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I definitely think that more money should go to those who perform above and beyond. I especially think more money should go to those with more education and certifications. This will improve the healthcare system by making the amount of money we earn directly affected by how we work.
Yossi Zak
Dietitian, Kingsbrook Medical Center
Brooklyn, NY
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I believe our Union should be involved in making sure that our institutions give proper patient care. They pay top money and therefore should receive excellent care. Patients should fill out a survey before being discharged; as a matter of fact, they should fill one out every couple of days while they are in the hospital. I am sure patient care would improve and patients would receive the kind of care they are paying for.
Nola Lavington
LPN, Bronx Lebanon Hospital
The Bronx, NY
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Pay for performance is a very complicated issue. There are some situations that the best one can do is undoable! Life is very complex. A staff member should not be penalized in some situations at all. Criteria used should be an issue.
Barbara Sherman
Forensic social worker, Legal Aid Society
NYC
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Yes. This can help to ensure a better working team.
Bonnie Bland
Housekeeper, White Plains Hospital
White Plains, New York
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I think that patient satisfaction is tied into employee satisfaction. If the employee is well taken care of, made to feel appreciated by the employer, then that will trickle down to patient care.
Gloria Moy
Senior secretary 3, Beth Israel Medical Center
NYC
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Our institutions should educate patients. While they are waiting to be seen, they can watch a VCR about what is to be expected when they are called to be triaged.
Rodeheaver Johnson
Nursing assistant, St. Barnabas OPD Clinic
The Bronx, NY
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The Union should be concerned regarding our patients’ satisfaction in the institutions. How? By trying to keep the doctors that will accept our health insurance, which many do not want to accept. Do some phone banking to with our panel doctors and encourage them to remain our panel doctors. With the increasing costs, how can they encourage their colleagues to help people who cannot afford pay-for-performance standards.
Irma Pereira
Secretary, 1199SEIU
NYC
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Adequate staffing is required, so as to meet the expectation of patient satisfaction without our being physically and mentally stressed.
Iena Bartholomew
LPN, Brooklyn Hospital
Brooklyn, NY
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Yes, I believe that we should be concerned about patient satisfaction. We are first and foremost patients’ advocates, and we should try our best to give the best care possible. Plus, this will show that our members are well qualified to be in the healthcare field. We can help by giving our members all the training and upgrading they need to be better at what they do.
Zoila Sylvester
Special procedure technologist, New York Presbyterian Hospital
NYC
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Imagine this:
Welcome the New Year 2008.
Headline Medical News Update
Today the government released the new findings of the Pay for Performance Council. The following actions are to be implemented within the next three months.
· 61 hospitals in the New York State/New Jersey regions are targeted for closure by March 31, 2008. The hospitals have failed to improve staffing levels, claiming their budgets would not permit hiring additional nurses.
· Fall rates, infection rates and overall customer/patient dissatisfaction have forced the government to cut reimbursement monies, resulting in mass layoffs of RNs and other healthcare workers.
· Insurance companies have announced they are raising premiums on patients who do not live within a 20-mile radius of a hospital.
Further information as to the hospitals targeted to close will be available from your local Department of Health and will be printed in the New York Times Sunday edition.
This could be a reality all too soon! They better wake up and act before it's too late!
Susan W. Van Etten
RN on Leave/1199SEIU Organizer
Orange Regional Medical Center
Middletown, NY
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I am aware of the healthcare industry moving towards pay-for-performance status. As 1199SEIU members, we should be very involved and concerned. If we have happy workers, you will see happier patients, hopefully better performance and better feedback from these patients. We need to strive to improve our working relationships with management and help them to realize that we are a great asset and are interested in helping them to improve their "pay for performance" goals. It is both a labor and a management issue and we need to work together.
Geri Weaver
RN, Columbia Memorial Hospital
Hudson, NY
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Yes, patient satisfaction is needed, just like customer satisfaction in any other industry. Reducing wait time in both emergency rooms and providers’ practices could be ways in which we can improve patient satisfaction.
Evelyn Gomez
Medical assistant, New York Presbyterian Hospital
NYC
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I am a human being. I use many services. Do I not want the best? Is my Union not the best? If I go someplace and I get poor service, will I not speak out and say, “you’re not good, don't use them”?
Rosemarie Curley
Secretary II, Southside Hospital
Bay Shore, NY
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Healthcare workers should be paid in accordance with the effort done and pay for performance. The one place this would be most needed is in the homecare division, where a living wage or higher wage is needed.
David Angus
Home health aide
Patient Care Agency
Forest Hills, NY
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The Union must be concerned with patient satisfaction. If patients are not satisfied, it may mean that we or the institution that is providing the care are doing a poor job. Improving patient care will help everyone.
Larry Gonzales
Retired lab tech
The Bronx, NY
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This is a very sensitive topic. As a nurse for almost 24 years, my experiences regarding patient satisfaction depends on staffing, and on family involvement in the care of their love ones. Staffing is the number cause of patients' and families’ dissatisfaction.
Othilyn Gonzales
RN, St. Barnabas Hospital
The Bronx. NY
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Brothers and Sisters, we have to be more creative, work together with institutions to provide better service for patients and participate in improving our hospitals for everyone's good. If not, workplaces will continue to close. Now that I can see from outside to inside, I see many errors being committed. I hope that our Union stays strong but with more creativity, for the common good.
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Hermanos y Hermanas tenomos que ser mas creativos, trabaja junto con las intituciones para dar merjo servicio al pacientes y partisipar en elmejoramiento dehospitales.por elbien de todos,sino seguiran cerrado las fuentes de trabajos,Ahora que puedo ver de a fuera hacia dentro veo muchos erores que se comete ,espero que nuestra unio se mantega fuete pero con mas creatividad,por el bien comun.
Manuel Cabrera
Retired, St. Vincent’s- Manhattan
NYC
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It is the primary objective of the Union, working with local and state officials, to see to it that quality health care is being provided to patients.
Lynvol Williams
Psych. Aide, Long Island Jewish Medical Center/Hillside
Long Island, NY
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Yes, because if the patients are not satisfied, they will go elsewhere--less patients, less jobs. Also, we are there to give quality care to people in need.
Lillian Murphy
Technician, Mount Sinai Hospital
NYC
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I certainly believe in pay for performance. I believe it encourages or forces institutions to improve patient care by 1) increasing the nurse/patient ratio which is more cost effective in the long haul; 2) recruiting and retaining the best educated and experienced staff at every level; 3) encouraging cohesion among staff; 4) forces more open dialog between management and staff in both directions of the chain of command; 5) forcing each person to perform their designated role at the optimal level; and 6) holding ach employee responsible and accountable for performance of their duties by instituting a honors and demerits system. Yes, just like in kindergarten; it worked then and it can work now. It's a good thing.
Carnice Lee
RN, BUHMC
Brooklyn, NY
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I believe we should be concerned about patient satisfaction. Just put yourself in a patient/resident's place: wouldn’t you expect the best possible care. How? Re-evaluate the nurse- to-patient ratio and the nursing assistant ratio. I find that all of the nursing staff is so overloaded with work that all care is provided in a hurried fashion. How would you feel as a patient, having this kind of care administered to you?
Countess Robinson
GNA, Levindale Hebrew Nursing Center
Baltimore
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Pay for performance is very much the responsibility of 1199SEIU members. Pride of workplace and service is key to our mission--that is, the best healthcare we can provide. It is tied to our raises, benefits and respect from management. We are the backbone of the institution: without our help and cooperation, performance levels will not be raised. But with our work and respected input, the sky's the limit!
Julia Brusco
ED Registrar, Staten Island University Hospital North
Staten Island, NY
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Stop replacing social workers with RN’s!
Sheila Mann, LMSW
Social worker, Formerly-North Shore @ Forest Hills
Queens, NY
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Yes. I do think that everyone in the healthcare community should concentrate on enhancing patient care. Patients should not be treated like a business transaction. They should be treated human beings. After all it's their illnesses that keep us employed.
Michael Jordan
Lab aide, Hospital for Joint Diseases
New York City
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