will eventually be their comeuppance.