Budget / Staffing

staffing

planning for hiring, deploying qualified people to meet the needs of the patients

scheduling

implementing the staffing plan by assigning personnel to work specific hours and days of the week

models for nurse staffing

1. patient acuity

2. budget based

3. nurse-patient ratio

patient acuity model

severity of patient conditions (multifactorial)

budget based model

staffing developed with a budget plan; based on hours per patient day (HPPD); predictive based on previous trends

nurse-patient ratio model

requires set number of patients cared for by one RN; mandated ratios; CA / MA have legislation-mandating ratios

factors that influence patient outcomes

1. nursing factors - education, overtime, agency / float pools

2. organizational factors - structure / philosophy, support, services

types of scheduling

1. decentralized

2. self-scheduling

3. centralized

nursing productivity formula

unit of service (UOS) x the volume (patient days / ED visits) = hours available to create direct productive staffing plan

manager roles

1. project staffing

2. explain variances

3. evaluate staffing

4. coaching / mentoring staff