Extreme turnover, like more than 750 new hires before July 1st in an enterprise with 2500 employees. This is for both FTE, Contractor and Per Diem, but it is not stable in the least. In my department in 2 years, we've lost a department lead, a tier 2, a tier 1, had several failed hirings or rescinded offers, and have been short a field tech perpetually.
My overall manager trying to put the finesse on why the problems with turnover are transitory despite them only getting worse during tenure. The IT team has consistently been shorthanded for the volume of work, and in particular, Tier 2s and above have not been backfilled and a lot of the work that would fall to them is on overworked Tier 1s. Tier 1s who don't even have rights and permissions to solve Break/Fixes often enough.
Fractured Tech Ecosystem - there is no larger standard or consistency between sites, and despite talks, the doctor/provider level seemingly can not agree to consolidate under 1 EHR. There's SIS, NextGen, Amkai, Phreesia, Phoenix (just one location) just for EHRs, then Sectra and Epic for imaging. This isn't just an EHR issues, its that custodial responsibility for half the systems users engage with aren't even within IT Helpdesk. Availity being one of the most 'what are we supposed to do with this and why doesn't the user know to contact the correct custodians?'
Then there's Dialpad, where we admin 90% of sites, except for our largest two sites where Blue Pride admins one, and the other uses Elevate.
Finally, the biggest con is an emphasis on metrics with no seeming causal relationship to decision making. That's a literal con, where the directive from above has been we need to track 75% of our time, without any hints that they've ever made a decision that helps us from that time tracking. Half the team hasn't been able to meet that 75% mark despite working tickets and if the management ever asked qualitative questions, they would get the story on how much of a time sink tracking time is.
