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Tray

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Submitted By jhayes229
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Memorandum

To: Nancy Innella
From: John Hayes
Date: 7/3/2016
Re: Presenting Staffing and Scheduling Ideas
_____________________________________________________

Staffing Challenges _____
I am so grateful to have a mentor. Currently my mind is in a whirlwind trying to contemplate my options relative to staffing. Several things are impacting my decisions. Any feedback you can provide would be appreciated. I will try to summarize the issues.
Summary of Current Staffing and Budget for Medical-Surgical beds
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Currently, Christ Advocate has a total nursing hours per patient in medical-surgical of 8.93 for the 394 authorized beds. Since the hospital has chosen to not use LPN employees, the nursing staff is a mix of RNs and assistants. Since the budget is set for this year, in an attempt to increase efficiency and decrease readmits, I propose that staffing remain at 8.93 with an increase in RNs to at least 7.0 and decrease assistants to 1.93. With this mix, the budget will be increase by approximately $4K. These monies can be recouped in the decrease of Medicare penalty by having more RN hours per patient thereby decreasing Christ Advocate 30-day readmission rate of identified patients (Illinois Department of Public Health 2016).
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Impact of Medicare Reimbursement bonus/penalty on staffing
Christ Advocate Medical Center currently experience the second highest readmission penalty in the state and we have increase our penalty each of the reported years, 96% in 2013 to 2.41% in 2016. To reduce our penalty we must increase staffing and decrease the number of hours per patient for nursing. This increase will increase staff cost by a relatively small amount, $4K. However, we stand a good chance of decreasing

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