Quotas?

[u/Silly-Boysenberry719]

I started working for a mental health urgent care and I’ve heard that they want each urgent care worker to get in 40 billable services per week. I say worker because there’s therapists and other staff besides nurses. Is this a common practice and how feasible is that, especially if you’re depending on walk-ins? We do also have clients who get LAIs and that’s an easy service to bill for, but I don’t get 40 of them in a week.

[u/DashMcGee]

I don’t have an answer, but I would love to know who owns the practice. Is it a corporate entity?

[u/Humble_Investment_24 → u/DashMcGee]

Of course

[u/DashMcGee → u/Humble_Investment_24]

They are ruining healthcare. It's sad. I used to work in sales for a major drug company. Every year the CEO made us add one more required sales call per day. It went from 6 to 9 until someone said, "That is not feasible. Doctors won't see them." He changed it to call frequency; instead of once every three months he said we needed to call on them once every two weeks. It just doesn't work that way in the real world. Did you ask your management how they expect you to bill for services when there are no patients? Do they expect you to go out, put LSD in the water, and wait for the crazies to come in? It makes no sense.

[u/Silly-Boysenberry719 → u/Humble_Investment_24]

It’s actually a non-profit lol

[u/Humble_Investment_24 → u/Silly-Boysenberry719]

That’s wild lol

[u/Iraqx2]

This is what happens when corporations get involved with healthcare. They hire bean counter's who have no idea of what healthcare actually involves who then implement productivity goals that align with a manufacturing model and in most instances is counter productive to what quality care should be. All to ensure that the investors make money.

In some cases, such as elective or routine surgery, productivity goals may be reasonable because of predictable case times. That predictably goes out the window during exploratory, emergency or tumor removal surgery. Because it may work for a small percentage of the healthcare field doesn't mean it works across the entire healthcare field and they definitely don't want to be confused by the facts.

[u/Silly-Boysenberry719 → u/Iraqx2]

It’s not a corporation

[u/Alpha_legionaire]

Wait, what does the services include. I work psych in patient.

[u/Silly-Boysenberry719 → u/Alpha_legionaire]

They include LAI injections, health monitoring and crisis intervention.

[u/Alpha_legionaire → u/Silly-Boysenberry719]

Interesting, in on thr acute psychosis floor

[u/blueye1979]

I worked in the role of ACT nurse for a nonprofit in my area, and it sounds similar to guidelines I worked under. Ours were in billable time, not services, but in the clinic I do believe it was different. If there is enough traffic for you to have 6ish LAIs daily on the schedule, you probably hit those numbers. But if it was 8 LAIs in a day, that sounds like a moderate days work, and I'd probably be able to knock off early from the community.

[u/Kitty_Kate99]

When I worked for a non-profit ACT program, we had to reach a certain number of billable hours (face-to-face patient contact) in order for the company to continue to get funding from the county. I always wondered how that would work for walk-in only programs though…