Unfortunately, internal politics and personal connections often outweigh talent, expertise, and measurable performance. Decision-making across departments can be inconsistent and heavily influenced by favoritism rather than merit or qualifications. While AdventHealth has strong compliance frameworks on paper, internal policies on salary structure, corrective actions, and promotions are inconsistently applied and enforced, leading to inequity and frustration among staff.
There are also significant compliance risks across multiple areas, including coding and billing, clinical documentation integrity, and leadership decision-making, primarily due to underqualified leaders who lack an adequate understanding of employment law, CMS regulations, and compliance standards. These gaps create operational inefficiencies, expose the organization to potential audit findings, and erode employee trust. Despite the organization’s stated values, the reality within many departments is a disconnect between policy and practice.
