| ▲ | neaden 9 hours ago |
| If you think using a machine to evaluate how well a human is showing empathy is a good idea, you probably shouldn't have any position of power. |
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| ▲ | akudha 7 hours ago | parent | next [-] |
| If a human’s performance for 40 plus hours a week can be reduced to a performance score, that too in a field like healthcare, that alone feels weird. Sure there needs to be some way to reward people/evaluate their work etc, but I dunno if management by metrics is the best way, especially when those numbers are calculated by an algorithm. Where has all the empathy gone? And common sense? :( |
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| ▲ | noisy_boy 5 hours ago | parent [-] | | > Where has all the empathy gone? And common sense? :( Contrary to popular belief, I don't think common sense has gone away. It just has been deprioritized at the altar of profit. It'll be visible loud and clear the very instant if/when the lives of the assholes chasing profits was on the line. | | |
| ▲ | AdieuToLogic 4 hours ago | parent [-] | | >> If a human’s performance for 40 plus hours a week can be reduced to a performance score ...
>> Where has all the empathy gone? And common sense? :( > Contrary to popular belief, I don't think common sense has gone away. It just has been deprioritized at the altar of profit. Or perhaps it has been left to starve due to apathy and an unrelenting pursuit to reduce the difficult job of leadership into a much simpler one based on arbitrary numeric values which are defensible to those higher in the managerial food chain. | | |
| ▲ | noisy_boy 3 hours ago | parent [-] | | > arbitrary numeric values which are defensible Defensible on account of discharging their relentless duties of generating shareholder value within legal limits... i.e. profit. The fact that it is done in a lopsided way at the expense of everything else is just sign of societal decline due to deification of money and letting the tiger of capitalism roam without boundaries. |
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| ▲ | avaer 8 hours ago | parent | prev | next [-] |
| Maybe we should replace those people in power with machines that show empathy. |
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| ▲ | inigyou 9 hours ago | parent | prev | next [-] |
| Power is based on wealth extraction, not merit. |
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| ▲ | xboxnolifes 8 hours ago | parent | next [-] | | https://www.merriam-webster.com/dictionary/should | |
| ▲ | bluegatty 8 hours ago | parent | prev | next [-] | | a bit upside down - wealth extraction is a measure of power. development of power can be based on all sorts of things, it depends on the framework. a nurse who is utterly incompetent will be fired quickly. after a certain threshold though, obviously, competition won't be about 'ability' so much - but there are baseline ability and professionalism thresholds. | |
| ▲ | datsci_est_2015 9 hours ago | parent | prev | next [-] | | Increasingly true in Trump’s America. It’s somewhat the point of democracy to maintain a limit on rent seekers’ and wealth extractors’ power on the political process. It should come as no surprise that the individuals who have grifted and extorted their way into power are also fiercely antidemocratic. The xenophobes and bigots that have hitched their wagons are equally deplorable. | | |
| ▲ | willmadden 7 hours ago | parent | next [-] | | Can we not do this here? You're all so busy rooting for your respective teams like sportsball morons that you've completely missed that the teams' owners have the same plans and go to dinner parties together. There's a thousand other forums for this tedious, shallow, uninformed bickering. This thread is a perfect example of why HN has a "no politics" guideline. Do it on reddit or X please. | | |
| ▲ | magicalist 5 hours ago | parent | next [-] | | > This thread is a perfect example of why HN has a "no politics" guideline From a quick perusal, your account appears to only comment on politics. | |
| ▲ | QuadmasterXLII 7 hours ago | parent | prev | next [-] | | isn’t that how we got here though? Everyone in silicon valley was so busy making sure they were open minded, steelmanning, and not treating politics like a sport that no one in the silicon valley halls of power pointed out that the emperor has no clothes and now we have a (sorry woke police) shrieking retard president leading us through the singularity. | | |
| ▲ | bluefirebrand 7 hours ago | parent | next [-] | | It definitely seems like having Trump in power suits the rich and powerful tech lobby just fine, that's for sure | | | |
| ▲ | lesuorac 5 hours ago | parent | prev [-] | | No? Maybe you were busy being open minded and etc. But uh rest of Silicon Valley was pretty openly rooting for Trump to win 2024. The emperor having no clothes is actually really useful when you can interact with the emperor. You want them then to be mallable like Tim Cook giving Trump a golden statue so they're immune to tariffs that their competitors have to pay. | | |
| ▲ | johnnyanmac 5 hours ago | parent [-] | | I wonder if this whole stunt still ended up costing them more than a boring 2025 year, though. I'm sure they wanted the soft power of just speaking money with an openly corrupt president, but they never anticipated the hassle the president would be without all the safeguards in place during term 1. I'm sure people like David Ellison made off like a bandit, being able to push mergers (or at least, try to push mergeers) that would have been stopped early under any other administration. I don't think Apple was doing any blatantly bold moves like that, though. |
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| ▲ | johnnyanmac 5 hours ago | parent | prev [-] | | >you've completely missed that the teams' owners have the same plans and go to dinner parties together. The "both sides are the same" argument was tiring in 2024, disingenuous in 2025, and outright tonedeaf in 2026. We have hundreds of examples now of how no: this is not normal behavior. Just because some billionaires are exploiting the behavior doesn't mean the actions, means, nor ends are the same. Likewise, trying to dismiss speech you do not like over certain words or people being involved says a lot more about your ability to live up to your own words.If the first sentence wasn't there I'd bet that you'd be apathetic to it at best, but the moment a certain word is there its suddenly "shallow,uninformed bickering" despite it being on topic for an article specifically about a company practicing rent-seeking by pushing for nurses to provide worse service. Just because there are clowns in the White House doesn't mean we still can't be adults. Sometimes being an adult means acknowledging the elephant in the room. >This thread is a perfect example of why HN has a "no politics" guideline. It does not. It has a discouragement from posting small updates as you'd see on 24/7 news. Be it politics, sports, pop culture, or crime. This story is about technology being used for surveillance and shaping employee behavior around it. If you want to pretend this isn't political and suddenly not an interesting new phenomenon... well, you do you. People will discuss what they find interesting, though. |
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| ▲ | forgetfreeman 8 hours ago | parent | prev [-] | | I'ma keep it creamy with you, both parties have had the kind of political majority required to clamp down on the corporatization of our society, and neither have so much as paid lip service to doing so. You want to be mad at the current administration by all means there's fertile ground, but don't waste anyone's time blaming them for a situation that's been decades in the making with both major political parties pushing in tandem to realize it. | | |
| ▲ | jimbob45 7 hours ago | parent | next [-] | | The last time was 2009-2010 for the Democrats. The Republicans have never held 60 seats. But the real crime is that the left never exploited that. If I was in charge, I’d have mountains of draft legislation vetted, proofread, run by every lawmaker, and printed out years before any potential majority just in case it ever came about. Whoever was in charge of the DNC in 2009 should feel ashamed of letting a generational advantage largely go to waste. | | |
| ▲ | lesuorac 5 hours ago | parent | next [-] | | The 60 seats business needs to stop. Fillibuster is a senate procedure rule. That's about the weakest a thing could be. At any point Democrats could have gotten rid of the filibuster with a 51 majority. Democrats would much rather let congress do nothing than do something. It's hurt their reputation so much. | | |
| ▲ | johnnyanmac 4 hours ago | parent [-] | | It's an oddly convenient tool. Especially if you value passing good laws less than allowing bad laws to pass. And it seems like our government is indeed run like a business; highly risk adverse to the point where it's better to spend more time in meetings than doing actual work. These people won't be chastised as much as they deserve for doing nothing, so that won't push them either. I like the idea of the filibuster, but like most things it degraded from a way to force the stand to consider your ideas at all costs, to a blatant stalling tactic, to a lazy button to push against anything you disagree with. I'd rather throw it out these days than keep it, but ideally we'd completely revamp it to close such obvious loopholes and bring back some skin in the game. |
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| ▲ | inigyou 7 hours ago | parent | prev | next [-] | | The democrats aren't the left. How would the left exploit a democrat majority? That is like saying the democrats didn't exploit a republican majority. | |
| ▲ | lotsofpulp 5 hours ago | parent | prev [-] | | Crack open some Wikipedia and learn about how there were at least 2-3 independents as part of the 60 votes, who often did not vote with Democrats. See the myriad compromises that had to be made for healthcare reform to pass so that the ACA could become reality, including nixing the “public” option due to some of those aforementioned independents. |
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| ▲ | pstuart 8 hours ago | parent | prev | next [-] | | If you're going to play the "both sides are the same" game you need to be more precise in what that means. DNC is absolutely subservient to their patrons and party leadership in general owned by the donor class. But the similarities stop there. The party platforms are in stark difference, and the GOP is now literally a cult of personality run by a mob boss. The naked corruption is off the charts. In fact right now Trump is working to cancel or refusing to acknowledge mid-term elections and acts as if he were king. I say this as someone who used to be a Democrat but left in disgust when Clinton remade the DNC into pro corporate puppetry. Partisan politics is a cancer on the citizenry and may very well be the end of what we call democracy in the United States. I've tracked presidential politics since watching the Watergate hearings and what is happening today is beyond the political pale. | | |
| ▲ | inigyou 8 hours ago | parent [-] | | On this particular issue both sides are identical. On other issues they are not. | | |
| ▲ | JumpCrisscross 2 hours ago | parent | next [-] | | > On this particular issue both sides are identical There is nothing sweeter to the oligarch constitunecy than the idiots who can't see shades of grey. | |
| ▲ | pstuart 6 hours ago | parent | prev [-] | | On corporate whoredom? Absolutely. My pushback is that now is not the time for both-sides-ism. It needs to be addressed but most voters are poorly informed or vote their emotions and that talking point needs to go in the back pocket for later, if there is one. I get your point, and the other one stating that Democrats are not "the left", but they are the the least worst option that a 2 party system offers. The game is rigged, but this quote nails it: On Undecided Voter s: "To put them in perspective, I think of being on an airplane. The flight attendant comes down the aisle with her food cart and, eventually, parks it beside my seat. “Can I inter est you in the chick en? ” she asks. “Or would you prefer the platter of shit with bits of broke n glass in it?” To be undecided in this elect ion is to pause for a moment and then ask how the chick en is cooked.”
― David Sedaris | | |
| ▲ | forgetfreeman 5 hours ago | parent | next [-] | | "My pushback is that now is not the time for both-sides-ism" Of course, and that line of reasoning has consistently failed at the polls since it was deployed as a readguard attempt to bolster Clinton's failed presidential campaign. Like, how many times does the DNC have to stick a fork in this particular outlet before it becomes transparent that this line of rhetoric simply doesn't produce the desired results? Not only is it absolutely time, it is well and truly past time to underline the functionally identical economic policies of both parties, how the economic turmoil this causes drives identity politics and political division in this country, with a clear eye towards bringing an end to all of that through any means available. | | |
| ▲ | pstuart 3 hours ago | parent [-] | | Let me try this again. A two party system is a rigged game. Period. The Democratic party absolutely needs to be taken to task and none of their bullshit should be tolerated or defended, ever, except one small exception: election day, in the general election -- because we can't fix the government if it's no longer a democracy. |
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| ▲ | romanhounds 6 hours ago | parent | prev [-] | | will you give up identity politics for the deplorables vote? | | |
| ▲ | johnnyanmac 4 hours ago | parent | next [-] | | Identity politics hasn't been a national debate topic... ever? Unless you count "the presidential candidate is a woman/black" as identity politics. Harris was quiet on trans issues in her campaign and Obama didn't talk much at all about gay marriage in 2008. Maybe he was more accommodating in 2012, but it didn't come up in his campaign. If you read through any of the DNC talking points of any given campaign, you're not going to see much on social issues until you maybe get to Kennedy. It's just not really something that's a pressing issue for a presidential run. And honestly, I can't think of any social policies in the last 50 years that was seriously pushed by a sitting president. They at best pay lip service by painting a rainbow on some building, often years after the actual legal and legislative battles were won. ---- Now, to directly answer your question: I'd rather not rely on deplorables to vote progressive. the nature of how they approach life simply won't allow that, even if they are otherwise in full agreement with every point. We need to energize the entire 3rd of the country that took one of the most important elections in the past 60 years and simply shrugged, staying home. We need to give them someone who will fight for them. | |
| ▲ | defrost 6 hours ago | parent | prev | next [-] | | Non-US PoV - US identity politics as an actual threat to panic and pearl clutch about seems to be largely a creation of the US right. Actual US identity expression "issues" (visible drag queens, actually trans people, sports questions) seem to be small number small beer problems that should fall under US principles of "We let Nazi's march, so why not Furries" ? | | |
| ▲ | pstuart 5 hours ago | parent [-] | | > an actual threat to panic and pearl clutch about seems to be largely a creation of the US right. "woke" has been a goldmine for the Right. Who needs policy when fear, panic, and anger get the voters in those booths? After all, drag queens and trans people are scary -- think of the children! |
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| ▲ | pstuart 5 hours ago | parent | prev [-] | | > will you give up identity politics for the deplorables vote? That phrase gets used a lot, I'm curious what you mean by that. If you mean "woke", then you're probably missing the irony of how that is actually used politically. Based on the phrasing of your question, I'm guessing you might have an irony deficiency. But please go on. Political discussion here is frowned upon because it usually devolves into partisan name calling -- which justifies it not being tolerated. But if you want to discuss policy or "hacking society", please do. I am of no political party and am more than happy to acknowledge the foibles of those I might associate with, as well as any of my own because everybody makes mistakes, no? | | |
| ▲ | romanhounds 5 hours ago | parent [-] | | identity politics is used as a distraction to class politics, if you materially make peoples lives better they will vote for you. | | |
| ▲ | defrost 5 hours ago | parent | next [-] | | So, who in the US is actually using identity politics as a distraction? I ask because as an outsider I overwhelmingly see US identity politics issues being raised by the new "Republicans" and to a lesser degree by the old Republicans. > if you materially make peoples lives better they will vote for you. This doesn't explain the last election in the slightest unless relaxed to "if you pinky promise to materially make peoples lives better..." | |
| ▲ | pstuart 4 hours ago | parent | prev [-] | | I agree with the former, and conceptually with latter. But we've seen people vote against their best interests because of the promise of destroying those who've they've been taught to hate. Contemporary US immigration "policy" is a case in point. | | |
| ▲ | bigstrat2003 2 hours ago | parent [-] | | No, we haven't. People do not "vote against their interests", as much as commenters online love to claim that. What actually happens is that they believe what they vote for will advance their well-being, and you disagree with their assessment. That's a very, very different thing. The idea that there are any significant number of people out there deliberately hurting themselves for hate's sake is a complete myth. People reach for it because it feels good to imagine that your opponents are hate-warped idiots, but there is not a shred of evidence to support such a claim. When you actually talk to people (and not just assume you know what's in their heads), you find out that they, like you, are just trying to do good in an imperfect world. |
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| ▲ | insane_dreamer 8 hours ago | parent | prev [-] | | sure, US political parties have been largely pro big-biz but if you can't see the stark difference in pro-mega-corp policies and blatant pay-to-play corruption in the last 1.5 yrs with the previous 4 years, you're clearly not paying attention the fact that BigCorp couldn't wait to get rid of Lina Khan, and found a willing ally in Trump, is just one tiny example |
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| ▲ | thin_carapace 9 hours ago | parent | prev [-] | | isn't that exactly what a class terrified of the guillotine would want underclasses to believe? | | |
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| ▲ | caycep 8 hours ago | parent | prev | next [-] |
| sadly, this is happening more as medicine and healthcare become more and more corporate. Seeing this as hospitals all get acquired into these mega health systems (ostensibly to fight the now merged mega health insurance companies), that then like to throw their weight around. |
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| ▲ | api 8 hours ago | parent | prev | next [-] |
| That project was cancelled. This is mostly about workplace surveillance. Most of the replies are large pop subReddit level junk. |
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| ▲ | gyanchawdhary 8 hours ago | parent | prev | next [-] |
| [flagged] |
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| ▲ | BeetleB 9 hours ago | parent | prev [-] |
| If you employ a few hundred nurses, how exactly would you evaluate how well they show empathy? You can't rely on asking the customer. When they're upset (they often are in these calls), they'll lean towards the negative regardless. I don't know how well these AIs evaluate, but if they're even a little bit good, it makes sense to use it to screen for outliers, then have a human listen to those outliers and judge. |
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| ▲ | kulahan 9 hours ago | parent | next [-] | | "You can't ask people because the experience is so universally terrible they'll just tell you it's terrible" isn't really an argument against surveys, it just means you need more specific questions they'll be fired up to answer | | |
| ▲ | BeetleB 9 hours ago | parent [-] | | Let me suggest the following: Ask the nurses if they want the customer to rate them. A significant fraction of the calls they answer are patients shouting at them because of: - Long wait times - They don't like their doctor - They don't like the advice they're given (sorry, but we're not going to book you as a high priority appointment if all you can tell me is you have a headache. Sorry, we're not going to prescribe a narcotic for a scraped knee.) - Several reasons that have nothing to do with the nurse, but the customer will still blame the nurse. | | |
| ▲ | TheOtherHobbes 8 hours ago | parent | next [-] | | Classic "1 star review because UPS lost my delivery" metric. I'd guess most people have had a situation where there's a corporate problem, the support person you talk to literally doesn't have the tools or the agency to fix it, but then you're asked to rate their performance on whether or not they solved the issue, with no option to say "Actually they did their best but this isn't their fault." | | |
| ▲ | fn-mote 5 hours ago | parent [-] | | > with no option to say "Actually they did their best but this isn't their fault." In this case, the lack of such an option is obviously a flaw in the assessment system. How to fix that? Major political issue, I suppose. | | |
| ▲ | johnnyanmac 4 hours ago | parent [-] | | Ebay solved this decades ago. You can rate the seller and product separately. adding 2-3 ratings won't fix everything of course, but it would be a start. I suppose it is political because these companies rarely want accurate assessment of their labor to begin with. They want any justification needed to lay anyone off at any time while minimizing legal liability. |
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| ▲ | 9 hours ago | parent | prev [-] | | [deleted] |
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| ▲ | lostlogin 9 hours ago | parent | prev | next [-] | | > how exactly would you evaluate how well they show empathy? How would you want yours rated?
By someone you have communicated with, or some data centre somewhere? | | |
| ▲ | BeetleB 9 hours ago | parent [-] | | By a knowledgeable/skilled person who listens to the call. (Which the AI solution provides). I suppose you could do that with the survey as well. It'd be an interesting study to see which is more reliable. | | |
| ▲ | AlotOfReading 8 hours ago | parent | next [-] | | By a knowledgeable/skilled person who listens to the call. (Which the AI solution provides).
Can you point me to the information you evidently have about which models Kaiser is using? All I can find is that they're using innovaccer, which can use any of anthropic, openai, and meta models on AWS or azure. Even their published papers don't seem to specify a particular model or capability level, just "AI". For all we know it's a gpt mini or similarly cost-effective model that has the context awareness of a Labrador hearing the word "walk". | | |
| ▲ | BeetleB 7 hours ago | parent [-] | | > For all we know We don't know, so let's not pre-judge. | | |
| ▲ | gusgus01 6 hours ago | parent [-] | | Or we listen to the experts who are frustrated with the system? They see the effects even if they don't know the AI model causing it. |
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| ▲ | lostlogin 8 hours ago | parent | prev [-] | | > By a knowledgeable/skilled person who listens to the call. (Which the AI solution provides). Are you saying that the AI is the same as a knowledgable/skilled person? | | |
| ▲ | BeetleB 7 hours ago | parent [-] | | No - read my original comment. | | |
| ▲ | lostlogin 5 hours ago | parent [-] | | > By a knowledgeable/skilled person who listens to the call. (Which the AI solution provides). Sorry, I parsed this as claiming ‘the AI solution provides a quality of results the same as a human.’ Are you actually saying that the AI solution should provide a human with the calls it identifies as needing a human review? |
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| ▲ | malfist 9 hours ago | parent | prev | next [-] | | Actually, you can rely on the customers. They're the only ones that can tell you. | | |
| ▲ | ak217 8 hours ago | parent | next [-] | | Yeah, this whole discussion cracks me up. I have a number of direct experiences with Kaiser nurses. They repeatedly got into arguments with doctors in front of me, tried to countermand doctors' instructions, ignored their patients, and complained to each other about their patients while they were right there. Repeated unprofessional behavior with no discernible change after trying to address it. My take is that the Kaiser nursing org has a serious discipline and customer (patient) focus problem. | | |
| ▲ | drknownuffin 7 hours ago | parent [-] | | To one degree or another, this is endemic among nurses. It's part of a broader cultural element: nursing programs have entrenched a culture of nurses vs. doctors. There are literally questions on their licensing exam to the effect of "which of these orders from a doctor should you refuse to enact?" (rather than, say, "which of these orders should you contact the doctor to seek clarification on?" or some other collaborative take). Nurses are taught their job is to protect patients from physicians. Given they don't have the expertise to do that , the general result is more broadly a power struggle in the guise of patient care. | | |
| ▲ | fn-mote 5 hours ago | parent | next [-] | | I think this is an unfair take. The necessity of teaching nurses that doctors orders are not sacrosanct comes from the bitter experience of doctors giving orders that are wrong. Asking for clarification is great, but doctors can be very reluctant to hear. The bottom line is that the nurse must not do certain things and the certification exam is there to make sure they know it. Think of it in relation to the “anybody can stop the assembly line” part of quality control. | |
| ▲ | ak217 6 hours ago | parent | prev [-] | | I agree (with the obvious qualification that there are excellent nurses out there who do a great job and don't let this stuff get in the way of helping their patients, some Kaiser nurses included). But I also see a marked difference in behavior and outcomes in other hospitals I've been to. Yes, there are still some unprofessional nurses in those networks as well, but judging by the outcomes, the hospitals don't let them do damage. |
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| ▲ | lostlogin 9 hours ago | parent | prev | next [-] | | > you can rely on the customers. Patient or customer?
I even struggle with that, but I guess that’s what people are in a privatised healthcare system. | | |
| ▲ | munk-a 9 hours ago | parent [-] | | Most of the folks here on HN are dealing with customer feedback in systems automation in one form or another - it's pretty unavoidable in this age of LLM trendiness. The customers of healthcare (in both private and publicly funded systems) are the patients. So while the term might not be super natural it's an understandable one to use. | | |
| ▲ | datsci_est_2015 9 hours ago | parent [-] | | Patients are not customers, or at least I don’t want to live in a world where patients are considered customers. Customers and vendors are usually more of a symmetric relationship: price transparency, alternatives, lack of urgency. These are all characteristics of transactions that healthcare often lacks. | | |
| ▲ | markdown 8 hours ago | parent | next [-] | | If the hospital is owned by private equity, the owners definitely think of the patients as customers. Doctors and nurses shouldn't, but the owners do. | | | |
| ▲ | fn-mote 5 hours ago | parent | prev | next [-] | | The customer has more power than a patient. I definitely want to be a customer. | |
| ▲ | deejaaymac 6 hours ago | parent | prev [-] | | Customer, user, patient...it's all the same. |
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| ▲ | groby_b 9 hours ago | parent | prev [-] | | But they don't want to, because figuring that out is your job as a supervisor. If you outsource that work to customers/patients, you'll end up with the car dealership model, where the sales rep begs you to give a 10 on every single question including on the interior design so they don't get fired. That's the part most of this discussion misses. Supervisors exist for a reason. Congrats on your flat org structure, you fucked up an important feedback channel. | | |
| ▲ | BeetleB 9 hours ago | parent [-] | | > where the sales rep begs you to give a 10 on every single question including on the interior design so they don't get fired. Oh yes, and the nurses did employ strategies like that pre-LLM (don't know if they still do). They had to be very strategic about it (you can't just say "Rate me a 10.") |
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| ▲ | kxrm 8 hours ago | parent | prev | next [-] | | I am quite heavily in AI, and I would say I am pro AI. However this use-case for AI is putting AI in the wrong position. AI should be in service to all humans. An administrator building out a middle management KPI based on AI is a misapplication of AI. Hospital systems are incentivized to avoid the real problems with healthcare. People want timeliness and they want quality care which hospital systems are not incentivized towards in the US. The incentives are profit, which given budgets means corners cut. Triaging is an opaque system to the patient. It's an important process to doll out finite resources but it also very frustrating to be told, "soon" when you've been waiting 15 hours to see someone. Frankly, if I were King for a day, the first thing I would do is break up the monolithic hospital systems and build out more urgent care. I would also try to find a way to facilitate transferring less critical patients from ERs to urgent care centers. Right now a hospital won't take the risk, especially if you are sitting in waiting room because beds are full. You can't easily punt a patient because them leaving would be against medical advice. | |
| ▲ | ClumsyPilot 6 hours ago | parent | prev | next [-] | | > You can't rely on asking the customer It’s not even been five years of AI, and we’ve already arrived at the point where the human is wrong and the AI is right. Mind you this is in an area where the benchmark is the opinion of the human ! So if the customer is saying you’ve shown enough empathy but AI says you haven’t, then you take opinion of the AI? Soon we’re going to have a situation where the patient is breathing, but the AI says he’s dead. | | | |
| ▲ | ImPostingOnHN 9 hours ago | parent | prev | next [-] | | Not asking the customer because you're afraid they'll tell you they're upset is a good indicator that you should do it more, and fix the issues. You can ask the customer enough times that unreasonable customers or surveys are averaged out. A good question might be "why are you upset?" | | |
| ▲ | weard_beard 8 hours ago | parent [-] | | Isn’t it a running joke at this point that if you do what customers ask instead of focusing on the highest quality of service you get worse outcomes and the customer is still unhappy? | | |
| ▲ | gusgus01 6 hours ago | parent | next [-] | | I thought that was more about correctly interpreting their asks, and not just actioning without consideration. If all your customers are saying your chair could use a cushion, it doesn't mean add a cushion, it means the chair is uncomfortable and you need to investigate why. | |
| ▲ | ImPostingOnHN 3 hours ago | parent | prev [-] | | If all your customers are unhappy, then you probably aren't providing the high quality of service you think you're providing. After all, they're the judge, not you. |
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| ▲ | wisty 8 hours ago | parent | prev [-] | | There's a great academic book called "Stupid Rules". Excessive rules (or KPIs - often rules in disguise) exist because we don't like authority. Get the doctor to assess the nurse. Or the head nurses if you don't trust doctors. The nurses have managers, and if none of the doctors or head nurses can be trusted with a simple matter like assessing whether nurses are doing their jobs then you got bigger issues. Oh no, the boss might play favourites if it's not an objective measure! Oh the injustice /s But stupid rules or KPI also allow favourites. You can use an officious 30 point checklist and play favourites while ticking boxes. You can even rig "objective" data by controlling other factors (e.g. giving someone difficult customers do deal with). Yeah, data driven would be nice, if you have good data. But data driven is a power tool. You don't measure SLOC or reward token use in software because of perverse incentives. | | |
| ▲ | xp84 8 hours ago | parent | next [-] | | When reading the headline I was thinking we were talking about evaluating things like whether a nurse asked the right questions of the patient from a best practices point of view (say you have <insert condition> and the best practices for that are to ask the patient about pain level and which side it's coming from and check in with them every X hours). But evaluating tone and empathy? Great, now every nurse is gonna be wasting their time and energy making sure to recite the best canned, optimized text-adventure incantations for the KPI every time they enter the room instead of using their brains to see what the patient actually needs. "Hello Mr. Smith our patients are our top priority at Kaiser and your nursing staff here at Kaiser Raccoon City are here to make sure you are cared for, comfortable, and safe. If you have any concerns or are feeling anxiety be sure to press the nurse button and we will be happy to assist you, we appreciate the trust you place in us and are eager to celebrate your recovery with you." < nurse now realizes Mr. Smith has been choking and losing consciousness while she was reciting that spiel > | |
| ▲ | BeetleB 7 hours ago | parent | prev [-] | | > Get the doctor to assess the nurse. Definitely don't do this. I know doctors. I know nurses. Plenty of doctors view nurses as their slaves. And besides, doctors aren't qualified. These are different roles. |
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