38 episodes

A look at how Doctors and Nurses work together in this mad world of medicine

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RNMD RNMD

    • Society & Culture
    • 5.0 • 31 Ratings

A look at how Doctors and Nurses work together in this mad world of medicine

Submit your topics to: RNMDPodcast@gmail.com
IG: @RNMDPodcast Support this podcast: https://anchor.fm/rnmd/support

    38. RNMD: Salary, Nonprofit Hospital Executive Pay

    38. RNMD: Salary, Nonprofit Hospital Executive Pay

    Doctor Dan visits us for an episode that's sure to make you cry all the way to the bank! Despite rising healthcare costs, hospital CEOs at non profit systems continue to receive massive salaries and raises⁣. In 2017, top executives at six of the nine largest Chicago area non-for profit healthcare systems pocketed substantial raises. Their average pay hike was 37% easily outpacing national trends⁣. A non-for profit hospital is generally organized as a charity under the IRS section 501(c)3 with the mission of delivering affordable healthcare to their communities.⁣ Nonprofit hospitals do not pay property, state, federal income, sales tax⁣. Salaries for hospital CEOs are not always easy to find, as there is little regulation for financial transparency in these organizations. These figures are from 2017. Some of these salaries had differing reports of about 1 million dollars. Even with this margin of error the data is still clear, hospital CEOs are making huge bloated salaries. What are these nonprofit hospitals doing with all their cash on hand? Certainly not reducing prices for patients. This is reflected by the medical debt incurred by Americans in 2017. ⁣We are regularly told that the cost of healthcare will not support Medicare for all. I would argue that if we eliminated the large salaries within our hospital systems we could serve our patients without bankrupting them and safely staff our units⁣


    Notes: Peter Fine's base salary in 2017 was $1.3 million. His compensation was boosted by a bonus and incentives, deferred pay and a payment of $17 million from a Supplemental Executive Retirement Plan — a program that was put in place early in Fine's tenure⁣. Dan Woltermandan received a supplemental executive retirement package in 2016, not 2017, which provided for an annual contribution for each year of service (17 years). When he retired early at the age of 60. His name is sometimes shortened to Wolterman in text.⁣ Anthony Tersigni’s (13.2 million) company website states, “Ascension’s Mission to care for those who are poor and vulnerable.

    I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣
    @RNMDPodcast⁣⁣⁣⁣⁣
    @TheNocturnalNurse⁣⁣⁣⁣



    References:

    https://www.azcentral.com/story/money/business/health/2019/10/23/banner-health-ceo-peter-fine-arizona-nonprofit-health-system-topped-salary-list/3779681002/

    https://projects.propublica.org/nonprofits/organizations/741152597

    https://www.erieri.com/blog/post/top-10-highest-paid-ceos-at-nonprofits-2020

    https://www.forbes.com/sites/adamandrzejewski/2019/06/26/top-u-s-non-profit-hospitals-ceos-are-racking-up-huge-profits/?sh=67a93bcf19df

    https://www.erieri.com/blog/post/top-10-highest-paid-ceos-at-nonprofits-2020

    https://www.modernhealthcare.com/providers/hospital-ceos-get-big-raises-despite-pressure-control-healthcare-costs


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    • 33 min
    37. RNMD: IMPACT in Healthcare Walk in DC

    37. RNMD: IMPACT in Healthcare Walk in DC

    On November 7 2021, IMPACT will bring together interdisciplinary healthcare workers from across the US to march together on Washington DC. The current system prioritizes profit over patient and healthcare workers' wellbeing. It's time for a change. Join us on November 7 to march for a better system for everyone. 

    (Abby’s audio was a little wonky in a couple areas, sorry about this) 


    What is IMPACT?
    IMPACT (Interdisciplinary Medical & Patient Alliance for Care Transformation) advocates for patients’ ability to access affordable, equitable care, including systemic education and direct action against disparities and barriers to care, and for safe staffing, safe workplaces, and healthcare workers’ rights, wellbeing, and ability to provide high quality care.


    Directions for marching:


    Vaccinated only attendance is highly encouraged
    Masks are required at all times, even when taking photos
    Please meet us at 2pm at Union Square (Washington, D.C.)
    Please find our COVID symptoms checker on our website to “check in” on Nov 7th, attendees will be ask to show their check-in to receive a wristband to march
    Please present your card or vaccine passport for a “I am vaccinated” sticker
    Please wear scrubs with the brand’s logo covered



    Topics:


    What is IMPACT in Healthcare?
    Who's behind it?
    How did it start?
    Healthcare is broken
    What do we do about it?
    Walk on Washington, DC NOV 7th
    Join us, let's fix healthcare



    Other contacts:

    PRESS: press@impactinhealthcare.org
    SPONSORS: sponsors@impactinhealthcare.org
    INSTAGRAM: @impactinhealthcare
    TWITTER: @impactinhealth
    FACEBOOK: impactinhealthcare



    Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: RNMDPodcast@gmail.com


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    • 38 min
    36. RNMD: COVID Nutrition and Ventilation Settings with Dr. Anozie & Stephanie Schwartz RD

    36. RNMD: COVID Nutrition and Ventilation Settings with Dr. Anozie & Stephanie Schwartz RD

    This is an episode we weren't sure we would release. Let us be clear, it's amazing. But this episode was recorded in January, before the general public had access to the vaccine. As the public got vaccinated, and many continuing to mask and social distance..  I think we were all hopeful this summer would show low COVID numbers. As time passed, we thought maybe this episode might not be relevant as many HCWs reported low or zero COVID patients on their units. Unfortunately, areas of the country with high numbers of unvaccinated communities are exploding with COVID cases.

    Thank you to Dr. Anozie and Stephanie Schwartz MS, RD for offering a wealth of knowledge on this complicated subject 

    We'd like to acknowledge the loss of Ebi from @NurselifeRN and @Ebi_Eats. We are sincerely sorry for this tragic loss. He will be deeply missed by the community. We offer our deep love and respect for his family at this difficult time. 

    Please note, Abby uses the word "dietary" to refer to Registered Dietitians several times this episode. She was so thankful when after the episode Stephanie corrected her, as the word dietary is outdated and not the proper term 

    Topics: 


    Dietary vs Dietitian
    Are residuals important?
    Trickle feeds
    Paralyzed patients and peristalsis
    Vent settings: volume control vs pressure control
    PRVC Mode
    Is Vital AF the best name for tube feed ever? (Yes)
    Good & bad interactions between RNs, Physicians, and RDs

    I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣
    @ICUexplained
    @ThatDietitianLife
    @RNMDPodcast⁣⁣⁣⁣⁣
    @TheNocturnalNurse⁣⁣⁣⁣

    Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: RNMDPodcast@gmail.com


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    • 1 hr 13 min
    35. RNMD: History of Healthcare Administrators

    35. RNMD: History of Healthcare Administrators

    💰Why do Healthcare Administrators, who have never done direct patient care, run our hospitals? Who are they and how do they impact doctors and nurses? Why do Healthcare Administrators make large salaries while our coworkers continue to spend hours in COVID rooms?


    💵 In this episode, Abby and her doctor friend Jason dive into the history of hospital administration from the beginning of our hospital systems and the change in leadership that has been quietly implemented in the last 3 decades. 



    Topics:


    What is a Healthcare Administrator?
    Who ran hospitals before Healthcare Administrators?
    Almshouses
    Religious hospitals, nuns, clergy
    Professionalization of Doctors and Nurses
    Government involvement in hospital operations in the 1950s - 1980s
    Pressures Health Admin put on HCWs
    Massive growth of Health Admin profession 
    How Health Admins contribute to burnout 
    Education requirements for Healthcare Admins
    Patient outcomes related to Healthcare Admin salaries 
    Pay for Health Admins

    🤑 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣
    @Juntaisgoal
    @RNMDPodcast⁣⁣⁣⁣⁣
    @TheNocturnalNurse⁣⁣⁣⁣



    💲References:

    https://essentialhospitals.org/about/history-of-public-hospitals-in-the-united-states/

    https://www.athenahealth.com/knowledge-hub/practice-management/expert-forum-rise-and-rise-healthcare-administrator

    https://www.nursing.upenn.edu/nhhc/nurses-institutions-caring/history-of-hospitals/

    https://www.columbiasouthern.edu/blog/june-2019/health-care-administration-careers

    https://www.modernhealthcare.com/providers/hospital-ceos-get-big-raises-despite-pressure-control-healthcare-costs

    https://www.forbes.com/sites/adamandrzejewski/2019/06/26/top-u-s-non-profit-hospitals-ceos-are-racking-up-huge-profits/?sh=208d256519df

    https://www.healthcarefinancenews.com/news/study-sheds-light-executive-pay-healthcare-industry

    http://www.total-comp.com/Total%20Compensation%20Solutions%202019%20Hospital%20Executive%20Compensation%20Report%20-%20Sample%20Report.pdf

    https://www.gq.com/story/eat-the-health-care-ceos


    💸 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: RNMDPodcast@gmail.com


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    • 1 hr 15 min
    34. RNMD: Part 3 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

    34. RNMD: Part 3 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

    🔷 The conclusion! Did we come away with more questions than answers? Yes! Did we solve anything? Who knows! but maybe!



    🟦 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣
    @MaswellasM
    @RNMDPodcast⁣⁣⁣⁣⁣
    @TheNocturnalNurse⁣⁣⁣⁣

    🔴 M&M Podcast:
    marxismandmedicine.com
    @thewaffleho
    @barbacoa_y_bigred

    🔹References:
    https://www.physicianspractice.com/view/healthcare-through-lens-socialism-communism-and-capitalism

    🟦 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: RNMDPodcast@gmail.com


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    • 32 min
    33. RNMD: Part 2 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

    33. RNMD: Part 2 -- Healthcare through the Lens of Socialism, Communism, and Capitalism

    🔷 The conversation about the failures of capitalism as it relates to healthcare continues. We look to countries outside of our system for examples of a better way. We discuss the benefits and problems with healthcare systems in other countries, as it relates to our own. Why is medical illness a leading cause of bankruptcy in our country? Why are our disability benefits purposely difficult to access?

    🔷 𝐓𝐨𝐩𝐢𝐜𝐬:⁣⁣⁣ ⁣

    Should the government have more involvement in healthcare?
    Navigating the disability system
    Medical bankruptcy
    Barriers to care
    Prioritizing needs vs profit

    🟦 I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:⁣⁣⁣⁣
    @MaswellasM
    @RNMDPodcast⁣⁣⁣⁣⁣
    @TheNocturnalNurse⁣⁣⁣⁣

    🔴 M&M Podcast:
    marxismandmedicine.com
    @thewaffleho
    @barbacoa_y_bigred

    🔹References:
    https://www.physicianspractice.com/view/healthcare-through-lens-socialism-communism-and-capitalism

    🟦 Please subscribe and rate the podcast, that’s a free way you can really help us out!⁣⁣ Email us your topics or if you’d like to be a guest: RNMDPodcast@gmail.com


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    • 1 hr 11 min

Customer Reviews

5.0 out of 5
31 Ratings

31 Ratings

lalahaz ,

Smart and Insightful

Found RNMD from Abby’s Instagram - love the discussion of healthcare and not-just-healthcare issues. Smart, wide ranging, insightful.

vioooollllllwwwwtt ,

Great podcast

Abby is delightfully snarky and speaks in a very straightforward, honest, and refreshing manner. Her podcasts are a joy to listen to and are a great look into COVID and the healthcare world.

kristenarrigotti ,

Great look into healthcare

As a nurse I enjoy listening to nurses and other healthcare workers from different facilities and specialties. I love how Abby always asks the questions that I would’ve asked. It’s like I’m having a conversation with my friends.

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