Beware of Nursing Homes like one

[IdahoMtnSpyder]

Totally agree. But top managers are still responsible for the quality of their subordinates. Look at Wells Fargo; nothing changed until the top execs got 'fired'.

Very true. But often middle managers thwart top managers' desires, particularly in large corporations where a direct communication between top bosses and everyday working folks doesn't exist or is not practical.

Contrary to commonly held beliefs, management is 90% responsible for the quality of the output of floor level employees.
There are 5 M's in providing a product or service, Men, Material, Methods, Machines, and Motivation.

Machines - Who is responsible for selecting and/or buying the tools and equipment used in a business? Management. 20%
Material - Who is responsible for specifying the materials that are used in producing the product or service? Management. 20%
Methods - Who is responsible for selecting the process methods to be used in a business? Management. 20%
Men - Who is responsible for hiring properly trained people for the business, or providing specialized training as needed? Management. 20%
Motivation - Who is responsible for employees' motivation to do the job right? This is a 10/10 percent split responsibility. Management determines what training and education employees need to have. Being properly trained and equipped plays an important part in how motivated an employee will be. That's 10%. Employees must be willing to exercise drive and desire to work properly and diligently. That is their 10% responsibility.

Anytime you hear a top boss complain about the poor quality of the work his employees put out, remind him he is 90% responsible for it. The floor level workers are only 10% responsible.

 

[wyliec]

Thanks. That was exactly my point in earlier posts on this thread.

I could be wrong, but I believe you were talking specifically about top management, and Idaho is talking middle and top management. Also, Motivation is the main one of the 5 M’s that applies here, and the second M that applies is Men. Both the M’s I mention relate to middle management, not top management, at least at the hospital where I work, which is one of the largest in NYS. Of course top management bears responsibility.

Think about this: an employee has a melt down, and shoots a patient. To your reasoning, top management is at fault as you stated in post #9.

 

[IdahoMtnSpyder]

Men is generic for both sexes. The melt down is outside of the normal work flow and function and thus is an anomaly not part of the ordinary work system. However, if management is placing so much stress by required performance standards, hours of work, and the like that the stress causes the melt down, then yes, they do bear some responsibility. If the stress is caused totally by outside forces then management can't be held responsible, except for whatever level of employee issues they ought to be aware of and provide EAP services to help employees cope.

The 5 M's and the 90/10 share refers to the day in, day out, work flow and output of an organization. And the 90% share starts with the top managers. They are the ones who set the tone and tenor of an organization.

The nurses in the video would not have been standing around laughing while the patient was dying if management had developed and instilled a true genuine concern for patient welfare throughout all levels of the staff. And if they had an employee who exhibited disregard or disdain for that concern, management had a responsibility to fire them.

 

[Bob Denman]

Probably...but you already knew that, right? :joke:

I'd have to ask The Missus; to know for sure. :roflblack:

 

[SPECTACUALR SPIDERMAN]

does this sound like the nursing home in "better call saul"?

 

[wyliec]

The 5 M's and the 90/10 share refers to the day in, day out, work flow and output of an organization. And the 90% share starts with the top managers. They are the ones who set the tone and tenor of an organization.

The nurses in the video would not have been standing around laughing while the patient was dying if management had developed and instilled a true genuine concern for patient welfare throughout all levels of the staff. And if they had an employee who exhibited disregard or disdain for that concern, management had a responsibility to fire them.

Idaho,

I work on a rehab unit. We all have to take courses, and go to classes. Why do I find some nursing staff more caring to patients than other nursing staff? We all have to take the same mandatories. From where I stand, it's the nsg mgrs. (middle management)'s responsibility to know what is going on, and handle it. It's not all about pay as some have suggested; it's the staff's attitude, which carries over from their life outside the hospital.

 

[Orange Spyder Man]

My Dad, Mom and Sister all died in a nursing home... mostly from "NEGLECT" ... ALL NURSING HOMES NEED TO BE INVESTIGATED, REGULATED AND POLICED.. and when offenses are uncovered... they should be closed down with the offending employees put in prison...

osm

 

[trucker1]

That was just awful. If that had been my dad or any other family member I'd probably be in jail now. Some one would have gotten a good #%× whopping. Sorry guys. Went through a bad nursing home experience with my dad yrs ago. My brother and sister had to hold me to get me away from the nurse and the weekend supervisor. I was starting to come unglued on them two idiot's. So stuff like this just fires me up when I see it.

 

[UtahPete]

That was just awful. If that had been my dad or any other family member I'd probably be in jail now. Some one would have gotten a good #%× whopping. Sorry guys. Went through a bad nursing home experience with my dad yrs ago. My brother and sister had to hold me to get me away from the nurse and the weekend supervisor. I was starting to come unglued on them two idiot's. So stuff like this just fires me up when I see it.

Fortunately, the quality of care in Utah nursing homes is quite good. My mother passed away in one after years of dementia. The staff couldn't have been more caring or attentive. I know that's not the case in some parts of the country, particularly those that lack funding support from the State.

 

[Bob Denman]

There's no doubt: It takes a special kind of Angel, to work in a place where nobody ever gets any better... ray:

 

[IdahoMtnSpyder]

Idaho,

I work on a rehab unit. We all have to take courses, and go to classes. Why do I find some nursing staff more caring to patients than other nursing staff? We all have to take the same mandatories. From where I stand, it's the nsg mgrs. (middle management)'s responsibility to know what is going on, and handle it. It's not all about pay as some have suggested; it's the staff's attitude, which carries over from their life outside the hospital.

For the floor staff caring and attitude is part of their 20% of total responsibility. That 20% can make or break the outcome. Middle management must know what is going on, and deal with it. How they approach that job is determined to a great extent by what comes down from above.

I'm sure you've heard the old adage, "S*** rolls downhill!" Well, so does attitude. If the top manager opens his/her periodic company status meetings with questions about income and expenses that tells you that his/her first priority is making money. If he/she opens the meeting asking about how the patient health and well being index has changed, or what is the latest in patient families' feedback, that lets you know his/her priority is patient care. I'll give you one guess as to which one determines how the floor staff handle patients.

If the culture that the top boss cultivates is one of patient welfare first, and a particular nurse doesn't give a rat's a** about they treat the patient, then that nurse needs to be booted. If the culture is do whatever you have to to keep expenditures in check, which means no extra goodies for any patient, then how can you blame the individual nurse when their first priority is to keep the job and to hell with the patient. There's no question that a nurse's attitude is affected by life outside the nursing home, but it is also affected greatly by the atmosphere in the home. That's why I say the 20% motivation is 10% management's responsibility and 10% employee's responsibility. Of course none of these numbers are hard and fast, but they do demonstrate who is responsible and why for the output of an organization.

There are no easy answers, but if a nursing home is mistreating patients, assess the entire culture within the home, but start at the top, not the bottom.

 

[Saluda]

What happened to 'the buck stops here'?

I'm saying they are all to blame.

 

[Bob Denman]

 

[wyliec]

Then no one is accountable. And the problem goes unresolved.

Are you really from planet Earth?

Sorry, I know Bob, it's dead already. :dontknow:

 

[Bob Denman]

:thumbup:

 

[Saluda]

Dead horse feels no pain. Serious topic, I don't care how long it's discussed.

 

[UtahPete]

Dead horse feels no pain. Serious topic, I don't care how long it's discussed.

Unfortunately, the discussion devolved into shallow pissing match a few posts ago. Some people prefer simple answers to complex questions and shoot the messenger when he brings a message they don't understand or agree with (usually the former)

 

[Bob Denman]

Discussion devolved into shallow pissing match a few posts ago.

Yup...