[optimal] Re: The other side of the gripe from Denice Barsness

  • From: "Thomas C. Monego" <Thomas.C.Monego@xxxxxxxxxxxxx>
  • To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
  • Date: Tue, 27 Mar 2012 20:09:36 -0400

I'm having a rebound effect right now, I signed on for an EMR project, for my 
regular pay plus a bonus. After 2 years a period of extremely long hours doing 
very engaging work, we went live, then a month of 80+ hour weeks we went into 
what is called maintenance phase. We were now expected to either go back to our 
old positions or stay with the group. Due to complex reasons we lost our entire 
upper management, the decisions were made by HR, I experienced conditions 
similar to what Anton experienced. That I had certification on the Epic program 
didn't matter, that I had the build for two of the components of the program, 
ophthalmology and electronic prescribing didn't matter, 30+ years of experience 
in my specialty didn't matter, Because I didn't have an IT degree I was asked 
to take a 30% pay cut. I asked for the next level up which was a 12% pay cut 
and was told I didn't deserve a promotion. So now I can return to 
ophthalmology, though they have said they don't have my leaving salary in their 
budget or go consult for Epic Ambulatory & Kaleidoscope and get paid well but 
live on an airplane. The latter is looking more favorable. This attitude has 
made us lose 60% of the build group, the rest of us are looking.

tom

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Eric Kegley
Sent: Tuesday, March 27, 2012 6:36 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: The other side of the gripe from Denice Barsness

Amen Denice. That is not only the problem with socialized medicine but the 
problem with socialism as a whole. When the producers find out that the get 
penalized and the consumers found out that they can consume without producing, 
dumbs down the whole system. I want to get rewarded for my excellent work 
ethic, not have money, honor or whatever taken away from me to equalize the 
field. That's also the problem with participation trophies. It cheapens the 
trophy for the first place team because "everyone gets one". These are my views 
and do not reflect the views of my employer (necessarily :-) ).

EK

[cid:image001.png@01CD0C50.485E77C0]Eric Kegley, CRA, COA
Director of Ophthalmic Imaging
Retina Consultants of Houston
6560 Fannin St., Suite 750
Houston, TX 77030

Main  713 524-3434
Fax    713 524-3220


________________________________
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx]<mailto:[mailto:optimal-bounce@xxxxxxxxxxxxx]>
 On Behalf Of CPMC Ophthalmic Diagnostic Center
Sent: Tuesday, March 27, 2012 4:45 PM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: The other side of the gripe from Denice Barsness
Ah, you've just highlighted the problem with socialized medicine.  Without 
responsibility and accountability, there is no sense of doing the right thing.  
The system I fear the most with Obamacare.   While in principle, socialized 
medicine sounds great.  In practice, not so much.  Ask those in Canada, the UK, 
Australia, Russia.  How's that working for you?

If you don't have a vested interest in the financial outcome, then the less 
work the better.

My two cents.

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563

From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> 
[mailto:optimal-bounce@xxxxxxxxxxxxx]<mailto:[mailto:optimal-bounce@xxxxxxxxxxxxx]>
 On Behalf Of Anton Drew
Sent: Tuesday, March 27, 2012 2:23 PM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: The other side of the gripe from Denice Barsness

THAT, Denice is the crux of the problem here, I work in a government hospital
where THEY DON'T value your expertise and skills.

ALL of our docs INCLUDING the Director are private Consultants who just come
in once a week or fortnight for a 3 hour session and then they're gone.

They treat the staff as though they were their own private practice staff.

HOW can a unit be run by a Director who is only there for one 3 hour session
every 2 weeks AND during the busiest Retinal Clinic when their is no time to
grab him to discuss udgrading equipment/software, or talk about staffing issues,
workload etc..

It is like speaking to a brickwall. They just don't get it !!!

Just don't want to "play their game anymore".

Anton


On 28/03/2012, at 2:34 AM, CPMC Ophthalmic Diagnostic Center wrote:

 Having the good fortune of working in a great institution that actually values 
our work, we in turn can reflect those feelings of good will onto our patients. 
   They are truly the lucky ones to be the benefit of all of this great 
technology.

My two cents.
D.


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