Dartmouth-Hitchcock Medical Center

www.dartmouth-hitchcock.org

Dartmouth-Hitchcock Medical Center Reviews

Updated January 19, 2015
Updated January 19, 2015
53 Reviews
2.8
53 Reviews
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Dartmouth-Hitchcock Medical Center CEO James N. Weinstein
James N. Weinstein
24 Ratings

Review Highlights

Pros
  • Great patient care, work/life balance, interesting work (in 3 reviews)

  • DHMC delivers excellent patient care (in 3 reviews)


Cons
  • Found middle management to be either combative or unresponsive, depending on the person (in 8 reviews)

  • They will do whatever they want regardless of impact on patient care or staff (in 4 reviews)

More Highlights

Employee Reviews

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  1.  

    The TSV's biggest and one of the better employers

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Anonymous Employee
    Former Employee - Anonymous Employee

    I worked at Dartmouth-Hitchcock Medical Center

    Pros

    Potential for advancement for anyone who's ambitious enough; educational reimbursements; pretty good benefits compared to other employers. They expect 100% excellence 100% of the time, a worthy goal but likely unattainable since it's humans performing the work.

    Cons

    Nose-to-the-grindstone environment, little fraternizing, Depending on where you work, personal excellence is seen as a detriment--excellence for the team is the focus. Standards and expectations are continually raised.and may ultimately be unachievable, even for the above average, dedicated employee.

    Advice to ManagementAdvice

    Not every issue raised is negativity. It's okay to listen, to hear if there's any validity to what is being said.

    Doesn't Recommend
    Neutral Outlook
    No opinion of CEO
  2.  

    Excellent!

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Director
    Former Employee - Director

    I worked at Dartmouth-Hitchcock Medical Center

    Pros

    Professional environment and culture that is focused on patient care and best practice. Colleagues were some of the best in the industry.

    Cons

    For us, it was the location..... remote.

    Recommends
    Positive Outlook
    Approves of CEO
  3. 1 person found this helpful  

    Nice people, great staffing, OK pay, lousy benefits, very rural area

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Current Employee - Registered Nurse, Inpatient
    Current Employee - Registered Nurse, Inpatient

    I have been working at Dartmouth-Hitchcock Medical Center (more than an year)

    Pros

    Commitment to 1:4 nursing ratio( days and nights), often with charge out of assignment and an extra nurse out of assignment on days. Culture of problem solving rather than a blame game. Nice doctors, seriously, no jerks. Supportive management

    Cons

    1400$ deductible for a single person, 2400$ for family with NO PRESCRIPTION coverage until the deductible is met. And this area is not lively unless you really like skiing. It is really difficult to find something to do out of the house. More than half my co workers drive 45 min each way, which is very stressful on rural VT/NH winter roads, but they have to so they can live a reasonable distance to their spouse's jobs in the closer cities as there's not much work around here unless you work for the hospital or the college, or a minimum wage type job. It is not unusual for people to live two hours away and rent a room locally to sleep. 4 days at home, 3 days here. Not family friendly.

    Advice to ManagementAdvice

    What happened to the health insurance? Come on guys. Also, maybe have hospital provided busses from larger population areas so 12 hr shift workers didn't have to drive 1 hrs each way. Or vastly increase salary so we can afford to buy a 300k+ house on a single income, since the local employment here is not always compatible with an employed spouse and that is roughly the price for an in town house.

    Recommends
    Neutral Outlook
    Approves of CEO
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  5.  

    Business Administration

    Current Employee - Anonymous Employee
    Current Employee - Anonymous Employee

    I have been working at Dartmouth-Hitchcock Medical Center

    Pros

    Very professional, caring and genuine in their mission. Great flexible work environment.

    Cons

    Not the most convenient location but if you like northern outdoor four season things to do, it's perfect!

    Advice to ManagementAdvice

    Keep doing what you are doing and always improving along the way.

  6. 1 person found this helpful  

    Extremely sad to see a place that used to be top notch falling very far to the bottom of the scale

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Critical Care Nurse in Lebanon, NH
    Former Employee - Critical Care Nurse in Lebanon, NH

    I worked at Dartmouth-Hitchcock Medical Center full-time (more than 5 years)

    Pros

    Good reputation; Excellent staff to work with aside from management, Physicians are top of the line, caring, willing to work with and respect other staff, all staff from physicians to nurse aides to transport and other ancillary services work well together, aside from management. If it wasn't for the amazing and talented physicians there and supportive nature of many staff members, I would only give it 1 star.

    Cons

    Absolutely horrible management/administration/human resources. Very poor standards, loss of quality in work/care which used to be at the top of their list and is one of the biggest contributors to their loss of magnet status. I was told that "Dartmouth doesn't like people who speak up... Dartmouth doesn't like people who ask questions... Dartmouth only likes people who shut up and just do whatever they want and don't make suggestions or stray from the norm...", this is not acceptable in critical care nursing, especially in a teaching facility. Promotes within which does not work in this environment.

    Advice to ManagementAdvice

    Senior level administration/management needs to really pay attention to what is happening to this facility, and quickly. There is a reason why you would lose the ability to be a magnet hospital, and it is not because of lack of BSN staff, it is because of staff who are very unhappy because they are treated poorly and because of poor mid level management; and most of all the petty, immature nature in which this staff conducts themselves and run the unit. A huge reason is because of promoting within, this does not work in this environment, especially when it keeps proving to fail over and over again. Start talking with the staff, the actual staff who are doing the work and listen to them, without punishing them for speaking the truth.

    Doesn't Recommend
    Negative Outlook
  7. 1 person found this helpful  

    Dartmouth failing

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Current Employee - Anonymous Employee
    Current Employee - Anonymous Employee

    I have been working at Dartmouth-Hitchcock Medical Center full-time (more than 10 years)

    Pros

    Beautiful place, great equipment, great patients, easy access to special services. Many of their doctors have a great wealth of knowledge, and the older doctors still have the mind set of truly caring for their patients.

    Cons

    Management is horrible. Moral there is at an all time low, rather than cutting costs they add more management whom do next to nothing. Long ago their was a place to give suggestions on how to cut costs but you always got a nasty reply. Dartmouth clearly does not appreciate their employees and your nothing if you don't have MD or RN next to your name. I started their when the president was Varnum and it was a wonderful place to work. When he retired the place went down hill quickly. Positions that were not RN positions were made RN positions just driving up the cost and the service suffered. Then comes the wonderful idea to add more management and drive up the cost... To alleviate such new expenses the normal everyday employee gets to not get a raise, get benefits and perks cut, get treated poorly, and told how they work at such a wonderful family oriented place.

    Advice to ManagementAdvice

    This will be something I'm sure they have heard many times but continue to ignore. LISTEN TO YOUR EMPLOYEES!!!! Just because they are not management doesn't mean they are not capable of thinking and have valid ideas. If you want moral to get better treat your employees better. If you want better work out of them pay them... I have witnessed a person follow a family member of a pediatric patient going to surgery trying to collect a copay......seriously? You have become a money hungry corporation and not a hospital.. its pathetic.

    Doesn't Recommend
    Negative Outlook
    Disapproves of CEO
  8. 2 people found this helpful  

    Gone to hell in a hand-basket

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Clinical Secretary in Lebanon, NH
    Former Employee - Clinical Secretary in Lebanon, NH

    I worked at Dartmouth-Hitchcock Medical Center full-time (more than 10 years)

    Pros

    The only teaching hospital in our region with some of the best health care providers.

    Cons

    Management. There are more chiefs than Indians. They encourage employees to further their education (to climb the ladder of success). Once employees get their degree, they are offered management positions. With the shift in healthcare reform, you cannot afford to pay these power-hungry folks. Instead of thinning the heard of department heads, they go on witch hunts and push out the employees beneath them. They go after employees who have been there the longest (so that they can hire new people and pay them a fraction of the wages).What once was a wonderful place to work, has become a money hungry corporation.

    Advice to ManagementAdvice

    Stop the insanity. Treat your employees well and they will do right by your company.

    Doesn't Recommend
    Negative Outlook
    No opinion of CEO
  9. 6 people found this helpful  

    No place is perfect...

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Anonymous Employee in Lebanon, NH
    Former Employee - Anonymous Employee in Lebanon, NH

    I worked at Dartmouth-Hitchcock Medical Center full-time (more than 3 years)

    Pros

    Brand name and Ivy League cachet due to affiliation with Dartmouth Medical School; Level I Trauma Center and only one in this region, so for clinical experience in this area, DHMC is your hands down best bet. CEO seems visionary; ton of talent among the residents and attending physicians, which makes for constant learning opportunities. Nice collaboration between MDs and RNs, with a few exceptions. For a Level I Trauma Center and teaching hospital it has a decidedly community hospital feel, not as cold as other teaching hospitals.
    The place itself is beautiful, lots of light, good art curated by someone in house. There's a fantastic onsite library, the medical school is right there. AWESOME resources in terms of learning.

    Cons

    Much of the middle management and department heads throughout are insufferable, inexperienced, seem disorganized and unsupported, a lot of management turnover, not always with improvement. They seem to promote from within, which is great on one hand, but not always a good idea (especially with staff/leaders who have no other experience but DHMC, a sort of perpetuation of cultural problems occurs with this, especially in nursing.) Lot of staff turnover as well.
    Paltry benefits package, worst health insurance ever, stagnant wages, lost their Magnet nursing status essentially due to poor leadership and disgruntled staff.

    Worst scheduling systems ever, truly. If you weren't pro-union before working here, you may well be on leaving.
    They're the only game of their ilk in the area, and they have the Dartmouth name, so there's a certain amount of arrogance in HR and management about this. After all, where else are you going to go in this region? Staff and patients alike are a bit of a "captive audience."
    Some of the practice is behind the times, probably due to geographical location. Still I would think being Ivy League, they might be a little more cutting edge. But you can't tell them anything- They're Dartmouth.

    Advice to ManagementAdvice

    Get a handle on the management situation, and develop a reasonable pay scale with annual opportunities for merit based increases. You can't possibly expect to get away with the "wage freeze" plan while simultaneously remaining obscenely "top heavy."
    It may lead to greater staff retention.
    Get Magnet status back, then walk that talk.
    Stop reinventing clinical wheels, and catch up to the "flatlander" medical centers. You'd think with Boston right there, it would be more clinically competitive. I'm surprised to see protocols being implemented just this year, that were in place 6-8 years ago, less than 100 miles south.
    Certain nursing leadership should be shown the door.

    Doesn't Recommend
    Negative Outlook
    Approves of CEO
  10. 6 people found this helpful  

    Trouble in Oz.....

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Can't Say They Like to Retaliate in Lebanon, NH
    Former Employee - Can't Say They Like to Retaliate in Lebanon, NH

    I worked at Dartmouth-Hitchcock Medical Center full-time (less than an year)

    Pros

    A beautiful building on a beautiful campus (on the outside). Many perks in-house: banking, travel agency, hair salon, many food options, post office. Great libraries and resources.

    Cons

    This is the most toxic environment I have ever worked in, with poor leadership and many layers of "fluff" that are just putting in their time until retirement. It's no wonder they are not getting Magnet designation again....one look at the nursing and patient satisfaction rates and the surveyors were alarmed. They are sadly not alone. as most staff is miserable and feel trapped into working there as there are not many other options in the area. Employees are expected to drink the Dartmouth Kool-Aid, and when they don't, they are "counseled" about not being a team player and made to feel small and ind=significant and replaceable. You are not allowed to advocate for staff or patients, and there are many MANY medical errors made in the facility daily, all covered up and never mentioned except in whispers in offices and meeting rooms. As a nursing leader, I was chastised for standing up for staff and patients. Many leaders with tenure take advantage of their position by coming in late, leaving early, going to workout for an hour during the day, leaving to run personal errands, or just taking hour long walks outside on nice days...all while hell is breaking loose inside the facility. Staff work in fear of losing their jobs instead of being encouraged to share ideas to make work better. The majority of computer platforms do not work well with each other, leaving employees frustrated and patients open for errors to occur. This severe lack of communication starts at the top....I NEVER saw or met the CEO or CNO...those people you see in the newsletter touting themselves to be on the front lines with us. Forget it! They are locked up in their office or on "business trips" promoting themselves. In short...the employees make THEM look good.And forget taking your concerns to HR, they are as nonchalant about the corruption as Senior Leadership. How hard is it to know that your employees want to be recognized and appreciated and in turn will give you 110%? It's not rocket science....be visible, be appreciative, and know when to step up and help. Don't act like you are doing them a favor by letting them work there. Some staff are choosing less money at smaller facilities just to get away from the insanity. And patients are choosing smaller community hospitals where they are treated like people, not experiments or numbers. I would never seek care here for myself or my family. Check their sepsis rates prior to 2014, look at their HCAPS scores....Dartmouth Hitchcock just doesn't deliver the stellar care they say they do. They have their share of cleanliness issues: bedbugs, lice, ants...they don't even isolate MRSA patients, so a perfectly non-infected person could be sharing a room and bathroom with someone with active MRSA. I must have heard 100 times, "We don't have to worry about patients coming here, where else are they going to go?" Well guess what, DHMC, they are going in DROVES to Boston and other places that are better managed, with better patient outcomes and happier staff. Maybe one day you will see that being the biggest does not guarantee you designation as the best.

    Advice to ManagementAdvice

    Get your head out of the sand and get on the units with the staff. Yes, Jim Weinstein, stopping talking your political jargon and actually spend a few days with the staff, not just nursing staff but ancillary staff as well. Clean house of all the useless management that do absolutely nothing but terrorize staff. A Culture of Caring?? Forget it, all you care about is your profits.

    Doesn't Recommend
    Negative Outlook
    Disapproves of CEO
  11. 4 people found this helpful  

    Welcome to reality television

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Current Employee - Near the Yellow Brick Road in Lebanon, NH
    Current Employee - Near the Yellow Brick Road in Lebanon, NH

    I have been working at Dartmouth-Hitchcock Medical Center full-time

    Pros

    In this particular region, there is not a lot of options for employment other than this facility. The area is a great place for family and year round entertainment.

    Cons

    Much like reality television, you will encounter alliances and if you are not onboard you will be voted off the island, period. If you come to this facility without very much experience don't expect to be trained in ANY area where you can learn and grow. However, be prepared to do the lion's share of the work and receive scathing and insulting reviews that come as a total shock.
    Management is disorganized and disengaged which leaves out the basics: distance and direction-this means support! Instead of support expect blame and no recognition of any of YOUR hard work. The concept of "TEAM" does not live here. In fact, the overall vibe is "be thankful you have a job." A very juvenile mentality for sure.
    The culture of caring is about the almighty profit upper management strives to reach and rarely achieves. This is not a culture that invests in the people that pull the weight that brings in the dough.
    Imagine a culture that supports, challenges, and motivates their employees.
    Imagine a culture that dissolves arrogance and promotes creativity.

    Advice to ManagementAdvice

    Where to start....

    Doesn't Recommend
    No opinion of CEO

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