To change nursing assignments and transform workforce management, hospitals need to plan differently!

Posted by | Healthcare Cost Savings, Hospital Finance, Innovation | No Comments

Massachusetts, New Jersey, Ohio, and Pennsylvania are getting ready to vote on legislation to mandate nurse-patient ratios like California did.

We learned from California that without a sound workforce planning methodology that can be consistently executed, hospitals won’t obtain the benefits of the increased staff [1].

The Nash Group SDM20/20™ planning methodology is proven to:

  • reduce labor cost $2M-$8M
  • dismantle consumption of premium dollars
  • advance patient placement and aggregation
  • improve patient disposition and reduce length of stay
  • increase staff retention 20%-40% and improve recruitment cycles
  • make workforce operations and schedules sustainable

[1] Petsunee Thungjaroenkul, Greta G. Cummings, Amanda Embleton, “The Impact of Nurse Staffing on Hospital Costs and Patient Length of Stay: A Systematic Review”, NURSING ECONOMIC$/Sep-Oct 2007, Vol. 25, No. 5

To lower cost, healthcare providers need to plan differently!

Posted by | Hospital Finance, Innovation, Nursing Staff, SDM20/20TM | No Comments

Unrealistic workforce management plans cost healthcare organizations millions of dollars in labor. As this cost continues to be pass to consumers through increases in insurance premiums, they are demanding sustainable changes.
Execution cost that normally accounts for 20% of the bottom-line of hospitals and 35% of outpatient facilities is where sizeable labor changes need to be acquired.
A workforce management planning methodology (see below) that can be consistently executed and that delivers between $2M and $8M in labor savings is mandatory to meet sustainable labor operations.

Hospital Care At Home

Posted by | Health News, Innovation | One Comment

She went to the ED, was diagnosed with pneumonia and needed hospitalization, but the doctor proposed something that made her nervous: Instead of being admitted to the hospital, she could go back home and let the hospital come to her!

As a “hospital-at-home” patient, she would get home visits from doctors and nurses who would come twice a day and perform any needed tests or bloodwork.

A slowly growing number of hospitals are encouraging selected ED patients who are acutely ill, but stable and don’t need intensive, round-the-clock care, to opt for hospital-level care at home.

“hospital-at-home” patient… “I’d do it again in a heartbeat”


source: “shots HEALTH NEWS FROM NPR”



Let’s retire HPPDs

Posted by | Innovation, Nurse Patient Ratios | No Comments


HPPD, aka hours per patient day, is metric that needs to be retired.  It’s inconsistent with how patient care is delivered and it encourages a misalignment between nursing and finance.

Finance leaders often think of staffing as an allocation of labor hours or units-of-service (UOS). “Comparable UOS benchmarks” set staffing plans that establish clinical labor allocations and budgets. As a result they craft staffing plans that assume that staffing will change in staffing for every census point! Read More

Innovation in Healthcare is Great, But Where is That Innovation Needed?

Posted by | Health News, Innovation | No Comments

Hospitals & Health NetworkAdvancement and innovation in healthcare has always, well usually, been for the better. Better sterilization techniques, advancements in detection, and vastly improved surgical equipment.

While the innovation in those areas are great, is there room for innovation in other areas? What about in healthcare affordability and delivery? There are some major issues that are plaguing healthcare and its future in the U.S. These all need to be addressed through innovation.

In a recent article featured in H&HN, author Ian Morrison addresses the big picture of healthcare. He focuses on creating sustainable affordability within the system. An important point he makes is that smaller, entrepreneurial companies can bring innovation and encourage large scale delivery systems to drive them. He also notes that all innovation must be done to pursue better health care, better health and lower per capita costs.

Read the whole article by Ian Morrison on the Hospitals and Health Networks website.