News/Blog

Nurse Patient Ratios

Staffing Plans – What to Share with Staff and the Public

Posted by | Healthcare Data, Healthcare Transparency, Nurse Patient Ratios, Nursing, Nursing Staff, Patient Care, Patient Census, Patient Experience, Patient Safety, Patient Satisfaction, Patients, Staff Engagement, Staff Morale, Tracking Costs | No Comments

Once a staffing plan has been developed, how do we monitor our compliance to the plan?   How do we share these results with our staff and patients, in order to demonstrate our commitment to patient safety and staff satisfaction?

Read More

Let’s retire HPPDs

Posted by | Innovation, Nurse Patient Ratios | No Comments

Nursing

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

2 ways to retain nurses despite increasing competition

Posted by | Nurse Patient Ratios, Nursing Careers, Nursing Staff, Patient Care, Recruitment, Staff Morale | One Comment

nurse pic  A recent article in Becker’s Hospital Review points out that it’s going to get harder than ever to keep nurses on the floor. Two new entities – affordable care organizations and retail clinics – are competing for the same skilled workforce.

Nurses are being hired to become care managers for ACOs and insurance companies, as well as moving into the related field of informatics. Read More

Well intentioned but unworkable – mandated ratios in Massachusetts

Posted by | Brigham and Women's Hospital, Health Leaders Media, Healthcare Cost Savings, Healthcare Data, Massachusetts Hospitals, Midnight Census, Nurse Patient Ratios, Nursing Staff, Patient Care, Patient Census, Patient Safety | One Comment

staffing imageThe mandated nurse-patient staffing ratios discussion is heating up in Massachusetts, where the proposed Patient Safety Act would set the maximum number of patients that could be cared for by hospital nurses.

In an article in Health Leaders Media, a spokesperson for the Massachusetts Nurses Association/National Nurses United said it was an “out and out unmitigated lie” that mandated ratios would be too expensive and rigid.

But the debate is far from one-sided among the nursing community. Read More