Author Topic: Thank you, Obamination Care  (Read 733 times)

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sirs

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Thank you, Obamination Care
« on: October 08, 2014, 05:13:10 PM »
More fall out from that horrid piece of legislation, now directly effecting patient safety.  Prior to this purely partisan piece of putrid poo, when patients were seen here at the hospital for whatever condition, in particular, joint replacements, they'd have surgery, then the following day, barring in complications, physical & occupational therapy would begin.  Patients would be seen somewhere between 3-5 days, then discharged.  They'd discharge home, if they were safe, or to a nursing facility if they needed more time to recover.  System worked great

Enter Obamination care.....where now its been made clear to the surgeons & DC planners, that patients MUST go home by day 3  (And surgery day counts as day 1, which means they must go home after only 2 days of therapies)  If they need more therapy, as in not safe to DC home on day 3, they must go to a Nursing facility.  But wait, that costs far more money (tax dollars).

So, if a patient only needs perhaps 1 more day of therapy in the hospital, in order to be safe to go home, under the new mandates, the ENTIRE hopsital stay, including surgery could be denied by Medicare.  YOU'VE GOT TO BE KIDDING ME.  A pateint needs 1 more fricken day, to be safe to go home, but we can't get it, because Medicare could rip the cost of the entire hospitalization, incl surgery, from our hospital services, since we'd be out of the new compliance

And the only 2 other options are for the patient to go home, less than safe, thus at risk for falling and making things far worse, or being admitted to a Nursing facility, that they don't need, since nursing facilities don't take patients for just 1 day, and thus at a greater cost to tax payers

Unfrickenbelievable
« Last Edit: October 09, 2014, 04:03:45 AM by sirs »
"The worst form of inequality is to try to make unequal things equal." -- Aristotle

Xavier_Onassis

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Re: Thank you, Obamination Care
« Reply #1 on: October 08, 2014, 05:14:47 PM »
Bullshit.
"Time flies like an arrow; fruit flies like a banana."

sirs

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Re: Thank you, Obamination Care
« Reply #2 on: October 08, 2014, 05:17:48 PM »
Good god, does your ignorance show no bounds.  Stick your head in the sand, and pretend it doesn't exist.  Yea, that's it

I'm DEALING WITH PRECISELY THIS ISSUE, AS WE SPEAK
"The worst form of inequality is to try to make unequal things equal." -- Aristotle

Plane

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Re: Thank you, Obamination Care
« Reply #3 on: October 08, 2014, 09:28:27 PM »
  Is this fixable with minor changes ?

   Does it require major changes from high in the chain of command?

     These rules are a thick book, every organization needs someone who knows where the exceptions and by passes are in the rules.

      This sort of conflict between the goals and the rules is typical of government control , I hope you can find a workaround and proper  authorization at a low level, if not, it needs to be handed up the chain of authority towards making it the problem of someone at the level that the decision needs to be made .

       If it has to go so High that it leaves the organization you are in , get prepared for long wait.

 

sirs

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Re: Thank you, Obamination Care
« Reply #4 on: October 08, 2014, 11:06:18 PM »
  Is this fixable with minor changes?   Does it require major changes from high in the chain of command?

To be honest, I don't know.  Somewhere buried in that 2000+piece of crap, is either the mechanisms for this mandate, or more likely the authority by the body that governs medicare, to push these mandates.  In either case, it's going to take outrage from the electorate, since currently this is but a minor issue related to medicare, compared to the far more reaching repercussions of massive premium increases, if not dropped insurance coverage altogether

   

      This sort of conflict between the goals and the rules is typical of government control , I hope you can find a workaround and proper  authorization at a low level, if not, it needs to be handed up the chain of authority towards making it the problem of someone at the level that the decision needs to be made .

       If it has to go so High that it leaves the organization you are in , get prepared for long wait.


Putting aside the rather callous and uninformed accusation that this is made up BS on my part, indeed you are correct.......and yet another reason to scrap and start over
« Last Edit: October 09, 2014, 02:04:56 AM by sirs »
"The worst form of inequality is to try to make unequal things equal." -- Aristotle

Xavier_Onassis

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Re: Thank you, Obamination Care
« Reply #5 on: October 08, 2014, 11:35:31 PM »
If this is a Medicare requirement, then it is not an Obamacare requirement.

Medicare has been around for a long, long time.
"Time flies like an arrow; fruit flies like a banana."

sirs

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Re: Thank you, Obamination Care
« Reply #6 on: October 09, 2014, 01:43:24 AM »
This was not the case for a long, long time.  As such it IS due to Obamination Care, since this did not go into effect until AFTER it was fully implemented
"The worst form of inequality is to try to make unequal things equal." -- Aristotle