Failing to do what can sink a healthcare organization?
Control costs
Fixed costs do what as the census changes?
Do not
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What type of cost should raw food costs be?
Variable cost
costs that accrue over a specific span of time are called
Period costs
what is one of the most common ways to examine labor costs and staffing
HPPD formula= Hour per patient day
what does FTE stand for?
Full time equivalent of 1 employees productive and non-productive time usually 40 hours
reasons to avoid nursing pools/agencies
1. nursing pools are expensive because salary is high and incentives are provided to achieve profits
2. hiring outside of the organization takes away from the continuity that must exist to continue providing excellent nursing care
3. They aren't as invested in the facility as some of the regular nurses are
4. They sometimes make more money than regular nurses so you could lose some staff to agencies
what might a high rate of absenteeism indicate?
1. the need for over time hours and nursing pools
2. greater amounts of stress for the workers who cover for those who are absent
3. anger from other employees
4. financial problems for the facility
5. demoralization within the workplace
what are some of the direct financial costs associated with turnover?
training and recruitment costs
Fixed cost
Fixed costs do not vary in total when activity levels of operations change
example: salaries of department managers
variable cost
variable costs vary in direct proportion when activity levels of operation change
example: supplies
what makes a cost a variable?
a cost is only a variable if it is managed and adjusted as changes in the cost drivers or activity drivers change
Step fixed cost
step fixed costs are fixed over some range of service volume but rise to a new level for higher range of service volume
example: staffing
what percent of an average budget is spent of staffing in long term care
60-70%
what does is mean if CNA's are working short? and what are consequences of this?
1. It means they are short staffed, they have to do more in less time. This is bad because it can affect the quality of care given and resident's quality of life, resulting in negative impacts to the facilities reputation by families speaking poorly about the facility to other people in the community.
2. turnover and potential surgery citations
what are minimum staffing requirements in WI for nursing in SNFs? Federal minimums?
- Federal minimum is not specified by a number but that is needs to be sufficient enough to provide care.
- State minimum: 13 states have minimums number but these are dated.
- PPD calculations here for minimum SNF has to have 2.50
what does a patient dat mean?
This is how many hours of care per patient is needed in a 24 hour period set up by 8 hour shifts to determine how many nurses and assistant nurses need to be staffed [Show Less]