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“Look at how many boxes I have to click and how much time I spend looking for the right box,” I said, sitting next to him catching up on charts. He had heard it from many doctors and nurses already, and lamented with us the fact that corporate has deemed it cost-prohibitive to overhaul electronic charting.I was particularly proud when he told me he suggested that “doctors should have scribes because of how inefficient our EMR is” during an administrative brainstorming session on increasing ED efficiency. One morning as I was catching up on charts and he was analyzing patient care finances, I commented on what I saw on our ED tracker.I’d rather remove calculators from rectums than do those types of calculations all day.

If it were a night shift, I’d have all 13 patients by myself.I try to be mindful of what I order, but it’s from a less-is-more, limited-resources approach, not a financial approach.It became obvious how much we need financiers one night when our dinner conversation turned to observation vs.Holes on the nursing schedule leave administrators struggling with the cost of overtime and travelers, and they leave clinicians struggling to keep up.They look at nursing turnover from a cost standpoint, and we see it from a patient care one, but we can agree on the benefits of retaining hospital staff.I blissfully go through a shift in the ED thinking only of medicine, not the burdensome office work that admin handles.I don’t deal with insurance or costs, but treat everyone as needed.Even administrators are frustrated by the unnecessary layers of bureaucracy burdening our health care system. Our corporate task force is doing the same thing as the local division, so we overlap, and national has to sort through who proceeds with what,” lamented my boyfriend in defeat one day as he got off a work call.The crossed lines of communication I witnessed illustrate what’s wrong with health care.inpatient admissions from the ED: “Why don’t they reimburse for observation patients’ home meds? “Because that’s what’s delineated in the billing code.” “Who says? Like many clinicians, I am overwhelmed by keeping up with Medicare, billing codes, and revenue.I would never want to crunch numbers to figure out that, as my boyfriend said, you end up with 0,000 to put toward patient care at an urban hospital if you charge

If it were a night shift, I’d have all 13 patients by myself.

I try to be mindful of what I order, but it’s from a less-is-more, limited-resources approach, not a financial approach.

It became obvious how much we need financiers one night when our dinner conversation turned to observation vs.

Holes on the nursing schedule leave administrators struggling with the cost of overtime and travelers, and they leave clinicians struggling to keep up.

They look at nursing turnover from a cost standpoint, and we see it from a patient care one, but we can agree on the benefits of retaining hospital staff.

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If it were a night shift, I’d have all 13 patients by myself.I try to be mindful of what I order, but it’s from a less-is-more, limited-resources approach, not a financial approach.It became obvious how much we need financiers one night when our dinner conversation turned to observation vs.Holes on the nursing schedule leave administrators struggling with the cost of overtime and travelers, and they leave clinicians struggling to keep up.They look at nursing turnover from a cost standpoint, and we see it from a patient care one, but we can agree on the benefits of retaining hospital staff.I blissfully go through a shift in the ED thinking only of medicine, not the burdensome office work that admin handles.I don’t deal with insurance or costs, but treat everyone as needed.Even administrators are frustrated by the unnecessary layers of bureaucracy burdening our health care system. Our corporate task force is doing the same thing as the local division, so we overlap, and national has to sort through who proceeds with what,” lamented my boyfriend in defeat one day as he got off a work call.The crossed lines of communication I witnessed illustrate what’s wrong with health care.inpatient admissions from the ED: “Why don’t they reimburse for observation patients’ home meds? “Because that’s what’s delineated in the billing code.” “Who says? Like many clinicians, I am overwhelmed by keeping up with Medicare, billing codes, and revenue.I would never want to crunch numbers to figure out that, as my boyfriend said, you end up with $400,000 to put toward patient care at an urban hospital if you charge $1 for the first 30 minutes of parking rather than making it free.

for the first 30 minutes of parking rather than making it free.

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