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Sunday, March 23, 2014

The Peculiar Nature of Carolinas Healthcare System


"Why does administration continue to bring in new people when there are already qualified internal employees perfectly able to do the work?"  -a question from a CHS Registered nurse

When this statement was mentioned to me over three years ago, I thought nothing of it.  Then when I was blatantly overlooked and had this same political action happen to me, the statement echoed over and over in my memory banks.  Sometimes, it takes it "hitting home" for us to realize that there is a problem.

It was the first time that I ever dealt with such immaturity, incompetency, and outright ignorance from a corporate administration.

Now, I can look back and realize that the "fruit did not fall far from the tree."  The CHS tree that is.

The CHS Chief Human Resources Officer was an executive new hire from another hospital system.  Her direct downline all came from the same previous employer.  It would be safe to say that she put her cronies in place to maintain a trustworthy, dedicated team that would watch her back.  Interestingly enough, I believe that this strategy is the same model that other CHS managers began to implement within their own departments.

So managers started hiring best friends from non-healthcare industries, from their residential neighborhood, and  from any other networking connections to build their own personal team of cronies.

Most employees are going to feel cheated by cronyism, but who is going to risk losing their job in an environment known for office politics, workplace aggression, and retaliation.  Most employees just suck it up and try to deal with it.

However, the days are coming when employees who are tired of the injustices are going to start speaking up.

When I was laid off, human resources stated that they wanted a consistent business model between the two nursing homes.  In retrospect, that meant that they could have created more hairdresser positions for both nursing homes, but no, CHS human resources preferred to eliminate all hairdresser positions.

How has that affected customer care at the nursing homes?

1) The beauty shop is closed more than it is open meaning that they have less hours available for residents to receive hair services.
2) Instead of residents having three dedicated "on-staff" hairdressers to choose from; they only have one hairdresser on call as an independent contactor.
3) With the reduction in beauty shop hours,  the nursing home population started changing to more male residents.  Families prefer to have their female loved ones admitted to a facility where they can request a shampoo and hair service as a nice recreational past-time.

So when CHS Human Resources made the hasty decision to eliminate all hairdresser positions, were they even thinking of "Patients First?"  I doubt it.

I also considered another angle, maybe administration questioned whether I was a good fit for the organization?
1) My performance evaluations showed that I was a good fit.
2) My seven years of CHS seniority showed that I was a good fit.
3) My bonus record showed that I was a good fit.
4) My media coverage of their last quarterly Board of Commissioners meeting showed that I was able to fit in.

So the problem has not been with me, it is the lack of training of CHS management.  At the executive levels, management does not interview for positions, they just "re-appointment" each other into different titles and positions.

The lower level management and non-management employees are treated just like "worker bees."  Little to no voice. No career plans. If one does not hire into their ideal position, then an internal transfer is harder to obtain than if one was an external candidate.

Carolinas Healthcare System is so deeply rooted in the Carolinas that everyone in the area either knows someone who
1) works for CHS
2) used to work for CHS,  CMC, Charlotte Memorial Hospital or at least,
3) interviewed for a position within CHS.

If CHS Human Resources were competent, they would stop paying their outside attorneys to handle employee cases that should have never happened.  If the employee has five or more years of seniority and a new manager,  more than likely the new manager is not a good fit if toxic employee relations are reported.  The CHS organization is huge enough that employee transfers should not be that complicated.  The interviews should be forced allowing more networking, but the hiring decisions should not be forced.  If someone is inline for the position, then the position should not be posted.  The position should be filled with the employee who has been waiting for the position.  If they prove not to be a good fit, then their performance evaluation will eventually reflect the deficiencies and appropriate action will be taken if the performance requirements are never met.  Employees need opportunities.  It raises employee morale.

Carolinas Healthcare System should give internal employees more opportunities even if it means a learning curve to conquer.  I have seen management hire their cronies who had a huge learning curve because they had no healthcare industry background;yet, the patience given by fellow cronies is unbelievable.

I respect preferential treatment when you have two equally qualified candidates interviewing for the same job, but the preferential treatment that I have witnessed within Carolinas Healthcare System was blatant cronyism.

In concluding this article, the Charlotte Observer maintains that the quarterly CHS Board of Commissioners meeting is open to the public, but what does that really mean?

The "public" can consist of
1) people who have had a lien placed on their property by CHS;
2) people who have been dissatisfied with their care at a CHS facility;
3) former employees with grievances with CHS; and
4) every one else.

I will assure you that having personally attended one of such Board of Commissioners meetings; they do not want any disruption.  If their "watch personnel" get an inclination of disruptive behavior, I really believe that "public" entry will be denied.

Meal Replacement Shake: Kalelystic


Personal trainer, nutritionist, and reality star Elizabeth Morrell shared a practical meal replacement recipe with me:

Kalelystic 
(A "souped" up protein shake!)
2 cups of kale
1 cup of carrot
1 cup nonfat Greek vanilla yogurt
1 banana
1 scoop of protein shake
1 cup pineapple juice
1tbs flax seeds (optional)
1 tbs chia seeds (optional)

 This small can of pineapple juice pictured above equalled the same serving size as the Yogurt pictured below.

Instead of buying Chia seeds and Flax seed, I purchased the GNC protein shake that had 25g of protein and 8 g of fiber.  The seeds may help with metabolism, but I was trying to keep the shake cost affordable.

So I paid $3 for the GNC shake packet above from the GNC store, and by shopping at the Food Lion grocery store, I paid $3 total for the banana, carrot, kale, yogurt, and the pineapple juice.  I was forced to buy a six pack of pineapple juice, but I figured I can drink the other cans of pineapple juice at a later date.


I used a Krups blender.  So it was NOT a $500 machine.  I doubt if my blender was even more than $60, but I had it over a decade.  Please note that if you are not using a heavy duty blender like a Vitamix, you probably should put the pineapple juice and kale in the blender first.  Then lay the banana on top to weigh the kale down to force it into the blender blades.  Once these three ingredients are mixed, then add yogurt, carrots and protein shake mix.  This two part procedure seems to make the process easier on the lightweight blender motor.

I really enjoyed my Kalelystic smoothie without the seeds.  The protein shake alone is a meal replacement.  So by adding the kale, carrots, yogurt, and banana, it was really fulfilling.

I washed the kale and skinned the carrot before putting them into the blender.  It took 25 minutes to gather the ingredients that I had purchased and another 5 to 10 minutes processing time with my particular blender to fully puree it.

I cleaned the blender immediately before the liquid mixture hardened.

The Kalelystic recipe serves two and it costs around $6 to make.

Thank you Elizabeth Morrell for sharing that healthy meal tip! (and readers can meet her on next Sunday, March 30, 2014 in metro Charlotte, NC.  Please see my separate blog article for additional information.)

Thursday, March 13, 2014

Keep your Bottle Caps!

It was time to buy another bottle of Country Life biotin, and to my surprise, the company changed the bottle cap!  They went with a cheaper twist off cap (black cap pictured) where they previously had provided a child safety cap (white cap pictured).

Luckily, the child safety cap from my empty bottle of biotin fit the new bottle of biotin.  The lesson is to start keeping your old child safety caps in case your favorite brands start reducing costs by downgrading their caps. Recycling works!

Icy Winter Challenge to the HVAC unit

 I saw some unusual smoke coming from my HVAC unit outdoors when I realized it was working overtime trying to work properly while covered with a sheet of ice!

I had to chisel the ice off.  I was soooo surprised at the thickness or layers of the ice. Prayerfully, the unit didn't endure too much damage from the lack of ventilation while covered in ice. Winter 2014 in the Carolinas USA were definitely a wintery mix of snow and ice.

Review: Revlon Colorburst Lipgloss

 I found a new everyday lipgloss that I love!  It is the Revlon Colorburst Lipgloss in Rosepearl color.  I paired it with my favorite Dark Chocolate Lip liner by Mary Kay.



   
Under natural lighting, it is very natural for me.




 Even in office lighting, I love it!



Tuesday, March 11, 2014

CHS Board of Commissioners Meeting -March 2014

So I finally took the time to attend a Carolinas Healthcare System Board of Commissioners Meeting.  It was a very formal and orderly meeting. The CHS Corporate Communications representatives were very kind and attentive to its Press and Media guests.  Diversity and Inclusion seemed to be embraced based on the vibe and mix in the room(s).  The Carolinas Healthcare System that I met at this executive level meeting was far different from the Carolinas Healthcare System that the employees and former employees have to deal with.

The Carolinas Healthcare System that I witnessed was excited about improving CHS patients' experiences by implementing more electronic or web based interactions with their medical staff.  They were excited about the upcoming grand opening of their new Davidson Behavioral Health Campus.

In addition,  they were pleased to announce their latest national outreach program called "Mental Health First Aid" as well as to update everyone on their wellness project "Pre-Diabetes Challenge."

Overall, community outreach and improving patient care regardless of their ability to pay seemed to be the prevailing theme within this meeting. I was very impressed.

It was the perfect meeting.  The representatives from the Charlotte Observer and the Business Journal seemed to know the usual routine and asked what seemed to be routine questions unless some major announcement hits the news before the meeting.

My questions to the executives included summarizing CHS' journey into the electronic medical records age and how they felt about it.  They overall felt that the good outweighed the bad, and that CHS was in a widespread adoption of  EMRs in CHS Physician practice locations.

I also asked them if the 340B Program was also beneficial to them.  Their response was that as a non-profit organization who is using the program as it is designed to be used, that program is very important to them and hopes that it stays in tact.

Overall, the Carolinas Healthcare System Board of Commissioners meeting is about finances, new business developments, hospital awards, and community standing.

Post Acute Care Services were not highlighted at this particular Board meeting nor employee satisfaction scores. The Human  Resources' responsibility of putting "Patients First" apparently is never really discussed at these Board meetings according to the responses from the other reporters present.  The Board meetings are strictly finance driven.

So my question:  When is CHS Human Resources ever held accountable for employee satisfaction? Does the employee turnover rate really matter in the grand scheme of things?

The perfect world and the perfect meeting that I witnessed was a huge contrast to the office politics and the daily grind that the "front-line" CHS employees have to deal with every single day.

I sincerely hope that articles such as this one will assist in bringing awareness of gaps and generating solutions to bridge these gaps. Customer satisfaction should start with the internal customers which are the CHS employees, then the external customers (i.e. the patients) will reap from that overflow.

This may be my "old school" way of thinking, but I know that high employee morale goes a long way.

Monday, March 10, 2014

Reality Star Elizabeth Morrell Is In Town


Applebaum Enterprises is proud to introduce certified personal trainer, nutritionist, and reality star Elizabeth Morrell to the metro Charlotte, NC area.

Are you looking to obtain a fit and/or sculpted body?   
Elizabeth Morrell has it, and she can show you how to get it!

Do you want someone who can relate to your weight issues?
Elizabeth Morrell  has lost over 115 pounds, and she can start you on your weight loss journey.




Elizabeth discusses her weight loss journey with Gwyneth Paltrow's Restart Project in Episode 7:
https://www.youtube.com/watch?v=XAFPhjsnqsw



So are you ready to meet Elizabeth Morrell at a free event?

On Sunday, March 30, 2014 
meet 
California Certified Personal Trainer and Nutritionist 
Elizabeth Morrell
at 
Applebaum Enterprises
from 
1:30 pm to 3:00 pm.

Drop in and weigh-in (optional) during this one and a half hours timeframe to decide on your next step!


Location: 
Applebaum (Salon)
13111 Rosedale Hill Ave
Huntersville, NC 28078


MEN and WOMEN welcomed!
Elizabeth trains both men and women.

Elizabeth's Training Hours:
9am to 3pm Monday-Friday 
(Prospective clients will need to make daytime hours available.  Also, two sessions per week minimum commitment to become a client.)

In the meantime,
1) Download her mobile app to your smartphone:  Fitness Range Murrieta
2) Visit her website at http://www.fitness-range.com
3) Converse with her on Facebook, Facebook link is at her official website above
4) Weight yourself every week!
5) Drink more water!

Applebaum Productions is a proud promotional partner of Fitness Range's Personal Trainer Elizabeth Morrell.

Applebaum Disclaimer:
I have interviewed Elizabeth about her hair. She is relaxer-free and a "do-it-yourself" girl.  She has a lot of Native American heritage in her background so she does "wash and go" hair styling as needed or she straightens her hair herself.  Applebaum Hair Salon can not take any credit for her naturally beautiful, low maintenance hair.

In addition, my fitness goals are still being defined so my voluptuous figure is not the results of Fitness Range.

Elizabeth and I are both passionated about our respective companies, and we are passionated about people reaching their targets for body and hair.  Join us!

Thursday, March 6, 2014

Harris Teeter Character Cupcake Trivia

Character Mega-Cupcakes from Harris Teeter at Rosedale are soooo creative. Which one do you like?

The ladybug?
The sunflower?
The smileyface with shades?
The chocolate sundae?
The classic rose? or
The dragon?


Drum roll!  And I picked . . . .





More cupcakes pictured above, but I walked away most of the time!