Staffing and Productivity. Goals to understand some of the key terms in workload management Know the relationship between staffing, and scheduling Understand the meaning of productivity in health care organizations Develop and describe commonly used productivity ratios. Workload Management.
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Staffing
Scheduling
Reallocation
Staff Utilization
Patient Satisfaction
Productivity
Staff Satisfaction
Costs
Operating Costs
$20
All Other Operating
$15
Dollars
Supply Expense
(in Billions)
Corp
Shared Services
$10
Admin
SWB
Operations
Clinical
makes up
makes up
makes up
90.3%
55.4%
$5
83.6%
of
of Total
of
Salaries, Wages
Operating
Operations'
& Benefits
Expense
SWB
$0
Operating Expense
SWB
Operations

SWB
HCA Operating Costs $11 Billion in Salary, Wages and BenefitsMinutes of care = (average census) * (average required minutes per patient)
Unadjusted FTEs = (Total minutes of care)/(Minutes available to work per nurse per day)
Core Level FTEs = (Total Minutes of Care)/(utilization standard)*Available work minutes)
See example on Excel Spreadsheet
Outpatient Revenue = $3,020,000
Inpatient Revenue = + $11,185,200
Total Patient Revenue= $14,205,200
=1.27
How is productivity measured at the hospital level?
Paid FTEs
AADC
Can use either Paid or Prod
How is productivity measured at the hospital level?
by the number of hours in the time period of study
Can use either Paid or Prod
Total Manhours
Adj Adm
How is productivity measured at the hospital level?
SWB (in $)
Adj Adm
SWB (in $)
Adj Pt Day
where Pij= percent of patients for acuity category i in unit j, and Wi is the weight for the ith acuity category
A quantity by which workload can be measured— aka Statistic
If a department has 500 regular hours, 100 overtime hours, 100 contract hours, 100 orientation hours, 100 PTO hours and 100 continuing ed. hours,
How many are worked hours?
How many are nonproductive hours?
How many are paid hours?
Review the various metrics on the Labor Variance Rpt
Daily Labor Variance Report
Number of Worked Hours per Statistic—aka Worked Hours Per UOS / Stat
Total Worked Hours/Total Units of Service
If a department has 1000 Worked Hours with a total of 100 Patient Days, what is the Worked Hours per Stat?
If a department has a Worked Hours per Stat budget of 10.00 with a total of 10 Patients, how many Staffing Hours does the department have?
Number of Paid Hours per Statistic—aka Manhours Per UOS / Stat
% of Total Paid Hours that are Overtime
% of Total Paid Hours that are Contract
Total Salary Cost per Unit of Service—aka Salary Cost Per UOS / Stat
Total Salary Cost/Total Units of Service
If a department has $100,000 in Salary Cost with a total of 1000 Patient Days, what is the Salary Cost per UOS?
The budget sets the standard
MonthtoDate Salary Cost Variance
Departments with Negative Salary Variances
% of Salary Cost Variance from Budget
Prior Week: MonthtoDate Salary Cost Variance
Prior Week: % of Salary Cost Variance from Budget
UOS (Unit of Service)
Worked Hrs
Paid Hrs
Salary Cost Per Stat
Avgas Hrly Rate
Agency / Contract Hrs & %
Overtime Hrs & %
Orientation Hrs & %