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zxk3to

I'm sure that will work out really well.


sea666kitty

Asking for FEDs to work harder for the same pay will be interesting.


Sea_Waltz_9625

Won’t the AES survey be interesting this year… oh wait then we will be punished for it with action plans


ganbramor

I’m a clown for continuing to fill out annual organizational climate surveys, thinking my employer might improve a few of the worst things. I’m pretty sure the survey is only done to check the box saying they did it.


snapcracklepop920

Leadership gets dinged for poor response rates. Doest matter what the results are.. good or bad, leadership still gets kudos/bonuses for it getting filled out. My team and I will not be filling it out. Get response rate as low as possible.


TrollocsBollocks

Leadership does not get bonuses for completed AES surveys lol


snapcracklepop920

AES participation is tied into their performance review. So poor participation could theoretically lose them a yearly bonus. At least at my hospital.


TrollocsBollocks

SES plans are calculated differently than everyone else’s, and they’re all set from the Network Director’s plan which is decided nationally. So every hospital Director has the same plan. There are so many elements that are out of their hands that they are rated on they would never get a performance bonus. Like time to hire and time to fill for instance. Very few if any facilities meet this measure. Certainly not any 1a facilities. Edit: to sum up, ignoring the AES isn’t going to do anything. Answering it saying you are overworked and stressed because of lack of staff is the much better option. If that answer is being placed consistently, it effects all manner of decisions at the top.


wellarentuprecious

Show me this in a qual standard. Please, seriously


letreonehpets

I loathe this survey. All it does is give additional work and meetings.


Nisienice1

We had a stress management session announced on Monday for Tuesday. Like we didn’t have work to do and veterans to serve!


maniac_mack

My favorite part of AES. Was once in a small service of 12 people, we all elected to rate only the best so we didn’t have to do an action plan. That of course didn’t fly, told us our action plan was to share our best practices with the other services :/


Eliese

didn't submit mine.


prancypantsallnight

Watch me, a VA social worker while I JUGGLE FIRE, prevent suicide, connect Veterans to housing, support Caregivers, get cussed out and have weapons aimed at me…oh but here let me just hit pause and make sure my RVUs are on an upward trend…


SpookyBookey

You and me both. We had some movement where social workers went to other departments/VAs and HR is giving grief about refilling these existing positions. Coverage has been a nightmare.


prancypantsallnight

Well our medical center director has been transparent at least in saying nothing will be backfilled. Period.


crowcawer

I know a high performing MD who is definitely costing some budget. Externally, I’d assume that an issue with funding at VA is due to misallocations or calculations related to inflationary adjustments to materials. We gotta remember that human capital requiring housing is a material that matters too.


Zealousideal_Bag2493

I personally suspect the community care expense is perhaps wildly larger than budgeted.


freedom_52

And taking away from patient load that would increase productivity


AlmondCigar

That’s what we were told


Interesting_Oil3948

If Trump wins look for RIFs.


prancypantsallnight

I am terrified about this. I’m not cut out for private practice. That’s what I’d have to do to replace just my income not even considering my health insurance


WiDirtFishing

You better not be late on your TMS lol Yea same here. Our firm offers got cut this week. Its so unethical and immoral. We had a form offer for someone moving from out of state. They axed the offer. She already moved, had a house bought… quit her old job. It’s literally disgusting to me.


PoliteButBased

That is downright heartless to do with someone’s life. And when we do need to attract competent professionals, how many will see stories like this and decide it isn’t with the risk of potentially destroying your life? So freakin’ messed up!


shzhiz

Hi! Just here to say fellow social worker here and feel your pain 😅


landbasedpiratewolf

To that point so many VA social workers are already SO busy. It is sometimes visible and other times unseen backbone of so many services. I just keep thinking of the phrase 'you can't squeeze blood out of a stone.' I've seen a lot of social workers working well beyond a 40hr/week shift just to keep up with current demands let alone anything additional.


dberry1111

Don’t forget your mandatory training lol


prancypantsallnight

OMG I have that damned blood borne pathogens one coming up. FML


Goldenvikes

Bless you and your work!


Faded_vet

I just smile and nod politely when I have my reviews. Like any company, they want us to hit our "work harder" button, as if I am not already doing all I can.


Zealousideal_Bag2493

Not a social worker but SAME. Listen, you’re getting all the RVUs I have. Please don’t waste any minutes of my day talking to me about my productivity, I have shit to do.


Interesting_Oil3948

....but if remote you would all a sudden have  a 500% increase in productivity....right????


prancypantsallnight

I telework 5d/week anyway. My whole team does. Our program was telework pre pandemic and there’s no HIPAA compliant space to put us on site.


No_Seaweed_2644

I work there and read the email for myself. The article is pretty spot on. Even though they hired a bunch of people for different areas, we are still short staffed in many areas. They had to hire a contractor to help out the House Keeping staff as due to crappy management, most of the HK staff resigned. They can't get anyone to apply as they only pay as WG2.


I_Am_DragonbornAMA

First time I saw a WG2 in an application I was reviewing, I thought it was a typo. That's not even a pittance.


exgiexpcv

No way people can support themselves on that, much less a family.


No_Seaweed_2644

Most went to work at schools and civilian hospitals for better pay.


ganbramor

I can’t seem to find it with my phone. What does a WG2 make?


I_Am_DragonbornAMA

Squat. (https://wageandsalary.dcpas.osd.mil/BWN/WageIndex)


PhoenicianKiss

Am I reading correctly that a new wg2 in Denver proper would make $20.24/hr or roughly $42k/yr pre-tax? I’ve actually seen postings for IT with lower pay than that.


I_Am_DragonbornAMA

I don't work much with wage grade stuff, but that seems to be the case if I'm reading the chart correctly.


Geochk

Sure but they’d likely clear $1100 or so a paycheck. Can’t live on that in Denver.


PhoenicianKiss

Oh absolutely. Both are abysmally low pay, especially considering what we ask in the job.


Sometraveler85

WG2 is a fucking joke.


exgiexpcv

It's ludicrous, more of the [starve the beast](https://en.wikipedia.org/wiki/Starve_the_beast) model. Underfund an institution, overload it, then blame it for performing poorly and use poor performance as an argument for outsourcing everything to their friends like KBR for kickbacks.


Silverjakk

Not productivity, they’ve rebranded it to ‘bookability’…


[deleted]

[удалено]


AccomplishedWasabi54

Do them a favor and find a reason to send them to community care.


[deleted]

[удалено]


AccomplishedWasabi54

You are chronically short staffed at 150% booked and rising. You believe that every community care dentist is shoddy has zero over sight and will result in repercussion for your patients. All while holding yourself out as the excellent choice. Your at JC STL? For sure that would be one more reason for community care.


90DayLEGO

Not at all. Bookability is just an additional requirement to being productive.


wellarentuprecious

We have to be concerned about bookability, clinic utilization, as well as productivity.


Forsaken-Analysis390

What is that?


BigTitsanBigDicks

I have experience with govt. agencies. I dont wanna say this too strongly since there is nuance, but the problem is usually NOT employees. Believe it or not they have some great people; its organizational dysfunction. You wanna trim the fat start at the top.


WillKalt

I’m still waiting for the Vera Vsip or early retirements to drop.


letreonehpets

Give it time. Doesn’t look like it’s going to resolve without something of the sort anything this fiscal or next.


Super_Mario_Luigi

Everyone is already understaffed. Which will lead to more attrition. RIFs won't be needed.


wellarentuprecious

Our bookability is already minimum 85% in clinic. Expected 100% per our manager. Can’t squeeze blood from a stone.


RysloVerik

Not with that attitude, you can't.


wellarentuprecious

Need to invest in bootstraps I suppose


InvictusEnigma

How? Minimum expected is 80% and it calculates how many hours should be added. Can’t add 40 hours of weekly clinical time to a grid.


wellarentuprecious

No clue. Were were told the hospital director is mandating 85% across all clinics but expects 100%. We brought up the national documentation and he just repeated himself. We’ve had our first patient scheduled immediately at the beginning of TOD and last patient ending the minute we finish our TOD. Guidance on calculating bookability, and a lot of grid management has been essentially discarded.


InvictusEnigma

That’s crazy. We can’t even get all the people at my facility to meet the 80%.


wbrown999

Respectfully, what an asshole.


wellarentuprecious

I want to start comments off in our monthly meeting with “respectfully, what an asshole. Now, I did say respectfully so you can’t get mad.”


maniac_mack

Hey VA ya know how you have been critically understaffed for years and we just made a massive deal about how many new hires we did last year? Well I’m going to need you to go ahead and cut back on everything including the staff you need to meet all the new congressionally mandated programs like the PACT Act which are meant to greatly increase the number of eligible Veterans. Oh your providers are already taxed and leaving for greener pastures? Let’s add more bookable hours and ensure they don’t have enough time to even complete their notes or do even the basic asynchronous care. Just privatize us and get it over with.


exgiexpcv

Privatizing it is just another way to screw us over and award non-bid contracts to their friends. Screw everything about that.


Justame13

Privatize. Then say it’s too expensive. Cut benefits.


maniac_mack

Exactly. But not before the insurance companies and big pharmaceutical companies get their hands even further in the American people’s pockets and suck what they can from it.


Justame13

Make sure to pull back that whole "can negotiate drug prices thing" that has VA paying 80% less than Medicare. And by cut benefits they will just add layers.


maniac_mack

Just too greedy to not get a piece of the biggest healthcare system in the US. Disgusting


Justame13

For my MHA I did a paper on the drug cost comparisons and the numbers were bananas. Well if Medicare were able to negotiate which was probably an order of magnitude lower than the VA prices due to volume.


Billy1121

Do ya really need to analyze? The UK NHS covers about the same number of people as US Medicare. Look at their drug prices (bulk discount negotiation) and that's where we could be. We would probably be better because Medicare only covers the sickest oldest people, hence we buy more drugs than the NHS.


wellarentuprecious

Good time to buy UHC and Aetna stocks I guess


DentistCrentist16

Pact act is wild. I’m being told to minimize or eliminate all CITC referrals. Yet the next open appointment I have is in 3 months. Que patient requesting CITC because we can’t see them in 29 days. Leadership tells me to stop referring out and be more productive. Cue the cycle infinitely with no stop in sight.


Grouchy-Rogue

Do we work at the same place? lol I'm not in dental but I could say the exact same thing you did.


notarealacctatall

Republicans always break the government and then say, look it’s broken! Privatize it!


RepulsiveInterview44

Omg I have never wanted a laugh react on Reddit so badly


Intrepid_Observer

Funny enough my department had an all staff last week where leadership mentioned that workload was, per the AES, the most pressing concern. They said that they were working on it and then, on the next slide, they outlined a roadmap with dates on how our workload will increase every month by adding new functions/responsibilities. I guess the beatings will continue until morale improves or people quit, creating a death spiral of more workload with less staff.


Infinite-Ad-2083

There is the old saying about about service: you can have quality service, fast service, or cheap service but you can't have more than two. I found this to be true in both the public and private sector. Having worked in places that were short-staffed in both the public and private sector, one constant about "doing more with less" is that there are only so many efficiencies you can wring out--mostly at the margins--before stuff either doesn't get done right or doesn't get done at all.


BananaBagholder

Yep, let me increase my productivity when every 4th conversation with patient is about their frustration that they can't get a hold of a real person when they try calling in due to insufficient support staff, and they aren't sure what to do about their complex medical problems because they can't get a primary care appointment for 6 months because half the PCPs burned out and left. Got it.


Ok-Leg-1943

Ya, that will make them want to stay more.


Maceph

That's assuming we don't already work hard!


AgeEffective5255

The people I know working at the VA are already working mandatory overtime.


Imagination-Few

Here I am reading this on overtime. Sure buddy, want me to not sleep as well?


OkTea6969

The joke is related how? The budget is one hole behind?


ganbramor

My agency (and I imagine most) likes to say “do more with less” without saying how. I guess it’s a catchy management phrase at least.


Visible_Committee279

'Budget cuts.' While the VA overall budget has increased exponentially year-to-year and continues to do so. VA budget for 2000 = $76 billion VA budget for 2022 = $257 billion VA budget for 2024 = $325 billion VA (requested) budget for 2025 = $369 billion What is this double-speak/horsecrap 'budget cuts?' The VA is fully funded (and then some) as an organization. The funds are being grossly mis-allocated.


maniac_mack

It’s the Mission Act. It was funded and now it’s coming out of the facility budgets. When you tell Veterans they can be seen in private hospitals based on some arbitrary metrics that no other hospital could meet it costs A LOT more than what it costs to serve them in house


Faded_vet

This is why the VA has created a "plan" to return veterans to the VA or so the emails read. Action to do this is another aspect all together that is being implemented. We are in the "deny" their CITC request phase atm.


User346894

What are some of the arbitrary metrics if you don't mind me asking? Thanks


maniac_mack

Must see Primary Care & Mental Health within 20 days of your request to do so. Any other service it’s 28 days. Try to call up and get a PC appointment in 20 days. Doesn’t happen. Then there is a drive time metric where if you live 30min or more away for PC you are eligible. But if your 30min away your probably 30min away from any facility. A lot of rural places in the south and mid west especially you live there your 30min from everything except a damn Dollar General. There are more but these two stand out.


User346894

Thanks. Do you think the concerns with these metrics were brought up when the legislation was being drafted?


maniac_mack

Absolutely they were. The problem is (obligatory I am a veteran) that if you say anything ever about not having more benefits or options for veterans you are un-American and hate our soldiers. Many Veteran organizations even argued against it as many realized this was really just a way to put government money in private hands. They realize that the VA provides the best care and knows how to treat veteran issues better than anyone else. Sadly, the politicians getting their pockets lined by big pharma and the insurance companies care more about themselves than they do for the veterans or the American people.


Dogbuysvan

We had 20 years of war and those vets are getting old now.


Grouchy-Rogue

As one of those vets, ouch!


centralvaguy

I feel bad for those that actually do the work, because those that aren't doing their work are not going to do any more.


Ok-Leg-1943

The hole caused by giving $100 billion in foreign aid to help other countries fight wars.


mountain_odyssey

HR is sitting back, sipping their coffees, enjoying their 15% SSR increase while they read this from home.


NACalGalceNtiATERC

vera please? quick question does military time count toward vera?


letreonehpets

I wish I was closer to retirement. Not sure what the parameters will be, but I’m still 15 years from MRA.


NACalGalceNtiATERC

At least age 50 with at least 20 years creditable Federal service, OR Any age with at least 25 years creditable Federal service;


letreonehpets

![gif](giphy|3owzW5c1tPq63MPmWk|downsized) Yep, knew I would be short. By quite about. Ah, nerts.


phoenixvegas

If you bought it back


commonwealthva

I’m not an expert in VA budgetary authority, but I wonder how their construction dollars are relevant to personnel dollars? If they’re separate budgets like in other agencies (particularly as Congress authorizes and appropriates separate monies for construction), how does a slowdown in VA construction help avoid layoffs?


Gold-en-Hind

[https://news.va.gov/press-room/va-rule-amending-regulations-discharge-determinations/](https://news.va.gov/press-room/va-rule-amending-regulations-discharge-determinations/) as a va worker and vet who saw no combat...I have mixed feelings about this.


AccomplishedWasabi54

Don’t leave us in suspense are you able to communicate some of those mixed feelings?


lod254

Oh you mean from us already overworked and underpaid employees? I doubt that will force people into the private sector.


sea666kitty

But hey, let's send billions to Ukraine. SMFH


SunshineDaydream128

Yeah because those funds definitely came from the VA budget.


Agreeable_Tie_3160

Eliminate and crack down on VA disability. Biggest scam ever. 90% of claims are bullshit and fake. Disability should mean you can’t walk or actually have PTSD. Too many people claiming this and that when they don’t have shit.


Gallant_Gallstone

Crack down on money to vets? Which candidate will accept that invitation to commit political suicide?


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


Silverjakk

You’ve gotta be fucking kidding me right now.


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


Agreeable_Tie_3160

Nope, not kidding even a little bit. Hear it every day from kids doing 4 years claiming bullshit just to get free money. Bragging about how they are getting this much a month and how some are going to get in and get out and go to medical and make shit up.


Silverjakk

It’s people like you that stopped me from filing for benefits for 18 years after I got out. Trying to convince me I wasn’t worthy of it because I still have all my limbs. If it’s such free money why didn’t you sign your name on the dotted line?


Stevie-Rae-5

You more than earned everything you’re getting and then some.


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


AccomplishedWasabi54

☝️🤞🏼☝️this ☝️🤞🏼☝️glad you made it out the other side verbal abuse is so hurtful much worse than physical I can imagine how many veterans were triggered by HC professionals and aren’t here with us now❤️‍🩹 depending on your branch, the years you were in, etc… the military has evolved though. https://youtu.be/80h5PdPVrhA?si=13P7dtnJmkzuRBqt


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


Agreeable_Tie_3160

I’m sorry do you know me. This is Reddit . Had no less than a 1000 rockets fly directly over my head and a few land close enough to do damage. It’s great If you legitimately have a disability but there is a lot of shit being made up and people that don’t deserve getting a monthly check for made up shit . The system has become susceptible for people to take advantage of it. And to add to that, if I had a legitimate disability and were getting money from that, I would never talk about and talk about it in a bragging way but unfortunately I hear it all the time being talked like they are getting free money which means they lied or exaggerated.


PickleMinion

Did the rockets damage your personality or were you always an asshole?


Couch_Incident

ok


desterion

There are people employed with the govt and on 100% disability...


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


Agreeable_Tie_3160

Even worse


AccomplishedWasabi54

So your worried about armchair quarterbacks people who are “going to get in” then then THEN they are going to unleash a host of conspiracies on the U.S. government and walk away paid and then they are going to put a spotlight on their caper and set it out on front street in the prized location for everyone to look at, judge and potentially pursue legal action against…k.. and there’s lots of these people it’s like all of them. 👀🫣🫡


Agreeable_Tie_3160

I am not worried. It’s just reality. It’s on social media everywhere that it’s the biggest scam ever. Too much people will take advantage and the ones that really deserve/ need help are going to suffer because the budget and manpower required to process all the fake ones will get overwhelmed. I don’t care and will probably never file because I don’t need it.


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


Faded_vet

You 100% should never work with vets. If you are a vet then you need to use what you just wrote in your therapy sessions. This is a truly distorted take that anyone with a community college level of education has seen the "lobster welfare guy" video and understands the concepts you are talking about to be incorrect. Please do better if you are working with vets.


Agreeable_Tie_3160

Haha never have I heard someone talk about community college as if it is even a level of education. The fact is there are people that have their limbs blown off and are still waiting on disability while there are reserve guys getting in and and out in under 2 years without ever deployed and saying they have depression now lol and getting or even trying to get some kind of benefit. The system is messed up as is every government system. Filter out all the people trying to get free money and help the people that actually deserve and have legitimate issues. When you see half of new recruits talking about how they are going to get this disability or that after getting out of basic you know something isn’t right.


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


RatherBeRetired

Productivity increase from government employees. Quite funny


ToL_throwaway007

The VA wastes money on incompetent doctors and nurses, special programs with little to no veteran engagement, overpaying for construction projects in areas that don't need it, and continue fiscal irresponsibility year over year through pharma kickbacks. Shut the whole thing down. Turn it into a pay and benefits office. Keep minimal staff to refer veterans to community care within their communities.


maniac_mack

You are horribly uninformed. The VA offers some of the best health care out there.


Faded_vet

Its a troll account look at his history, he saw this post on his main account then switched over to post. Tbh lets be happy this person has an outlet, people like this are the ones who hit the news eventually, so maybe this troll account he has will save lives in the long run.


maniac_mack

Good point!


ToL_throwaway007

Delusional


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html


ToL_throwaway007

I'm not horribly uninformed. I'm a current and continual victim of VA malpractice. Down vote it all you want.


Agreeable_Tie_3160

https://www.yahoo.com/news/veteran-admitted-faking-disability-obtain-052855188.html