Executive and Senior Leadership are far too removed from understanding functionality of daily workflows across the board. From physicians/APPs, RNs, MAs, PSRs, and management, there is an obvious and overbearing disconnect with leadership. Process are implemented with little to no input from those it effects, often leading to failed outcomes, higher stress, and the need to go back and "fix the fix" that was implemented. IH is expanding throughout multiple states and regions, which is wonderful. However, the recent "harmonization" (trigger word for most employees!) of these regions is absurd. Assuming you can standardize every policy, process, and workflow from Utah to Montana like it is a KFC "secret spices" recipe is reckless and dangerous for patients. There is data and science behind why collecting/understanding demographics is imperitive. What works for one community or state, does not work for others. However, leadership is so tunnel visioned on "harmonizing" they do not seem to acknowledge how damaging this is. In fact, many of the policies and processes they are "harmonizing" (ahhhh, that word!!) cannot even be agreed upon by the CNOs of the different regions, so they just slap the multiple policies together and roll it out without any consideration for impacted workflows. (Example: Red flag trigger word policy--literally couldn't even agree on the NAME of the policy, so they slapped together 2 titles and lists simply to roll it out! When the CNO of Canyons was confronted on how burdensome the additional list is for teams, she expressed that the nurses aren't working hard enough anyway.)
Because of "harmonization," regions who have implemented standards for patient safety (and can show data over a decade of how these standards have reduced errors) are being stripped of the tools required to keep these practices in place. Why? Because we didn't plan ahead for "harmonization" and we can only use resources of the least common denominator. If Montana can't do it, or we didn't get them the equipment/training ahead of time, then nobody can do it. This puts patients and caregivers at risk every.single.day!
Let's not even talk about revenue and billing practices, which is a massive arterial bleed, hemorrhaging from every service line. The solution? Give local managers dot sized bandaids and tell them to get to work to stop the bleed. Comical really. The money will be recouped from somewhere...Caregivers don't need pension anyway, right?
