Why Nurses Leave the Bedside;
A Bedside RN's perspective
Produced with the considerable assistance
of Webmistress Pye
Part of Subject : Top [most powerful,
largest] Hospital CEO salaries
sub text to Topic: The
part of Chapter: The
Health Care Industry and Nurses Within it
See Outside These Pages: Salaries
of top execs of HMO's
The Tenet Healthcare Foundations CEO
and CFO exercised their stock options in 2002 together worth
million dollars . Their online webpages inform they have With 27,882 licensed
beds, 114 acute care hospitals owned and operated by Tenet subsidiaries
in 16 states. Tenets online presence dedicated to Nursing and its
recruitment shows a relaxed woman and the banner "Tenet-Just bring Yourself"
. Don't bring any hopes for reasonable managerial action towards their
nursing staff. Just Bringing yourself has forced litigation by 40 asian
nurses who were laid off in response to their involvement in the recent
nursing strikes against this entity.
Description and Financial Status:
"Tenet Healthcare Foundation, established
in 1998, is a not-for-profit charitable foundation sponsored by Tenet Healthcare
for the Corporation [See description of not-for-profit hospitals]
. "Tenet is the second largest investor-owned health care services company
in the United States. Tenet's key profit center was and is Redding Medical
Center ("RMC"), a 238-bed, general hospital located at 1100 Butte
Street, Redding, California 96001." [Weiss
and Yourman, Attorneys for the plaintiff ] . "This Santa Barbara-based
company, which owns or operates 113 hospitals and related businesses in
16 states" is currently facing litigation "triggered by an insurance company
reporting concerns over billings for a higher-than-average number of procedures,
such as heart surgeries, that qualify for the payments." [HeartLaw.Info.
Redding Malpractice Info. Study: Tenet
Charges Higher Drug Prices Than Other Hospitals. Excerpted from SacBee.com,
Sunday, 24 November 2002]. Currently the corporation faces litigation
from Heart Surgery patients and its stockholders, with its CEO and
CFO Barbakow and Mackey named in fraud and deceit by members of their Stockholding
community. Both men were dismissed in Nov, 2002, but both
left with handsome bank accounts. The litigation forced the company
to begin an internal review of pricing, including of pharmaceuticals,
that it expects to complete next month, said Tenet spokesman Harry Anderson
[reported Sunday, 24 November 2002 The
Sacramento Bee]."Its stock has plunged 70 percent in the past year.
nurse's union reach agreement. From allnurses.com, Friday May
2, 2003] The current
cost vs profit margin of the corporation continues to show ongoing
financial health although the current
evalution of Tenet for its current and potential owners is not as strong
as before the recent litigation.
"Tenet said earlier this month that
the federal government was investigating its so-called "outlier" payments,
which Medicare -- the federal health program for the elderly -- pays to
defray costs of the most expensive cases....Redding Medical Center was
fifth on the nurses group's list of Tenet hospitals in California charging
highest drug charges. It marked up drugs 1,465 percent, the group said"
Charges Higher Drug Prices Than Other Hospitals. See also Pharmaceuticals,
the Industry, and its Competition with Nurses, another subject within
this study , an often unevaluated but major competitor to nurses in the
hospital system [by diminishing the slice available to nurses, the primary
employee of all the nations hospital at 70%]..
in charge at Tenet Hospitals and What do They make?
Nursing at Tenet:
"Thomas B. Mackey, Tenet's chief operating
officer, and David L. Dennis, chief financial officer... were dismissed
last month. Neither responded to requests for comment. A month
before leaving, Mackey exercised $10 million in Tenet stock options. Barbakow
this year cashed in stock options worth $111 million, on top of
his $5.5-million salary and bonus for fiscal 2002."
Aggressive Corporate Culture Fed Crisis, Insiders Say The hospital
operator's business practices, profit-based pay incentives come under scrutiny
By Don Lee, Times Staff Writer. Dec 12 2002.
The financial report of the corporation
shows that for the three month period of ended August 31, 2001 and
2002 , published Oct 2 2002 and showing salaries and benefits
costs is available online at Financial
data for the Corporation is available Online, showing its worth, and
its cost , including for Salaries and Benefits.
Nurses working for Tenet have long complained
about their salaries, patient care, and the use of Mandatory overtime.
from Tenet Nurses reporting their concerns leading to Strike from across
the nation are also available on line. Use of Mandatory
Overtime is frequently commented upon in those letters.
The CEO of "San Ramon Regional Hospital
resigned after less than two years on the job. She is being replaced
by a Tenet executive who's no stranger to controversy. Gary Sloan comes
to San Ramon from nearby Doctors Medical Center, where nurses are striking
and county officials are complaining about alleged price gouging. ....
Last October, San Ramon nurses voted to join an organized union that
-- since the big blowup at Redding -- has emerged as one of Tenet's loudest
critics. Within months, the union had found a headline-grabbing cause.
San Ramon was planning to bring pediatric patients into its medical/surgical
unit. But it was not necessarily going to hire pediatric nurses to handle
all their care. Instead, the hospital intended to train regular nurses
-- in roughly seven hours -- how to treat sick children."All but seven
of San Ramon's 42 medical/surgical nurses officially complained in a petition
to the hospital CEO."It is not safe to have adult medical/surgical nurses,
even on occasion, taking care of medically unstable pediatric patients
without full pediatric training," they insisted."While Tenet claims it
resolved the dispute, state inspectors still cited San Ramon for
failing to conduct age-specific assessments of neonatal and
pediatric patients during a recent evaluation. The nurses union immediately
pounced on the inspection results -- which cited widespread
violations -- to bolster its argument that Tenet cuts too many corners
and jeopardizes patient care. " From Stock News. Some
Accuse Tenet of Skimping on Care By Melissa Davis. 04/28/2003.
Presented on TheStreet.com
Tenet recently faced a nurses strike.
"After years of bitter squabbling, Tenet
Healthcare Corp. has reached a national labor agreement with its major
nurses' unions that includes pay raises of up to 29 percent over
the next four years. ....Tenet has been under constant attack from the
nurses' unions which have claimed the company's hospitals have too few
nurses and require employees to operate in difficult working conditions.
Tenet struck the deal while under investigation for overbilling Medicare;
its stock has plunged 70 percent in the past year. " Tenet,
nurse's union reach agreement. From allnurses.com, Friday May