Académique Documents
Professionnel Documents
Culture Documents
Staffing
Overview Budget Schedule Daily Staffing Expected Fluctuation Plan Peak Demand Management Information
I. Staffing Overview
Why is staffing so important?
Nursing Salary & wages are 68% of the Nursing direct expense budget. Nursing Salary & Wages are 15% of the hospital direct expense budget. Scheduling is a major reason nurses change jobs Nurse Managers spend a lot of their time with staffing issues.
Staffing Overview
Overall staffing strategy
addresses volume addresses staffing strategies
Staffing Overview
Certain census levels, up to the ADC require a core unit staff . Probable census levels rely on internal staff Possible census levels utilize internal staff and increased compensation Peak census may require outside staff, expensive compensation and limitation of benefits.
Budgeting Staff
Used for budgeting core staff to a unit
Budgeting Staff
For 8 hour shifts Daily Hours/8 For 12 hour shifts Daily Hours/12
Budgeting Staff
Total FTE Budget
Used to allocate core staff to units Allocates staff to cover 24/7, vacation, sick, FMLA
Budgeting Staff
Daily FTE Needs
Used to develop basic staffing pattern Divided by shifts Divided by skill mix Equals core staffing pattern
Budgeting Staff
Shift-to Shift Breakdown
Based on patient needs at different times of the day Start by identifying census on the different shifts ICUs usually D/E/N-.33/.33/.33 More units are moving to ICU-type breakdown due to shorter LOS, increased acuity
Budgeted Staffing
Skill Mix
Based on patient needs ICUs usually 90-100% RN General Care Units usually- > 60% RN Rehab/Psych Units usually- ~50%
Daily Staffing
Fine-tuning to cover volume changes acuity changes, call offs Floating plan, plan to replace deficits Meeting increased/peak demand Low census management plans
cancellation procedure, increased cost out first
2002
5.4% 5.6% 4.2% 15.2%
2003
2.4% 4.6% 1.2% 8.2%
2004
5.3% 4.4% 3.5% 13.2%
2005
4.4% 9.5% 7.6% 21.5%
2006
5.1% 5.3% 5.6% 16.0%
Retrospective-Productivity Analysis
Benchmarking Quality data Budgeted versus actual