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How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics

How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics. Penny Moore MSN RN OCN Director of Nursing Infusion Services Kevin Turner MSM-HCA BSN RN Clinic Nurse Manager. Previous Workload Measurement. Visionware Productivity M odel Productivity goal of 100%

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How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics

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  1. How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics Penny Moore MSN RN OCN Director of Nursing Infusion Services Kevin Turner MSM-HCA BSN RN Clinic Nurse Manager

  2. Previous Workload Measurement • Visionware Productivity Model • Productivity goal of 100% • Based on billable charges • “Nursing Time” associated with each charge- established by Infusion Nurses • Drawbacks: • Unable to capture unbillable vital nursing care  inaccurate picture of workload • Inability to justify addition of needed positions

  3. Striking a Balance

  4. Moving to an acuity based staffing model…why make the change? • Increased support of: • improved nurse to patient ratios • relationship based care • primary nursing

  5. How can we justify additional nursing needs with data?

  6. Ambulatory Infusion Acuity Tool- PilotDevelopment

  7. Data Collection Tool

  8. Data Collection Tool

  9. How the pilot worked • Updated acuity and number of hours worked by nursing submitted to finance

  10. Lessons Learned

  11. Increased productivity…..did it matter?

  12. What the acuity model demonstrated

  13. Thank You: 2 James Staff, Kevin Turner, Sara Vetter, Ronny Suwignjo and Ting Chen

  14. References Buswell, L. , Reid Ponte, P., & Shulman, L.. (2009). Provider practice models in ambulatory oncology practice: analysis of productivity, revenue, and provider and patient satisfaction. Journal of Oncology Practice 5(4). 188-192. de Raed, J., Gool, K., Haas, M., Haywood, P., Faedo, M., Gallego, G., Pearson, S., & Ward, R. (2010). Nursing takes time: workload associated with administering cancer protocols. Clinical Journal of Oncology Nursing, 14(6). 735-741. DeLisle, J. (2009). Designing and acuity tool for an ambulatory oncology setting. Clinical Journal of Oncology Nursing, 13(1), 45-50. Dickson, K., Cramer, A. & Peckham C. (2010). Nursing workload measurement in ambulatory care. Nursing Economics 28(1). 37-43. Hawley, E., & Carter, N. (2009). An acuity rating system for infusion center nurse staffing. The Cleveland Clinic Cancer Center Hillcrest Hospital experience. Oncology Issues. November/December 34-37.

  15. Thank You To learn more about Ohio State’s cancer program, please visit cancer.osu.edu or follow us in social media:

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