Page 45
2 0 1 4
S A L A R Y
S U R V E Y
You can't please 'em
After all, you have to be the eye of the storm — the unruffled oasis of calm at the center of the maelstrom, regardless of the heavy winds constantly blowing around you. Asked what the biggest stressors are, many administrators cite the sources of all that hot air.
"Not having the physicians stand behind me when I make a decision that's best for the business and not them," says Sharyn Wilde, business office manager for the Alameda Surgery Center in Burbank, Calif.
"Trying to balance what's the best decision for the ASC versus what the surgeons want, which is not always the best, cost-effective method of doing things," says Stephen T. Williams, MPA Health Care Administration, administrator of CarePlex Orthopaedic Ambulatory Surgery Center in Hampton, Va.
"Physicians who complain about issues that most often are a result of poor communication on their part," adds David E. Ferguson, MA, BSN, BBA, assistant clinical director at Kaiser in Ontario, Canada.
Also high on the list? Government regulators.
"The increase in documentation [is] to the degree that more time is spent at the computer than at the bedside with the patient," says Cathy Albright, RN, CNOR, RNFA, first assistant at Aultman North Surgery in North Canton, Ohio. "The focus of our care and responsibility to give quality care to our patients is lost in the computer abyss!"
"[It's] the continued government involvement in how a medical facility should operate," says Ms. Elmore."[They] pass laws specifically for our environment but they don't pass laws to accommodate these changes. For example, why don't they tell manufacturers and suppliers to supply smaller amounts of medications if they are to be single use only. We're wasting more and paying the same price. It is difficult
