A comment made in today's newspaper article got me to thinking....Ruth McDaniel was quoted as saying that "morale is such a nebulous thing and it's hard to characterize". The newspaper also mentioned that McDaniel denied that there was a morale problem. Personally, I don't see how that statement can be made...it feels as though morale is at an all-time low.
So, the question becomes, what can be done on the personal level? That applies to each and every employee, as well as every patient and family member. And, yes, it applies to senior management at LPNT as well as community leadership in Danville, Pittsylvania and Caswell. Problems at DRMC, whether real or perceived, will impact healthcare choices in the area and people will begin to respond by choosing a facility other than DRMC. This becomes especially painful when those who are commercially insured choose to go elsewhere.
And, for the value of this blog, what we get out of it is only as good as what goes into it. There have been suggestions by some (including from managers at the hospital) that there is no value in comments made anonymously on this blog. True, some folks have used the cover of anonymity to take low shots at community leaders, management and even each other. But the vast majority of posts on this blog (and I've read them all) have taken the conversational tone of employees talking with each other. Some are very well informed and some seem to come to the blog looking for information. If the blog made you sign your name to every post, I feel that posts would drop off by a large percentage. So, I think it's better to make sure that the comments don't get out of hand and delete a few, than to shut down an outlet for anonymous discussion.
Back to the bigger issue...perhaps the recommendations made by the Citizens Commission will give LPNT some valuable insight into issues that need to be addressed. All we can ask is that LPNT is forthcoming with the community about issues (such as Joint Commission). When more people feel that they are getting all the information they need to do their job, then maybe that paves the way to better results.
There was a quote that I used much earlier in the life of this blog, but I'll bring it back here. Maybe more people are relying on the anonymous ramblings of this blog, rumor and fiction because they aren't hearing the real information they need coming from their leaders (whoever those leaders may be)....so I'll stop rambling and leave you with some pretty good words from "The American President"...
"People want leadership. And in the absence of genuine leadership, they will listen to anyone who steps up to the microphone. They want leadership...They're so thirsty for it, they'll crawl through the desert toward a mirage, and when they discover there's no water, they'll drink the sand.
People don't drink the sand, 'cause they're thirsty...They drink it 'cause they don't know the difference."
Wednesday, May 23, 2007
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94 comments:
Please, never believe the corporate cop-out that anonymous comments are of no value. Real leaders and real managers want to know what their people are thinking. In a case like this, where obviously employees are deeply fearful of management, useful comments can only be made anonymously. The silly, rude pot-shots can easily be sorted from the genuine concerns, and management knows this. By denigrating the value of anonymous comments, mangement again is showing its penchant for serving itself first. Pay no attention. In the end, the person who created and maintains this blog should be given a citizenship award for what he/she is doing done for all of us.
Amen!
Also, a manager who cannot determine the morale of her charges is highly suspect. That is merely a cop-out to NOT admitting there is a morale problem.
One of the key functions of any manager in any business is to maintain the morale of the employees. To admit you don't know how to determine the morale of your employees is an admission of being unable to perform one of your most critical duties.
Sorry to be so blunt but that one quote should give tons of creedence to any complaint coming out of the hospital. Quite simply if management is incapable of identifying problems then there is no hope for having said problems corrected.
Steve
Nothing corrupts morale more deeply than to read in the paper that a person in Ruth's position says she cannot determine our morale. It's hard to say which is worse--that she really doesn't know, or that she's lying. I think you call this a no-win situation.
-One Tired, Sad Lady
I am disappointed in Ruth for making such a "canned comment". She proves my suspicion all along, that she's just like the rest of them.
To the "Blog Master", excellent, excellent posting. Thank you!
Hummm.... it was reported by "Ruth" that moral is not an issue. Can't disagree more strongly. I have an ancient Chinese proverb here told to me by a very intelligent local doctor and it's never been more appropriate than now:
He who knows, and knows that he knows - follow him, he is a leader.
He who doesn't know, but knows that he doesn't know - teach him, he is child.
He who doesn't know that he doesn't know - SHUN HIM, HE IS A FOOL!
Looks like another example of LifePoint not listening....
I see another paid announcement in the newspaper about a Danville surgeon no longer doing surgeries at DRMC under LifePoint.
I don't know much about these things, but isn't this a blatant vote of "no-confidence" for the hospital?
Here's the announcement that I typed out of the paper:
ANNOUNCEMENT
Dr. Lawrence F. Cohen would like to announce
his recent appointment to the medical staff of
VCU Health System/Medical College of Virginia
Hospitals in Richmond. Effective May 1, 2007
his practice will expand to include treating patients
in both Danville and Richmond.
Dr. Cohen will continue to see patients in Danville,
however all surgery will be performed at the Medical
College of Virginia Hospitals in Richmond.
If you have any questions or need further information
feel free to contact Dr. Cohen's Office at 434-792-6326
(5-20-2007)
I have worked with Ruth in the past few months and felt that she "got it" as opposed to Art and the rotating batch of "O"s. Could you give examples of Ruth being not true to her word and just another flunky? Our future here depends on finding people to follow and trust. Art may be on the rebound if he brings his family in and stays for the long term. Lifepoint may own up to its errors and beef up the hospital to where it should be. Unfortunately if public opinion keeps paying patients away, the collapse of the hospital will become a self-fulfilling prophecy. Unfortunately, in a pinch, Duke is too far away to help. If you or a loved one need help urgently, you need a successful DRMC. Otherwise move to Alaska and take a bush plane to help! Be careful what you ask for in Danville, you might just get it.
What is your informed opinion about morale? Ruth's comments on that subject sparked this discussion. It would be helpful if you would share your thoughts--not so much about Ruth, but about morale in general.
Ruth speaks from both sides of her mouth. She is well liked by a chosen few as she supports them but be very careful with your trust.
Listen to her...if she were a woman of integrity she would not be telling people that Art will soon be gone or I can do any of these positions etc. A strong leader with integrity would not speak to middle management or physicians about the life span of other senior managers (Os). She might work to make the needed changes as identified but she would not in anyway work to undermine those who are still present, at least not publically.
I am unsure where she was trained but that is like a middle manager (nursing director) saying to his/her staff "Don't worry about the CNO...she will be gone soon and I will make appropriate changes."
Art does have issues; many issues. Is he effective or not? I don't know but he won't have a chance as long as Ms. McDaniel is bad mouthing him at every turn with whomever will listen.
I may have spent most of my years in the land of "low lying fruit" but I do know that5 such behavior is not conducive to organizational success or morale.
Interesting letter in the Chatham paper responding to the attack on Coy Harville last week:
Wednesday, May 23, 2007 9:21 AM EDT
To the Editor:
I've seen some ridiculous letters in the newspaper, but the one from Mark Percario complaining about Coy Harville's statements on the hospital issue gets the blue ribbon for foolishness.
It's not worth responding to Mr. Percario's baseless charges, but it is important to point out that for many months, Coy Harville has been the only sensible voice in the wilderness of official nonsense regarding LifePoint's wrecking of Danville Regional Medical Center.
Always mild-toned, Mr. Harville has chronicled LifePoint's broken promises and offered numerous suggestions for ways to resolve this pressing issue.
And now that we know from a Reuters business newswire that LifePoint chairman William Carpenter referred to our hospital as "low-hanging fruit" to be grabbed off, Mr. Harville is proved right yet again.
Carpenter"s vicious insult to our community makes Mr. Harville's vigilance more important than ever.
If Mr. Percario feels personally deprived of "a level of comfort," I submit that his problem is not Coy Harville. His problem is the greed and absence of serious leadership that led us into this mess to start with.
Keith Cochran
Danville
Coy Harville is just trying to maintain his position. The man loves to see his name mentioned.
Another letter in the paper defending Mr. Harville from the attack on him last week.
Letter--
I don't know who Mark Percario is, or who or what set him off to attack Coy Harville, but it cannot go unanswered.
More than any elected official I have ever known, Coy Harville cares about people and understands the issues that concern them and threaten them.
If Mr. Percario is unaware of what has happened to our hospital since it was bought by LifePoint, then he is living in a wonderland of ignorance.
For him to say that Mr. Harville's statements are "inappropriate" calls into question whether he has ever even read the statements.
They are absolutely appropriate to the most important issue facing this community.
I would like to take this opportunity to thank Coy Harville for what he has done, is doing, and, God willing, will continue to do until we can regain all the ground we lost when those people sold our hospital in the dark of night to a gang of outsiders who care nothing about our people.
Thank you, Mr. Harville!
Herbert Jefferson
Danville
Thankyou for the insight on Ruth. Morale is low for staff, physicians seem to weigh the pros and cons of staying. As a family head I would like to stay in Danville but healthcare has to be a primary concern. Overall the quality remains, but in reduced quantity. The grass may seem greener elsewhere but reality is not necessarily so. We survived losing Dan River and Goodyear strikes so I believe we can bounce back from this. Hopefully the blog and commission have gotten the fruit gatherer's attention. With Art committing to the town (if your family lives here, it will use the local hospital (UNLIKE Ashby and other Boys)) maybe he can move things in the right direction. What is the REAL alternative? (Besides moving out?)
I wish more elected officials would lend their names to the hospital crisis. We would be much better off. I've known Harville for many years and there are plenty of things I don't like about him, but you gotta give him credit on this one. And who cares if he likes to see his name in print--if it is doing some good, which it is!
FACTS, PLEASE.....
Has Art stated he is moving to town. with his family?
Would you move your family to this situation? This would not be a welcoming environment unfortunately. I believe he has children doesn't he?
Just out of curiosity, does anyone know where you would be taken if an EMT in Caswell County transported you to the hospital? I'm not so sure that DRMC is on the list anymore. Can anyone confirm this?
If what I have heard is true, how many other regional EMS's are transporting to other regional hospitals rather than DRMC?
FACTS, PLEASE.....
Has Art stated he is moving to town. with his family?
On the question of EMT transports, the mayor of Gretna spoke at one of the Commission hearings and reported that nearly all of the transports from her town were going to Lynchburg, even though it is a longer trip than to Danville. She also stated that prior to Lifepoint, the transfers from Gretna were about 50/50 to each place.
Caswell county EMS is a paid service: Choices 1.Person Co.Memorial(now affiliated with Duke Univ. Heart program FACT: the one that Lifepoint LOST for us.)
2.Duke University(trauma)
3.Annie Penn- owned by Moses Cone Health Systems in Greensboro.
ALL NON-PROFIT.
ALL of the outlying areas Gretna etc. Can and do go to other Hospitals.All of the close in EMS services must come to DRMC.
Would be interested in the changes in there total trips to danville vs. other facilities before and after Lifepoint.
How about using national statistics to bolster our complaints? Tell Lifepoint we need x number of nurses per patient (pick a number the "commission" can agree on). We need ER wait times of y hours.
We need to have care first, billing questions second. IF they meet those goals, keep using DRMC. If not, go elsewhere and let them treat those without insurance who cannot afford to go elsewhere. Realize you will not have quality emergency care close to home but the community will have sent a signal.It may mean closure of the hospital but then realize that is the worst case scenario everyone is working towards anyway.
Fact: Ruth McDaniel is a double talker. She has intense conversations with her "hand picked" Director groupies on a weekly (sometimes daily) basis.
She has confidently stated that LPNT is just waiting for now but that Art would be gone soon.
Fact:The Directors immediately leave the "den" and selectively share the sacred conversations with their groupies.
It is sickening to see our "leaders" reduced to gossip mongers. I NEVER before would have thought I could not support my Director but I loose respect for her after each secret she shares with me (and others).
Once again, we need mature leadership or we will continue to fail.
These are the classic elements of moral corruption, more insidious because the corruption is drilling down from the top and spreading through the organization. As an earlier commentator stated, it is truly a tragedy.
Whoever posted the letters in response to the attack on Coy Harville last week missed this one that appeared today:
Harville provides strong leadership
Wednesday, May 23, 2007
To editor:
I cannot believe someone would write the newspaper to criticize Coy Harville for his wonderful support of our community. I don't know what we would do without him.
He may be from Westover, but his strong, fair voice represents thousands in Danville and Pittsylvania.
What I remember is that under Coy Harville's leadership, the Pittsylvania County Board of Supervisors passed a resolution opposing the secret sale of our hospital to LifePoint.
If the leaders in Danville had had the integrity and foresight to follow Mr. Harville's lead, maybe-just maybe-LifePoint would have not treated us in such an awful way.
I am so sorry that Mr. Percario finds "little solace" in Mr. Harville's statements. That's sad indeed, but who cares?
Lillie Hundley
Danville
I do not work in direct contact with Ruth McDaniel or Mr. Doloresco, so I am not saying that I have witnessed this personally. Yet, I constantly hear from people closer to them that Ms. McDaniel often speaks nin a way that undercuts Mr. Doloresco, thus corroding whatever respect he might deserve.
So what is going on?
Don't they both work for Lifepoint? Why does management put up with behavior like this?
Lifepoint breeds this behavior in general.It was sprung from the mismanagement and bankruptcies of HCA to hide their mistakes.
And on and on and on.......
Just checking in again,,,,,,,,,
Remains the best entertainment in Danville AND it's FREE !!
You probably won't be so entertained if you or a loved one is in a car crash and wind up at the hospital. There's something very wrong with a person who thinks what's going on here is funny. Or maybe you work for Lifepoint?
Agreed, if you think this and the state of this region due to tactics such as what lifepoint employees is funny you are indeed a fool. Dan river had tactics like this used on them and you know the result closed.
Yorktowne cabinetry- immediately lowered their payscale due to these types of tactics.
Goodyear lowered their salaries
with bully tactics while the ONE BRITISH CEO made 500 times the average employee pay per hour by these tactics.
Lifepoint has lowered the number of highly trained, experienced, nurses and others due to bully tactics while sending danvilles disposable income to Tenn..This in effect lowered the salaries.
And did I forget the life in jeopardy may be yours and you may not have a choice. DLSC only goes to DRMC.. So be entertained and laugh on fool, you may not enjoy it so much one day.
I'm not sure what entertaining about the admission by our head of nursing that she can't determine the morale of her staff. Isn't that one of a managers top priorities?
Then again I've often heard that if there were a circus on one end of a street and a plane crash on the other, the crowd would be around the plane crash. I guess we are drawn to disasters.
Excellent point. Danville has been fixated on one train wreck for 100 years, and now the fixation has turned to another train wreck on South Main. Will it go on another 100 years? No, it will go on only until these LifePoint creeps are run out of town on a rail.
This is my second request for info. Whatever happened to the businessmen who brought us this hospital disaster? Are they still around? We used to see their names and photos all the time.
Like most rats, they've crawled back into their holes waiting for another banquet to scavenge from.
If you look carefully you can see their beady eyes peering out.
Just picture Templeton from Charlottes web.
I would imagine we won't hear a lot from them until the $200 mil. is gone. They'll resurface then like a group of vampires at dusk, ready to feed again.
I wonder if they seriously think this will "blow over"?
I have worked in close contact with Ms. McDaniel and somewhat with Mr. Doloresco. Ms McDaniel is the only person that has been sent from LPNT that lives up to her word and has sensible tactics for getting things done. There is a level of trust for her from the managers and those that work directly with her. She is fair, and she personally takes the time to talk with anyone that calls with complaints, or writes Letters to the Editor, to ask what can be done to help? She then is the ONLY person that follows up and implements strategies to make sure this is done and that someone else doesn't go through this same crisis.
Mr. Doloresco on the other hand won't even talk to employees, consultants, and his managers have MULTIPLE meeting cancellations before they can even talk with him. These are the managers that report directly to him; therefore, they have nowhere else to go.
I have never heard Ruth make the comment that LPNT will be getting rid of Art. That's just me. I think maybe we all want it so badly that we take any inkling that it might happen as a positive.
I am disappointed that Ruth said that we do not have morale issues. It is obvious that there are people in the facility that are upset about all of these goings on. I don't know why she would say that, other than she's trying to classify the hospital as a whole and not just for the group that are dissatisfied. I was a hospital employee before LPNT and I can assure you that people, including myself, were dissatisfied then as well; albeit, maybe for different reasons. There were undercutting, underbelly things going on that would make your head spin when Mr. Callaway was here. Why do you think he was escorted out of the building to "resign, effective immediately?" This is not all about LPNT.
LPNT must provide us with management that can be trusted and that will be a part of this community. We need someone that will listen to us and make us feel that they want to help make this better instead of a tight lipped no talking administrator. I have not been happy with the management that has been brought here by LPNT. Otherwise, these other problems can be fixed by the people in Danville. These are the same employees that were here 2 years ago. Everyone WANTS to give good patient care. Everyone WANTS to do the right thing. Everyone WANTS to be the best hospital. WE must decide that WE will fix the hospital and make the necessary changes with bit**ing at every turn when a change is made.
All well and good, but how do WE fix anything WE don't have control over? I'm sorry, but it's hard for me to believe Lifepoint has management capable of what you mentioned, they've thrown us CEO's and managers over the past 2 years with each batch being worse instead of better. You might defend Ruth but what she said is what she said, and one of 2 things was happening, she was lying (not wanting to admit there is a morale problem), or she really belives what she said. If the second is true, she has no business leading people.
Ruth has her loyal grouies who feel supproted but it is at the expense of others. what they don't relaize is all her promises to gain trust ore just that. When she leaves they will find many of her promises will fade quickly. And please don't deny her comments about Art...i sit in on the same meetings you do and we all hear it together. it is unprofessional and does not lend to good business.
What's the story on Mr. Callaway's departure? Was MediCare billing fraud going on, as rumors have it? Did he take the hit for the bank boys? What was his position on the sell-out to LifePoint? What has happened to Callaway since? Anyone know?
Further evidence of LFPT not being totally honest. Here's what they said last May:
"By Nikki Cobb, San Bernardino County Sun, Calif.
May 28--Some see it as a modern-day case of David versus Goliath being played out in a small desert community on the Arizona border.
A tiny Needles hospital is struggling to stay alive in the shadow of a newer, larger facility close enough to suck away its patients but far enough to create a hardship for those with limited access to transportation or needing frequent visits.
Both hospitals are owned by LifePoint Hospitals Inc., a Brentwood, Tenn.-based company that owns 52 hospitals around the country.
LifePoint officials say they have no plans to close Colorado River Medical Complex, a 25-bed facility serving Needles for more than 25 years.
But 12 miles away in Fort Mojave, Ariz., Valley View Medical Center's 49-bed hospital has assumed many of the services formerly available in Needles. Obstetrics, for example, as well as inpatient physical rehabilitation, mammography and an intensive-care unit are all only available at Valley View, which opened in November.
"(The Needles facility) has been a troubled hospital in the past, and they're really fighting for survival right now," said County Administrative Officer Mark Uffer last week. "And they see a significant amount of patients that would end up at the county hospital otherwise."
"You never want to see a hospital fail," said Uffer, a former chief executive officer of Arrowhead Regional Medical Center in Colton.
But Michael Weichart, president of the national division of LifePoint, said the company has no intention of closing the Needles hospital. Rather, he said, he's trying to reconfigure services so both facilities are as efficient as possible.
"We're putting in a rural health center," Weichart said. "What the Needles community really needs is access to primary care."
Weichart said he wants to expand services at Colorado River Medical Complex.
But James Felton, San Bernardino County's health director, said since LifePoint acquired the Needles facility in April 2005, services have been so stripped down that it's of limited use to residents.
"The Needles hospital is basically an emergency room at this point," Felton said. "It is causing some grief for our county residents in terms of transportation to get (to Valley View)."
Colorado River Medical Complex serves about 5,500 people spread over about 1,000 square miles. Valley View, whose patients also come from Bullhead City, Ariz., and parts of Laughlin, Nev., serves 70,000 to 80,000 people over roughly 3,000 square miles.
The Needles hospital employs roughly 75 people. Valley View employs about 210.
Uffer agreed with Felton that scaling back services hasn't boded well.
"My read on it is they're trying to turn Colorado River into an outpatient urgent-care facility, and move the business to Valley View," Uffer said. "I think the term to be used is cherry-picking.
Uffer said the Needles hospital had been thriving, but has started a downward spiral as local patients are sent to Valley View for labs and tests.
Uffer said he has his doubts that the for-profit LifePoint really has the communities' best interests in mind. Weichart said otherwise.
"We have no intention of closing the Needles hospital," Weichart said. "We haven't always agreed on what the future will look like, but . . . we're both working to the same end to create a vital resource."
Here's whats happening less than a year later:
"By MARJ DARIO, News West
Tuesday, May 22, 2007 4:06 PM PDT
NEEDLES - The city of Needles hospital board met on May 17 but there was not much to report regarding the future of Colorado River Medical Center.
LifePoint Hospitals Inc. has prepared a lease termination agreement, the draft of which has not been made public, and the county of San Bernardino is supposedly drafting a new lease document. That document has not been done, according to Needles' city manager Richard Rowe.
The original target date for transition of June 1 is rapidly approaching.
Expressing his concern the lack of progress is causing an “adverse effect on the community,” board member Bruce Pocock suggested the board send the county a letter asking for a status report. Pocock voiced the people's need for reassurance. The board approved a letter which will include a request that the county issue a public statement.
As of press time the county had yet to meet with hospital employees, which is creating further cause for speculation, according to board members.
Needles resident Frank Valenzuela spoke on behalf of the community about the uncertainty by saying, “Everyone is drawing their own conclusions.” He asked that more information be disseminated to the people of Needles.
“A lot of staff work still needs to be done,” said Rowe, adding that “all parties should be held accountable.”
It is most likely, he added, the transition will not take place until July, August or even later.
Meanwhile, LifePoint will continue to provide acute care with critical access services at CRMC.
So Lfpt buys Needles, builds a bigger hospital 17 miles across the state line, but still maintains "But Michael Weichart, president of the national division of LifePoint, said the company has no intention of closing the Needles hospital." Yet a year later, "San Bernardino County's health director, said since LifePoint acquired the Needles facility in April 2005, services have been so stripped down that it's of limited use to residents."
Now Lfpt is paying off the lease and walking away. Sure it's a small hospital however once again profits trump patients.
This was interesting to me..."Uffer said he has his doubts that the for-profit LifePoint really has the communities' best interests in mind."
One of the nice things about Danville might be our greatest enemy. Most people are polite and trusting, willing to give anyone the benefit of the doubt. This is not a good instinct in dealing with the tricksters at hand. The Needles example is all we have to know that there is NO goodwill on the part of LifePoint. They care about nothing but money.
I love our nice manners in these parts, but we and our polite leaders need to toughen up in dealing with these people.
What ignorance! I used to work at that DRMC dump, and I've never worked around such rude, stupid people in my life. The whole city is that way, rude, stupid Rednecks that love the Dixie flag. My neice still works in that dump and will be out their as soon as she can. Lifepoint might be bad, but they are in good company in Danville. They are a perfect fit for each other.
I agree the polite southern hospitality is not present. everyone seems to be out for themselves and there is little friendliness to outsiders. I relocated a number of years ago from another southern town and feel as though this town and this hosptial are from another planet.
Don't forget folks, Greyhound and Delta go both ways. I imagine ya'll were some of those folks who came in with "where I'm from we do things a lot better"
TO THE PERSON WHO LEFT DRMC AND HAS SUCH NICE THINGS TO SAY ABOUT US.
THANK YOU FOR LEAVING ALTHOUGH I BET IT WAS NOT THAT DUE TO YOU JUST WANTING TO.
WE DO NOT NEED YOUR ATTITUDE HERE. WE ARE DOING THE BEST WE CAN TO MAKE THINGS BETTER AND MOST OF US ARE SICK OF HEARING ALL THE BACK STABBING AND MUD SLINGING. LETS TAKE THE BULL BY THE HORNS AND BEGIN THE FIRST STEP OF GETTING BACK ON TRACK. FORGET THE PAST AND MOVE ON WITH A BETTER FUTURE. MAKE YOUR DAY BETTER AND KEEP SMILING.
WAH
"My neice still works in that dump and will be out their as soon as she can."
I might be a redneck but at least I can construct a sentence. You left out "of" and it should be "there". I'm guessing her co-workers can't wait. If she's anything like you.
AND HOW DO YOU SPELL NEICE?
However you dress it up, Danville is an old mill town like dozens of others that litter the landscapes from Alabama to New England. And that is good reason for compassion. Comments in this blog abbout the town are uncalled for. People here are just beginning to get their feet on the ground, getting kids in college, etc. It can't happen overnight. Facts suggest the town did not have a multitude of resources needed to sustain the old DRMC, and it made sense to sell it to a cheapo outfit like Lifepoint. This is a very sad fact of life--and one that few people are willing to admit.
Oh no you didn't. I dare you talk about our hopital like that. I once worked there and still have strong feelings about the good of the hospital. For those that keep bashing and calling us REDNECKS. Each of you can go to hell. So lets get along.
T.T.
Are some of you folks drinking sand?
Not me. I just keep eating Humble Pie and smiling and grinning so I don't get fired from the hospital. Gas is $3. They've got us trapped. Here, have a slice of Humble Pie. And don't forget to smile and grin and tell the boss how much you love Lifepoint.
"However you dress it up, Danville is an old mill town...... Facts suggest the town did not have a multitude of resources needed to sustain the old DRMC"
Need we remind you, this old mill town built this hospital. Several large employers including Dan River Mills imposed mandatory payroll deductions for all employees to raise funds to build and expand the hospital.
Also not sure what facts you are referring to (and to have such, might clear up a lot of animosity regarding the sale), but from what I have been told by folks in high places who were privey to such information the old DRMC was making millions in profit when it was sold. Think about it, if the town didn't have the resources to sustain the hospital why on earth would a company buy it knowing it was going to have to make profits to pay investors and still have money left over for itself?
Lifepoint saw a cash cow, no doubt about it. Their mistake was buying a hospital that was geographically close to several others. All of their other hospitals are rural hospitals with a captive employee base and captive patient base. They can do whatever they want and Docs, nurses, and patients have no choice except to move. Here we have those choices and a lot are using them. If our doctors couldn't get priveleges at other hospitals, nurses couldn't commute to other hospitals and patients couldn't make a short drive for treatment imagine what a hold lifepoint would have on us.
Sadly the only way to get anything done is to withhold what they hold dearest, our business. I know ethically we should support our community and we desperately need our own hospital. But Lifepoint has made it clear over and over again that they think we are stupid and unworthy of listening to. If they truly wanted a facility we could all support and be proud of, we wouldn't have had to resort to a citizens commission to be heard. In effect city council has forced them to listen to us. But that is all "listen" nothing says they will act on anything they hear.
Bottom line, the only thing that will cause any change is a reduction in income. Unfortunately by the time they throw up their hands the best doctors and nurses will be long gone, and our hospital will be like many others they have abandoned...worthless.
you keep saying the best nurses and staff have left. I HATE TO TELL YOU THAT THERE ARE MANY OF US BEST ASSOCIATES WHO ARE STILL HERE AND ARE WORKING HARD TO GET THROUGH THIS DIFFICULT TIME AND TAKE CARE OF YOU GUYS. SO IF YOU ARE NOT HELPING YOU HAVE NO ROOM TO BITCH ABOUT WHAT IS GOING ON. MY QUESTION IS WHAT HAVE YOU DONE FOR DANVILLE LATELY???
WAH
I didn't say the best have left (and haven't been saying that).
I said the best WILL have left.
Can you honestly say if things don't change you will still be there a couple of years from now?
As for what I've done latley, I've spent the better part of the last 25 years volunteering for this community in numerous ways.
Working hard to get through it? Just putting up with it or getting changes made? If so say how so others can join in your hard work and make even more change.
By the way, every citizen who is expected to be a customer has a right to bitch if things aren't right.
To "Lifepoint saw a cash cow....
It is so gratifying to read your intelligent assessment of the situation. Taking our business elsewhere is the only solution, and taking our practives elsewhere is the next step. Thank you.
Don't worry about the WAH post, those of us still trying to make the best of a horrid situation sometimes let the pressure get to us.
"To "Lifepoint saw a cash cow....
It is so gratifying to read your intelligent assessment of the situation. Taking our business elsewhere is the only solution, and taking our practives elsewhere is the next step. Thank you"
Though not the BEST solution, working within the system certainly isn't working.
We have worked within the system for two years, and I think the Lifepoint people consider us fools for doing so. They know exactly what they are doing. I get so angry that sometimes I think I'll just burst out in tears. I know that I am developing high blood pressure. It is almost more than I can bear. Sorry to bring religion into it, but my only refuge is prayer.
Drinking sand...been doing this for almost 20 years. Here are my thoughts. There are great people in every department, there are not-so-great people that I wonder how they manage to hold a job. People have come and people have gone. We have had budget cuts. We have gone through the latest management fads snickering as we endured until someone found the next greatest concept. Lifepoint has come and really pulled a rug out from under us. How much was a directive from Brentwood and how much was it upper management trying to make themselves look good?? We lost good processes and equipment that were replaced with ones that did not meet our needs. The way we did things do not work well with what we have now. There has been little to no help in fixing these problems. I feel like we have been driving 500 miles on a set of 50 mile spare tires. Some people are trying to make things better while many others continue to look out for themselves like they have for years and do as little work as possible for the paycheck they feel they are owed just for having their name on the schedule (started to put for "showing up to work" but many of us know many who do not hesitate to call in). Am I tired? You bet I am. Do I have low morale? You bet I do. Do I want the situation to be better? ABSOLUTELY! I enjoy the work that I do. I try hard to make all this work the best possible for the staff I supervise. There is only so much I can do. I can provide data and statistics that show my director and upper management that we need more qualified personnel at a competitive salary, good quality supplies without constantly running out, better disciplinary action that encourages staff to improve and weed out those who really need to move on. Sorry for the length of this posting. If Ruth and Art, the corporate leaders at Brentwood and the Leadership Council really care about DRMC, maybe they will not just read the blog comments, but use them to improve the hospital and move us beyond the negative state many of us are in.
Signed,
"Tired, but holding on"
My wonderful wife could have written the above. I don't know how she keeps on. I wish we could afford for her to quit, but it's out of the question.
Can't anyone help?
OVERWHELMED.
You whiners are so pitiful I could just cry. You need to get your butts to work.
Okay, so conditions are horrible, morale stinks, it is a depressing place to work. Accept it! It's a job! You get a paycheck! Where did you get idea work is supposed to be nice and fun.
If these people find out you are complaining behind Ruth's back, you are HISTORY. So shut up and work. People like you cause trouble for all of us.
The last two post sound completely like managers. Quit whining and suck it up. I believe that was Tod Lamberts and Art's favorite saying..."Suck it up and work harder". To the two idiots who added the last two post, nurses at DRMC work and they work hard. It is patient safety we worry about, not how hard we work. If you only had a clue you would not make such idiotic comments.
"Okay, so conditions are horrible, morale stinks, it is a depressing place to work. Accept it! It's a job! You get a paycheck! Where did you get idea work is supposed to be nice and fun."
And since when is any workplace supposed to be (in your own words)"conditions are horrible, morale stinks, it is depressing"?
This is a 2007 healthcare facility, not some 1957 cotton mill or tire plant. Heck even those places created unions to combat just these same conditions.
Granted a job is a job. We all have 3 choices, accept it as is, try to elicite change, or move on. If you can accept sub standard conditions, equipment, and care for your patients so be it. But quit blasting those who want better.
On second thought though your points are right on mark, this is becoming a prodution facility, not much different than a 1957 cotton mill. The only thing missing is the short sleeve dress shirts and flattop haircuts.
Sorry to disappoint you, Einstein, but I am not whining. I am glad I have a job especially one that I enjoy. The work itself is pretty cool and who said you can't have fun doing your job. Being satisfied with one's career is not a bad thing. It DOES improve job performance. Sorry, yours must suck! The point many of us are trying to make is that the processes, people and equipment are not at the levels they used to be. As the regulatory agencies are making more rules and guidelines at the national level to protect patients (due in part to some healthcare providers not doing what they are supposed to causing harm to patients), we need to have the right people in the right job doing the right work with the right supplies and equipment. Is Lifepoint giving us this? No. We have lost good people. Processes have been put in place that are not adequate or old processes were changed or deleted altogether without checking into what the outcomes would be. We are restricted into purchasing supplies and equipment from only certain vendors whose products do not always meet the standard. But the old adage "you get what you pay for" is a lesson some corporate leaders have yet to learn. We are not whining (some of us anyway). We just need to have those things beyond what someone who doesn't know remotely how to do our jobs decides is the bare minimum to get things done.
More people work at DRMC than nurses. We also are suffering!!!!!
Right. People talk about bean-counters. Lifepoint actually has mop-counters.
Nah, it's not a 1957 cotton mill.
It's trying to be a 2007 hospital that is in a 1957 cotton mill town,however.
Have union organizers worked the hospital? Maybe that's the only answer.
I contacted a union representative about this but after investigating further, they decided there would be virtually no participation. They thought no employees speaking up at the citizen's meetings and the fact this blog is anonymous spoke volumes.
I suspect that workers would unionize if the lifepoint gang was informed that if any repercussions were suffered that an agency such as the ACLU or the like would rain down lawsuits on behalf of the employees.
"Nah, it's not a 1957 cotton mill.
It's trying to be a 2007 hospital that is in a 1957 cotton mill town,however."
Nice jab...care to explain?
Let's see....Under Lifepoint we went BACKWARDS 20 years on our computer system.
Under Lifepoint we went BACKWARDS in the pharmacy.
Under Lifepoint we went BACKWARDS on accredidation.
Under Lifepoint we went BACKWARDS in the heart center.
BEFORE Lifepoint we didn't need a citizens commission and attorney general investigating.
Seems we were closer to being a 2007 hospital BEFORE Lifepoint than AFTER.
You left out
Backwards in quality of supplies.
Backwards in patient ratios.
Backwards in services provide.
Backwards in # of physicians
without priveleges
elsewhere.
And you forgot the denial of full accreditation by the Joint Commission.
Can one of you computer research whizzes figure out if unions have a stake in any Lifepoint hospitals? That would be the starting point. No way can any of us speak up or negotiate with the Lifepoint people when they have made it so clear that it means the end of our jobs. If you were dumb enough to express a negative opinion, they would claim you are part of the "problem" and find a reason to fire you. I don't much like unions, but what else can we do?
This is so silly. Unions may stink, but they don't stink as bad as the people who have wrecked our hospital. I don't buy into this stuff about Danville being nothing but a mill town. Some good things are going on, and I've felt a sense of hope until the collapse of the hospital. I do not work there, but I know many people who do. The stories they tell are precisely the same horror stories coming out of the mills in the 1930-1955 period--minus heat and tobacco smoke.
Silly? Get real. You don't know what bad is until you start talking unions around this town. If you think the power hungry bank boys enjoyed selling out the community for big bucks, you wait and see what they do if you start talking unions.
Is there a way to get a list of the biggest Lifepoint shareholders so we can start sending them information on what these people are doing? Money is the only issue here that matters, and shareholders could not be happy that Lifepoint managers are driving all the paying custermors out of Danville to safer, cleaner, smarter hospitals.
If you'll remember The Accipiter Group a stockholder group holds quit a bit of lifepoint stock and sent them a rather tough letter over a year ago about the operation methods of lifepoint,haven't heard anything since they threatened lifepoint with a selloff that would have virtually destroyed lifepoint.Hmmmm
Maybe lifepoint is trying to bankrupt yet another facility to offset any earnings to dilute out earnings per share and keep the profits for "performance" bonuses
for the "O"s........
To the last poster...What school of business did you go to???
I'm not telling , but I did, and the tactic works.
Thank you for another weekly installment of Danville entertainment.
You are welcome. Thanks for visiting. Interesting that you criticize the blog, yet you continue to log in to read it.
I guess he considers himself smarter than the rest of us...including the Mayor, City Council, the Attorney General, and joint commission since he finds this merely entertaining.
I have sent letters to both Accipiter and IHCC Consortium...we'll see if anything comes from and will post results on here
We have been tuned in for some time. However, there are no easy answers for remedy. Your mayor, the editor ot this blog, your citizens commission, as well as those of you who are sharing your stories for the better good. You all should be commended for your courage and ethics. It is apparent that there are many of you who are sincerely interested in protecting your neighbors and your community. It is important that you stand united and helpful to your citizens commission. Continue to organize, become informed, and rally as much support from your state and national legislators as possible. They need to know the level of abuse that is happening in rural America in the healthcare industry. Write letters, make phone calls, and stand together. Contact State and National Depts. Health and Human Services, State Attorney General(as you already have). Always report any form of abuse or neglect. Rally the Joint Commission to add "Patient to Nurse Quotas" as part of their scoring criteria-as it is absolutely directly related to patient mortality. Then rally the Joint Commission to make all reports available to consumers. Contact your state and national associations of nurses. Google search topics like health politics, federal agencies that deal with healthcare issues.
There have been postings under some of the other topics to give you more information. Slowly things are being addressed on various levels of government. Unfortunately, our nation has left something as serious as healthcare quality to be governed largely by consumers for several years-many times within a naive market. And the consumer has been under the impression that they cannot a)understand the terminology or b) do anything to change "the system". Our instinctive reactions of fear verses trust have been manipulated time and time again to benefit the monopolies of corporate America-even our basic human rights to healthcare. Hmmmmm. It's almost like they planned corporate coalitions to monopolize and rob us. They are counting on one thing though....our inability to reason with common sense...seek truth...display love and compassion...overcome our fears, and have the courage to stand up for them. Danville, Virginia has already started demonstrating this courage. As communities continue uniting their voices, across the nation, changes will continue to be made in each community and state, as well as nationally. There are several processes ongoing, but many more battles to weather. Make your politicians accountable- Google results-make as many contacts as possible. "The only thing we have to fear, is fear itself" Every single person has talents-not the same by any means-individuality- God given ways to work together for good. Reference the other topics also, more postings and info there too.
Remaining in touch.
IHCC Consortium
On May 24, 2007 the Senate Committee on Health, Education, Labor and Pensions introduced a bill called "Reliable Medical Justice Act". Look it up,(google it) research, and let the legislators know what you think.
The fact is very few of you actually know what your talking about. Ruth Mc.Daniel is the ABSOLUTE best person for our hospital at the moment. Just because she didn't bring in a basket full of sugar cookies doesn't mean that she's "Ruthless". Of course she's steped on some toes. Thats what anyone in her position would do. If you don't then your not a true leader and you don't need to be in that kind of a position. Sorry to the ones who can't get over the fact that she's smarter than you or sent you home crying but believe it or not she does know what shes doing. Given she has made some mistakes, however, if any of you were in her kind of position then you would have quit by now. Maybe being Ruthless isn't such a bad thing!!!
Perception becomes reality. I imagine myself as a Danville paitient in need of a caregiver, while that individual is across the street, along with 15 others (some in "sterile" green, feeding a nicotine addiction. Some packaging for this obnoxious product that they crave have a warning that it causes cancer, heart disease and more. It is a poor reflection on the hospital that they blow clouds of noxius smoke on people across the street. Why not give these addicts a place on the roof of the hospital?
Millions go for tearing down every building in sight, continual construction and tens of millions for new machines.
DRMC need people to empty bedpans and answer the emergency lights over the door. I remember when room and board was $8 a day and they came withing 30 seconds when you needed help.
Now you might be choking or having a heart attack, for all they know, and it takes a half hour to get help. Anyone without a large family to hang around and see after them is in big trouble it they are bed ridden in the Danville hospital.
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