Necessary evil. Cost center. Wasteful
expense. This is often how businesses describe security. Security professionals
have been working hard to show the return on investment and value that security
adds to a business. Forward thinking business leaders do see past some of the
old ideas and realize that security is a critical business function, one that
supports and helps a business meet goals and objectives, not just an expense.
However, just as security professionals
are striving to join their organization's colleagues as a vital business
function, there is another setback, this time in the healthcare security arena.
Hospitals have been struggling to stem
the tide of violence against their staff members. Anyone working in emergency
rooms or dealing with psych patients has been at a much higher risk of being a
victim of violence than people in most other industries. Hospitals have been
responding through staff training, improved security response, monitoring at-risk
patients, using duress alarms and so on as means to protect their staffs as
well as patients.
Many hospitals have even used metal
detectors. However, the LA Times recently reported that metal detectors were
going to be removed from several hospitals and emergency rooms, not because it
was a safer environment, but rather due to money! Under the new Affordable Care
Act (ObamaCare), hospital reimbursement is now impacted by patient surveys and
scores. The worry was that some of the measures that enhance security might
have a negative impact on the scores and result in less reimbursement. The
changes could cost hospitals millions of dollars each year.
In a perfect world, visitors and patients
would understand the necessity of security measures, even metal detectors, in
urban emergency departments. In reality, they might not grasp the level of
violence faced by healthcare workers and almost certainly do not realize the
number of combative and dangerous patients encountered daily and the types of
weapons often carried by them. Some hospitals have reported that since adding
metal detectors, hundreds of weapons have been taken from patients or visitors,
including lipstick cases disguising blades, homemade daggers and firearms.
In this showdown between security and
profits; facts, risks and crime data will be no match for dollars. The
situation makes you wonder what the next steps will be. Some people think even
seeing a security officer may be unwelcoming and send the wrong message to
patients. How many other hospitals will abandon other crime prevention measures
in order to secure more federal reimbursement? Healthcare leaders, and in
particular security professionals, need to be on high alert and ready to show
the value of various security measures and enhancements. Anything from cameras,
to visitor management or visitor check-in, even locked doors causing
inconvenience, could be a target if it is seen as contributing to a negative
patient score.
In round one of ObamaCare's security
versus dollars smackdown, dollars win...at least in LA at those locations
removing metal detectors. In the long run, who will be the ultimate winners and
losers? Doctors and nurses worried about working in unsafe environments will
leave for other hospitals and if the best ones move on, the ultimate losers
will be the very patients the hospital wants to appeal to.
Note: This post is not about the value of metal detectors. Rather it is about the risk to any security measure due to government healthcare reimbursements based on patient scores in lieu of objective risk assessments.
Note: This post is not about the value of metal detectors. Rather it is about the risk to any security measure due to government healthcare reimbursements based on patient scores in lieu of objective risk assessments.
Eric
Smith, CPP is the leading authority on organizational self-defense. He has
extensive experience in law enforcement as well as security management. Eric is
available for staff education and security awareness training as well as
business coaching to help organizations provide safe workplaces. To learn more
email eric@businesskarate.com.