STAFFING NEEDS

1
STAFFING NEEDS

• NURSING 871
• Introduction to Health Informatics
• MADJIL CLARK

2
QUESTION?

• Is there any way to have the correct staffing
  level to meet the acuity level of the residents?
• How can staff be motivated to meet the residents
  needs and feel a sense of satisfaction in their
  job?

3
INFLUENCING FACTORS

• Acuity level
• Timing of admissions and discharges
• Medical needs of admissions, current residents,
  and dismissals.
• Delivery of medications, treatments and services
  in a timely manner.

4
STAFF REQUIREMENTS

• CMS requirements-Registered Nurse for 8 hours a
  day.
• Levels of care providers
• Registered Nurse (RN)
• Licensed Practical Nurse (LPN)
• Certified Medication Aide (CMA)
• Certified Nursing Assistant (CAN)

5
INFORMATION GATHERING

• Pre-admission screening
• On-site evaluation
• Physician input
• Therapy input
• Nursing input
• Ratio

6
INVESTIGATIVE PROTOCAL

• F353-sufficient staff to meet the needs of the
  resident
• Availability of RN
• Supervision
• Assessment
• Responsiveness
• Interview process

7
Conclusion/recommendations

• Protocols to determine resident acuity and staff
  needs
• Communication
• Staff education
• Sustainability

8
RESOURCES

• American Health Care Association (2006). The Long
  Term Care Survey (June, 2006 Ed.). Brandon,
  Vermont American Health Care Association.
• Coburn, A. F., Fortinsky, R., McGuire, C.,
  McDonald, T. P. (1993). Effect of Prospective
  Reimbursement on Nursing Home Costs. Health
  Services Research, 28(1), 45-68
• Konetzka, R. T., Yi, D., Norton, E. C.,
  Kilpatrick, K. E. (2004). Effects of Medicare
  Payment Changes on Nursing Home Staffing and
  Deficiencies. Health Services Research, 39(3),
  463-488.
• Scott-Cawiezell, J., Vogelsmeier, A. (2006).
  Nursing home safety a review of the literature.
  Annual Review Nursing Research, 24, 179-215.
• Zhang, N. J., Unruh, L., Wan, T. T. (2007). Has
  the Medicare prospective payment system led to
  increased nursing home efficiency? Health
  Services Research, 43(3), 1043-1067

9
Questions?

• QUESTIONS?