Struggling small rural hospital
General Surgeon (Former Employee) – Coshocton, OH – January 20, 2016
The hospital had developed counterproductive business practices before the lead-up to the implementation of the EMR 'meaningful use' mandates and the PPACA. Consequently, as hospital remuneration was cut, the hospital had no fat to cut. Billings were sent out as much as 2 years after services. Layoffs and encouraged retirements decimated the experienced nursing and support staff ranks. Routine medical record transcription and clerical tasks were re-assigned to the physician staff. Services such as Obstetrics were eliminated. Operating Room block times were restricted, limiting surgeons' ability to generate revenue.
This hospital's financial survival is still in doubt after four plus years of cost-cutting measures imposed without production improvements.
little actual help in adopting incompatable EMR systems in the offices vs in the Hospital.