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 resident’s 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?