I agree. The current system incentivizes lying. If a healthcare worker tells the truth about not being able to complete something, they often open themselves up

I agree. The current system incentivizes lying. If a healthcare worker tells the truth about not being able to complete something, they often open themselves up to civil and criminal liability for negligence and failing to meet standard of care. Meanwhile, lying in paperwork is only an issue if something ever progresses to a lawsuit. It’s pretty much don’t ask, don’t tell. Systematic, unbiased auditing and extreme penalties not just for the individual but for the business employing the person are sorely needed.