this post was submitted on 22 Apr 2024
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The Biden administration finalized on Monday the first-ever minimum staffing rule at nursing homes, Vice President Kamala Harris announced.

The controversial mandate requires that all nursing homes that receive Medicare and Medicaid funding provide a total of at least 3.48 hours of nursing care per resident per day, including defined periods from registered nurses and from nurse aides. That means a facility with 100 residents would need at least two or three registered nurses and at least 10 or 11 nurse aides, as well as two additional nurse staff, who could be registered nurses, licensed professional nurses or nurse aides, per shift, according to a White House fact sheet.

Plus, nursing homes must have a registered nurse onsite at all times. The mandate will be phased in, with rural communities having longer timeframes, and temporary exemptions will be available for facilities in areas with workforce shortages that demonstrate a good faith effort to hire.

The rule, which was first proposed in September and initially called for at least three hours of daily nursing care per resident, is aimed at addressing nursing homes that are chronically understaffed, which can lead to sub-standard or unsafe care, the White House said.

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[–] [email protected] 131 points 7 months ago (52 children)

The controversial mandate

I wonder what the controversy is...

Nursing home operators strongly objected to the minimum staffing proposal in September, saying they already struggle to fill open positions. Such a requirement could force some facilities to close.

Oh, of course, they don't want to pay people. These business owners should go back to econ 101, the labour market is just another market. If you can't get enough people at current prices, you need to PAY MORE.

Mark Parkinson, CEO of the American Health Care Association, said in a statement Monday. “Issuing a final rule that demands hundreds of thousands of additional caregivers when there’s a nationwide shortfall of nurses just creates an impossible task for providers. This unfunded mandate doesn’t magically solve the nursing crisis.”

Oh, it's funded. Two steps. Grab your wallet, Mark. Look in your wallet. There is your funding.

The proposed staffing mandate has also split Congress, whose approval is not required. A bipartisan Senate bill and similar legislation introduced by House Republicans would prohibit the Department of Health and Human Services from finalizing the rule.

The only time you can reliably expect the US Congress to actually do anything for their fat paychecks is when it has to prevent other people in government to do their jobs.

[–] BigilusDickilus 6 points 7 months ago (1 children)

Chances are that Mark Patterson is not a medical service provider. I am sure he is very well compensated, but he would be association staff, not industry.

[–] [email protected] 2 points 7 months ago (1 children)

So you are saying he's the person who is a candidate to be laid off so that they can find the money to pay their workers more?

[–] BigilusDickilus 1 points 7 months ago

No, that's not how associations tend to work in the US. Very likely he came from an association in an adjacent field and is essentially the conduit to Leadership and in charge of executing their strategic plan and such. He is not paid by the companies is individuals directly he is paid by the association. If they don't do well collectively he is probably out and would be working somewhere else potentially entirely unrelated.

In associations longtime professionals tend to work with the same sorts of groups, but very often their jobs and those of the Members are entirely unrelated and the specialization is more due to connections and being able to say you understand how to work with those sorts of people.

For example I have been working mostly with research scientists most of my career at at this point. I have no background in science, but I have a lot of contacts with people who work for scientific associations and I can say that I an very used to their personalities and have a record of success I can point at. That doesn't mean I couldn't go do a fine job for realtors or something since the jobs would be basically the same, but that I landed here and it's the easiest fit at this point. K

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