Really

Saint Louis, MO

#494 Mar 30, 2012
Lisa wrote:
<quoted text>
If you are a hospital employee, I can guarantee you that these doctors have had much better benefits all this time that you and most of the country for that matter. What they are being offered is more in line with what doctors in their specialties make elsewhere. No one likes change, but this may well save your job and mine.
Aww thanks for being a corporate girl!!!! NOT!!!
Lisa

Saint Louis, MO

#495 Mar 30, 2012
Really wrote:
<quoted text>
Aww thanks for being a corporate girl!!!! NOT!!!
I base my opinions on facts, not gossip. When I first heard about this, I thought it was a bad idea. I changed my mind when I heard the facts. Whatever doctors end up providing these services, whether the current docs stay, or if new ones come in, they will be assigned to Southeast. There won't be locums coming in and out all the time, which frankly, is what you see with the hospitalists right now. A lot of that coverage is provided by various locums, which, I am told, are very expensive.
wearygame

Jackson, MO

#496 Mar 30, 2012
The fact of the matter is that the salary and benefits have to be "higher than average" to attract physicians to practice in communities such as Cape Girardeau. The salary and benefits don't even matter, the existing company is willing to match most of it.

The concerning fact is the company is only wanting to have 3 hospitalists during the day to which the daily census I hear is averaging around 70, including ICU patients which demand more time. To see more than 20 pt's in the hospital on a daily basis begins to sacrifice pt. care, look up the studies. If you look at the jobs available with EM Care, you will finde most exist in small towns, they will have just as much trouble recruiting to this are as anyone else would. To fill in the gaps, they credential as many folks as possible, likely the St. Louis area, to fill in schedule holes so essentially the hospital will still be covered by locums when the existing group is chased off.
Guest

Potosi, MO

#497 Mar 30, 2012
Really wrote:
<quoted text>Aww thanks for being a corporate girl!!!! NOT!!!
Only in her mind is she a corporate anything. She is delusional.
Lisa

Saint Louis, MO

#498 Mar 30, 2012
Guest wrote:
<quoted text>
Only in her mind is she a corporate anything. She is delusional.
I never said who I was or what I did. People just need to see both sides of the coin and not feed into the hysteria that some of you want to keep going.
Guest

Dallas, TX

#499 Mar 30, 2012
Ann wrote:
<quoted text>
1/2 of the ER ANPs will be offered contracts with EMCare. They will try to place the rest elsewhere within the hospital. The APNs with the hospitalists will be offered contracts to stay where they are with EMCare.
That is not what my manager told us in a staff meeting. they said the hospital would try to offer them positions and that Er Express would be staffed by physicians. The hospital APRNs, according to my mgr, will no longer work with the hospialits.

Why should any physician stay for less money when they can go elsewhere and make more than emcare is offering? there are locum tenems becs admin stopped recruiting efforts for permanent physicians months ago.
Guest

Potosi, MO

#500 Mar 30, 2012
Guest wrote:
<quoted text>That is not what my manager told us in a staff meeting. they said the hospital would try to offer them positions and that Er Express would be staffed by physicians. The hospital APRNs, according to my mgr, will no longer work with the hospialits.

Why should any physician stay for less money when they can go elsewhere and make more than emcare is offering? there are locum tenems becs admin stopped recruiting efforts for permanent physicians months ago.
I agree with the info your manager provided. She had her facts straight.
The "powers that be" are in the process of literally running the hospital in the ground.
Lisa

Saint Louis, MO

#501 Mar 30, 2012
Guest wrote:
<quoted text>
That is not what my manager told us in a staff meeting. they said the hospital would try to offer them positions and that Er Express would be staffed by physicians. The hospital APRNs, according to my mgr, will no longer work with the hospialits.
Why should any physician stay for less money when they can go elsewhere and make more than emcare is offering? there are locum tenems becs admin stopped recruiting efforts for permanent physicians months ago.
That is not true. They have been using locums heavily for the past couple of years, at least. That has been part of the problem cost-wise. And whether the doctors can go anywhere else and make more money is questionable. If they are planning on using 3 hospitaists per shift and census averages 70 patients, a hospitalist would see around 23 patients in a 12 hour shift. If he works his entire scheduled shift. You could have an addtional one on call in case of high census. I have said all that it is appropriate to say in a public forum.
Really

Saint Louis, MO

#502 Mar 30, 2012
Lisa wrote:
<quoted text>
I never said who I was or what I did. People just need to see both sides of the coin and not feed into the hysteria that some of you want to keep going.
When your damn job and the place you have poured most of your life in is drowning you damn right there is hysteria . Since you have no stake STFU please. Your opinion means NOTHING.
Thanks for the math Lisa

Jackson, MO

#503 Mar 30, 2012
Until you try to actually practice medicine on 20 plus patients in a 12 hour shift, please don't make comments that it is so simple. That starting census number doesn't include the family discussions, multiple pages, repeat visits on ICU patients, time for dictations, and of course the daily admissions...being split three ways of course. One could practice high volume hospitalist medicine and just consult everytime someone develops a cough and just be a glorified dictationer of H&Ps and DC summaries, but that's not good for pt care or pt. satisfaction. There's a difference in practicing medicine and just dictating for money.
Guest

Dallas, TX

#504 Mar 30, 2012
Lisa wrote:
<quoted text>
That is not true. They have been using locums heavily for the past couple of years, at least. That has been part of the problem cost-wise. And whether the doctors can go anywhere else and make more money is questionable. If they are planning on using 3 hospitaists per shift and census averages 70 patients, a hospitalist would see around 23 patients in a 12 hour shift. If he works his entire scheduled shift. You could have an addtional one on call in case of high census. I have said all that it is appropriate to say in a public forum.
I don't think a mgr would say things that are not true in an open staff mtg if that is what you are referring to. As far as locum tenems they have been coming for the last few years while the hospital was actively recruiting for new physicians. that was a huge focus before administration changed. However, the hospital has been forced to use more locum tenems apparently because all reruiting efforts were stopped within the last year. They are staffing now with about 5 physicians and an APRN PLUS locum tenems so EmCare is going to do that with 3 per shift? If that this doable while maintaing patient care I do not understand why that is not being done. They could keep the physicians they have now, increase their workload, and stop bringing in locum tenems. change is inevitable but it seems like this is a drastic major shift that could cause a lot of uncertainty.
Guest

Dallas, TX

#505 Mar 30, 2012
Bob wrote:
You are misinformed. They are not fired. Both the hospitalists and the ER doctors have been offered contracts with the company that will be staffing those departments. Administration hopes that they will accept the positions. If they take them, they will still be better off than they would at St. Francis. They won't get a better deal anywhere in the U.S. for that matter. This was done for the long term viability of the hospital. They have been paid at a rate much higher than the national average and it was a great hardship on the hospital. I know this because I am in a position to know and I do not work in administration. They can stay where they are. Their paychecks will just come from another company.
<quoted text>
The physicians themselves have said they were given termination letters by the hospital for July 31. Yes they wil be offered contracts with Emcare. What does SFMC have to do with it? SFMC may be happy to have them.
Guest

Dallas, TX

#506 Mar 30, 2012
Some of this does not make sense. The CRNAs were supposedly being paid way above national average. Now it has been said that the hospitalists and Er doc are overpaid but nurses, radiology techs, surg techs, lab techs, etc., are paid way below the national average in our region. How does that happen?

Another thing, if you are an Internist or a Board Certified ER physician and it was as simple as just a change in the signature on the paycheck, why are they so disgruntled and looking elsewhere? Another thing, they paid a lot of money for their education and training, shouldn't they expect to make money? Wouldn't you want to go where the offer is better? From what I have heard, even the companies the hospital looked at commented that they wish their benefit packages were better.

Oh yeah, the hospital bought the anesthesia group but sold hospitalists and Er docs?
Guest

Potosi, MO

#507 Mar 31, 2012
Guest wrote:
Some of this does not make sense. The CRNAs were supposedly being paid way above national average. Now it has been said that the hospitalists and Er doc are overpaid but nurses, radiology techs, surg techs, lab techs, etc., are paid way below the national average in our region. How does that happen?

Another thing, if you are an Internist or a Board Certified ER physician and it was as simple as just a change in the signature on the paycheck, why are they so disgruntled and looking elsewhere? Another thing, they paid a lot of money for their education and training, shouldn't they expect to make money? Wouldn't you want to go where the offer is better? From what I have heard, even the companies the hospital looked at commented that they wish their benefit packages were better.

Oh yeah, the hospital bought the anesthesia group but sold hospitalists and Er docs?
Thank you for posting the truth instead of others whose posts have been total BS. Some of the info from other posters has no credibility. They're just putting out non factual crap and hoping some of it sticks. Those close enough to the situation realize the hospital is not giving any thought or consideration to their valued and loyal employees. It is a tragedy.
G Michaelson

Jackson, MO

#508 Mar 31, 2012
A proven and long standing fact is that replacing local, community oriented physicians with out-sourced, cheapest bidder, rent-a-docs is never a sign of a solid business plan in action.

This money oriented decision by SE Health Management, in no fashion whatsoever, could ever be passed off as an "upgrade" or an enhancement in the standard of patient care nor the longer term viability of the organization.

It's a sad day for this region. You have just witnessed money and the all mighty inflated profit margin effecting your standard of medical care.
Guest

United States

#509 Mar 31, 2012
Have you read the comments posted with the Se MIssourian article? All I can say is WOW.
Howabouthisname

Saint Louis, MO

#510 Mar 31, 2012
It is all downhill from here for Southeast. What a shame. Who in the world is on the Board of Directors that can allow such a move?
Be Informed

Cape Girardeau, MO

#511 Apr 2, 2012
Yes, both the hospitalist and ER physicians are paid higher than the national average. However, they are paid below the regions average pay for these positions. The regions average is higher than the national average due to the fact that places like Cape Girardeau offer nothing compared to the east and west coast.

Yes, locums have been used frequently increasing the cost of the hospital service. However, administration stopped all recruitment efforts a year ago leaving the hospitalist no option but to relay on locums to cover the ever-expanding census.

EmCare is planning on covering the entire hospitalist census at all times with only three physicians and an APRN during the day. The starting census can rage anywhere from 70 to 95 patients. The current census has been running in the 90s the last month. Under EmCare each of the three hospitalists would be seeing anywhere from 20-30 patients per day, this does not include new admissions.

EmCare is not necessarily to blame for this poor three-physician model. The data presented to EmCare by the hospital administration showed an average census of only 65 patients per day. This data is years old!
Reply to be informed

Dallas, TX

#512 Apr 2, 2012
You certainly sound like you are in the know....so obviously you are on either the administration side or the physician side of this discussion. Since you are bashing the plan we can assume physician side. Guess what I know...you are inaccurate in your facts. You are twisting the truth so everyone says poor poor doctors. Reality check, you were offered a great deal to stay on at SE. You work hard, so what, we all do. The difference is you're paid a fortune. Why don't you post the offer with the hours they've asked you to work per year and the amount of money you make, plus cme money and insurance, 401 k, tuition reimbursement etc. Waaaa waaaa. And by the way, don't tell me it's a patient safety issue. Have you been to Barnes lately? Have you seen their ratios? How about in Boston or Chicago? Healthcare is a mess nationwide. Duh...Obamacare???? Heard of that? A mess trying to fix a mess. The world doesn't revolve around your pocketbook or your idea of how healthcare should run. You think life is better somewhere else? Go! Haven't you learned yet..everyone is replaceable. And there will be a doctor just as good as you stepping right into your shoes.
Reply to be informed

Dallas, TX

#513 Apr 2, 2012
And btw...since you think administration makes enormous salaries, it would be in their best interest for the hospital to do well.(for whatever you think the end goal is, the better the hospital does, the better the administration does) Since this is the case, why would they set EmCare up to fail? Why would they give EmCare old data? It makes no sense. If EmCare fails, it makes administration look even worse. You may not agree with their decisions, but they don't want failure. Trust me...this town is too small for all the big wigs associated with SE to go down in flames. They believe (seeing the whole picture which you don't have access to) that this decision will help get SE back in fiscal order, hopefully retain great physicians who are on the same page, and work together to provide great patient care. Shouldn't that be the goal of all associated with SE? I just keep hearing me me me and mine mine mine. Let everyone else sacrifice but not me. It really doesn't matter who caused the big mess. It's got to be fixed or you are all out of jobs....bottom line.

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