(Sorry if this is the wrong forum - mod please feel free to move at will)
I believe I already mentioned in another thread how my independent center got bought out by Davita... Along with the nice things, like Wifi (and well thats about it) they've made a TON of new changes. The new one (bomb drop) is removing the hypafix bandages in order to use gauze and simple tape. Now this of course is a "cost saving" measure by Davita. What it means to the patients is a MUCH higher risk of infection. I don't know about you but gauze and tape lasts, MAYBE, until about an hour or two after I get home from a treatment before the tape starts to peel off. Exposed catheters are no good for nobody. And the cost saving for them? A whopping $18.72 PER patient, PER year, RETAIL.
Now realistically I think you would have to figure about half of that as the actual "davita cost" for the amount of bulk that a company like Davita could purchase these more comfortable (and more importantly) MUCH more stable forms of catheter care for. A whopping .06 to .13 CENTS per treatment per patient. How much do they get from Medicare on average? $450 PER treatment? What is that 1% of 1%? I at least have support around me that allows me to get things like this when places like Davita "cut costs"... I would say most patients, at least at my center, unfortunately, do not.
That's why Davita cost cutting be damned... I'm buying enough Hypafix (did I mention the staff prefers it as well for catheter care?) to keep all of the patients with catheters in these for the next year. While Davita will only make out with more savings (the .02 cents for the tape and gauze) the other patients and I, I think, will ultimately be better off.
Look Im all for a company being profitable and cutting costs where appropriate, but when it comes to patient comfort and safety... that is NO place to be cutting costs *Rant Over*