[optimal] Re: Workload Demands
- From: "Bruce Cox" <gbrucecox@xxxxxxxxxxx>
- To: <optimal@xxxxxxxxxxxxx>
- Date: Mon, 26 Mar 2012 19:03:02 -0400
It have always felt that the best way to handle workplace abuse by employers
- and indeed what is being expressed in today's posts is abuse, is to
educate oneself on all aspects of your job, including what the doctor gets
reimbursed for what you do.
Thirty two years ago after working @ Wills for several years and seeing our
2 man department increase our volume by 200%, my working partner and I went
to the administration to plead our case. We were told that our department
made money for departments in the hospital that did not, and that we would
not receive any more than our 6% raise (1980 when inflation was running at
12%). Within a year both of us had left. Armed with the information I had
garnered from that experience, I started my own mobile service and have been
in business for the last 30 years, always keeping up with changing
technology and reimbursement rates. When a client questions any part of our
service, I'm ready with answers. Today we are integrating our diagnostic
imaging into our clients EMRs which not only makes them happy, but saves us
$$ in printing costs.
Knowledge is key.
Bruce Cox
MDI
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Hackel, Richard
Sent: Monday, March 26, 2012 11:51 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Workload Demands
Check out this article in yesterday's New York Times:
http://www.nytimes.com/2012/03/25/us/death-and-disarray-at-americas-racetrac
ks.html?scp=1
<http://www.nytimes.com/2012/03/25/us/death-and-disarray-at-americas-racetra
cks.html?scp=1&sq=race%20horses&st=cse> &sq=race%20horses&st=cse
Richard
_____
From: optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf
of Marshall E Tyler [marshalletyler@xxxxxxxxx]
Sent: Monday, March 26, 2012 8:34 AM
To: Anton Drew; optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: [optimal] Re: Workload Demands
Like Anton, except for being in a 3 photographer, 2 location practice, the
patient & procedure load kept increasing.
IF equipment were to never go down, and nobody was sick or on holiday, and
there were no OR cases, publication images, or drug studies, and no lunchs
to be eaten, nor potty needs, then all was good.
Days with 2 photographers could keep up with 100+ procedures. Days with one
photographer and 85+ procedures and 10 hour days were not uncommon.
There is an expression about abusing race horses: "Run hard and put up wet."
There is a point where not only photographers are abused, but patients
receive sub-par studies.
How to address this balance of appropriate staffing could be a topic for OPS
meetings.
Thank you,
Marshall
Marshall E. Tyler, CRA, FOPS, 40 years of service, Retired!
via Verizon Android Phone
----- Reply message -----
From: "Anton Drew" <anton.drew@xxxxxxxxxxxxxxxx>
Date: Mon, Mar 26, 2012 3:29 am
Subject: [optimal] Re: Workload Demands
To: <optimal@xxxxxxxxxxxxx>
Each year for the past 2 years our OCT workload had increased over 100% each
year and our patients were sent to Alan Hoare as we didn't have an OCT.
Since we got our own unit, nearly 2 years ago, our workload (on demand) had
increased 150% the first year, and 250%, last year.
Already we are ahead of that figure this year to the same time.
Being mainly a one man band it is getting very difficult to keep up with the
workloads for the Retinal Clinics which are 3 days a week, plus Diabetic
Screening.
With Fundal Photos, FFAs, Slitlamp Photography, OCTs, Pentacam and Wavefront
scans it is not unusual for me to have 28+ patients in a 3 hour session.
THEN they ask for images for publications, editing of videos taken during
surgery, and forms, brochures and posters designed.
Getting too old for this stress. :o|
After 40 years in the job (started 14th Feb 1972), enough is enough, as they
won't employ my assistant full time, I am making a concerted effort to cut
my hours back in transition to retirement, but I am getting a lot of
resistance to that.
The job has become too stressful trying to keep up with the present and
increasing workload and there doesn't seem to be any relief in sight.
I regularly work up to an hour over and above my Award hours, but don't get
paid any extra, and have no chance of taking the time off at a later date.
So Lisa, as they say, "ALL of the above!"
Anton
On 26/03/2012, at 1:03 PM, Lisa Breayley wrote:
Quick question for those of you who went from a paper/print system for
results to a totally on-line system - i.e. Drs can see patient results
"instantly" in clinic.
Did your workload go up? Did having results straight away meant the
clinicians asked for more? More patients? More tests? More views?
We're looking at a system now and I'm curious.
Lisa
L.M.Breayley
Senior Photographer
MedPIC
The Royal Victorian Eye and Ear Hospital
32 Gisborne Street
East Melbourne, Victoria 3002
Ph 61-3-9929 8335
Fax 61-3-9929 8217
<http://www.eyeandear.org.au> www.eyeandear.org.au
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