Download or read book Using Predictive and Descriptive Models to Improve Nurse Staff Planning and Scheduling written by Kelcee Storme Ramsey and published by . This book was released on 2014 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: The healthcare industry has recently been given an additional set of guidelines called the Affordable Care Act (ACA). The guidelines (or measurements) will be utilized to assess each hospital compared with other hospitals of similar size, and based on score reimbursed for Medicare payments accordingly. An important measurement in these guidelines pertains to patient satisfaction; therefore, increasing patient satisfaction is an important goal for hospitals. To accomplish this goal, many hospitals are re-evaluating their nurse staffing procedures to try to match patient demand with nurse availability. Using predictive modeling with optimization, hospital administrators can develop/improve their plans for the future. Each concept provides benefits to the hospital in the utilization of the nursing staff. Predictive modeling uses historical and real time data to forecast plans for the future. This provides the hospital administrators a baseline to estimate the number of nurses needed and the number of nurses to be hired. Optimization provides the best case scenario for the number of nurses required to meet patient demand while minimizing cost to the hospital. This research combines the two ideas into multiple models using AnyLogic and Excel as predictive/analysis tools. The implementation of these models into a hospital environment provides new insight to the nurse staffing process allowing changes to be made to accommodate new regulations. The models can also provide the ability for management to run “What-If” analysis to understand what the staffing levels should be in a given situation. Results will provide the additional tools required to be prepared for emergencies. Healthcare is an industry where seconds count, and expanding the ability to be prepared is always an asset.
Download or read book Adjusting to Random Demands of Patient Care written by Joseph Erol Chery and published by . This book was released on 2008 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this thesis, time series methods were used to forecast the monthly number of nursing Full Time Equivalents (FTEs) required to meet patient care needs at Naval Medical Center San Diego. In order to capture both patient census and patient acuities, the monthly total required workload hours given by the Res-Q system was used. The monthly number of nursing FTEs was calculated by dividing the total monthly workload hours required by 168 hours (per DoD 6010.13-M). The Holt-Winters' time series models were fit using both Excel and JMP software packages. Using three years of historical data to fit the models, the number of nursing FTEs that would be required every month for the fiscal year 2008 for the entire hospital was forecasted with a Mean Absolute Percentage Error (MAPE) of 17.83. Fitting the model to data starting from December 2005, to eliminate historical anomalies, further reduced the MAPE to 8.80. The overall model was, subsequently, partitioned into five sub-models, one for each of the five nursing units, reflecting the hospital's patient and nursing staff mixes. Again after adjusting for missing data points and outliers, the monthly number of nursing FTEs required for 4West, Adult ICU, Surgical, Medical, and Medical Oncology were forecasted with MAPE's of 20.77, 11.42, 13.63, 13.85, and 6.98, respectively.
Download or read book Integrated Nurse Staffing and Assignment Under Uncertainty written by Prattana Punnakitikashem and published by ProQuest. This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the major problems in the United States health care system is a shortage of nurses. Baby boomers and an increasing elderly population are the main reasons for a rapidly growing demand for nurses. Besides the decline in enrollments in registered nurse degree programs, many nurses have suffered from work burnout. High workloads and undesirable schedules are two major issues that cause nurses' job dissatisfaction. As a result, nurses plan to leave their jobs causing low retention and low entering rates. One consequence of the shortage is that excessive workload on nurses decreases the quality of patient care. Many states have seriously considered taking actions to cope with the shortage to ensure patient safety, e.g., California has regulated mandatory nurse-to-patient ratios. To satisfy patient care demands, hospital administrations are obligated to employ other expensive staffing resources, such as part-time nurses, agency nurses, overtime nurses, etc. Since nurse staffing costs account for over 50% of hospital expenditures, health care costs are continuously increasing driven by an ongoing severe shortage of nurses. Consequently, the nursing shortage will become more severe and nurse staffing has become one of the most attractive research areas. We describe four phases of nurse planning, which are nurse budgeting, nurse scheduling, nurse staffing, and nurse assignment. The first part of this dissertation considers only the last phase of nurse planning, which makes daily decisions on assigning nurses to patients. With nurses from the nurse staffing phase, a charge nurse assigns nurses to patients at the beginning of a shift. To capture uncertainty in patient care, we develop a stochastic integer programming model for nurse assignment with an objective to minimize excess workload on nurses. The problem is solved using a Benders' decomposition approach, whose master problem assigns nurses to patients, and whose recourse subproblems penalize the assignment and determine excess workload on nurses. The recourse subproblems can be considered as network flow problems, in which we develop a new greedy algorithm to solve them. When hospital units have new hires, there is no sufficient data to consider them unique. A symmetry problem may arise when there are identical nurses, which leads us to construct sets of valid inequalities to strengthen the restricted master problem. We develop sets of valid inequalities to prevent symmetric assignments, which eventually reduce the computational effort. In addition, we develop a set of valid inequalities representing the nurse-to-patient ratio to ensure patient safety. These valid inequalities not only enhance the algorithmic performance, but also prevent illegal and impractical assignments. The second part of this dissertation focuses on an integration between the third and the last phases, which makes short-term decisions (90 minutes before a shift) on staffing and assigning nurses to patients. We present a stochastic integer programming model for integrated nurse staffing and assignment with uncertain patient care with an objective of minimizing excess workload on nurses. We present three decomposition approaches based on the L-shaped method for solving our model, which are (1) Benders' decomposition, (2) Lagrangian relaxation with Benders' decomposition, and (3) nested Benders' decomposition. The Lagrangian relaxation with Benders' decomposition approach can be viewed as a novel search method for bicriteria stochastic integer programs. Computational results are provided based upon data from two medical-surgical units at Northeast Texas hospital. The focus of this dissertation is to find good solutions within 30 minutes. Results suggest that the hospital can save up to 1588 hours of excess workload each year in each unit by using our stochastic programming for nurse assignment model. The greedy algorithm for the network primal subproblem is 30 times faster than the current commercial network simplex solver (CPLEX 9.1). Moreover, integrated nurse staffing and assignment results indicated the Lagrangian relaxation with Benders' decomposition approach provided the most promising results among the three methods. Considering our model as two-stage stochastic programming results in better nurse schedules and assignments than those from three-stage, meaning that it is more beneficial to perform nurse staffing and assignment simultaneously. The nurse staffs and assignments found by these methods can be used in a nurse staffing decision supporting system, which facilitates a nurse supervisor to select a nurse staff and assignment based on a tradeoff between staffing cost and excess workload on nurses. Moreover, a nurse supervisor can also use our model to evaluate a float assignment. Our model allows decision makers to play important roles in utilizing their judgments to comply the right staffing policy. Furthermore, topics of future research are discussed. Finally, a nurse assignment decision supporting tool based on our underlying model is provided in the appendix.
Download or read book Health Informatics E Book written by Ramona Nelson and published by Elsevier Health Sciences. This book was released on 2016-12-08 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Awarded second place in the 2017 AJN Book of the Year Awards in the Information Technology category. See how information technology intersects with health care! Health Informatics: An Interprofessional Approach, 2nd Edition prepares you for success in today’s technology-filled healthcare practice. Concise coverage includes information systems and applications such as electronic health records, clinical decision support, telehealth, ePatients, and social media tools, as well as system implementation. New to this edition are topics including data science and analytics, mHealth, principles of project management, and contract negotiations. Written by expert informatics educators Ramona Nelson and Nancy Staggers, this edition enhances the book that won a 2013 American Journal of Nursing Book of the Year award! Experts from a wide range of health disciplines cover the latest on the interprofessional aspects of informatics — a key Quality and Safety Education for Nurses (QSEN) initiative and a growing specialty area in nursing. Case studies encourage higher-level thinking about how concepts apply to real-world nursing practice. Discussion questions challenge you to think critically and to visualize the future of health informatics. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what you will learn. Conclusion and Future Directions section at the end of each chapter describes how informatics will continue to evolve as healthcare moves to an interprofessional foundation. NEW! Updated chapters reflect the current and evolving practice of health informatics, using real-life healthcare examples to show how informatics applies to a wide range of topics and issues. NEW mHealth chapter discusses the use of mobile technology, a new method of health delivery — especially for urban or under-served populations — and describes the changing levels of responsibility for both patients and providers. NEW Data Science and Analytics in Healthcare chapter shows how Big Data — as well as analytics using data mining and knowledge discovery techniques — applies to healthcare. NEW Project Management Principles chapter discusses proven project management tools and techniques for coordinating all types of health informatics-related projects. NEW Contract Negotiations chapter describes strategic methods and tips for negotiating a contract with a healthcare IT vendor. NEW Legal Issues chapter explains how federal regulations and accreditation processes may impact the practice of health informatics. NEW HITECH Act chapter explains the regulations relating to health informatics in the Health Information Technology for Education and Clinical Health Act as well as the Meaningful Use and Medicare Access & CHIP Reauthorization Act of 2015.
Download or read book Developing a Predictive Model for Shift level Nurse Staffing Using Routine Data written by Sarah N. Musy and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Readiness for Improving Safe Care Delivery Through Web based Hospital Nurse Scheduling Staffing Technology A Multi hospital Approach written by Lisa Massarweh and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital scheduling and staffing practices are linked to patient safety, nurse satisfaction, and cost outcomes (Steege & Rainbow, 2017). Staffing, while complex, is ultimately central to the overall success of the hospital. Demands to eliminate events that cause death or serious harm, produce high patient satisfaction scores while maximizing workforce productivity, test any administrator's skillset. Providing qualified staff in the right place at the right time can be challenged by restrictive union contracts, variable patient acuities, staff attendance, and mandated staffing ratios. These demands may lead to overtime utilization. There is a growing understanding of the negative effects of healthcare worker fatigue on patient outcomes (IOM, 2004; Stimpfel & Aiken, 2013). The impending nursing shortage has the potential to exacerbate the problem of high quality care delivery and could lead to devastating impacts to the profession as well as patients. Though Kaiser Permanente (KP) is generally known for being a healthcare trailblazer, staffing technology was lagging. The purpose of this project is to prepare KP nursing for transformative change with web-based hospital scheduling and staffing. This work addresses the readiness for deployment across the KP system. Complexity and change theories frame this project. Hospital staffing epitomizes complexity. This planned change provides a road map for other nurse leaders to navigate the lessons learned. Satisfaction surveys from 222 nursing staff receiving training in the new technology reveal a favorable intent for technology adoption. Future work will focus on the impact realization of nurse-sensitive outcome indicators and registered nurse overtime.
Download or read book Self scheduling written by Heather Hentz and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the highly competitive world of healthcare today, every organization is struggling to find ways to improve nurse satisfaction to help recruit and retain nurses. Nurse satisfaction is influenced by scheduling practices, and self-scheduling has been shown to improve nurse satisfaction. Self scheduling allows flexibility for the nurses in planning their work around their home lives versus their home lives around their work schedules. Being able to negotiate their shifts and hours is a satisfier that empowers the nurse, increases autonomy, and improves staff retention. Making simple changes in the work environment can make huge differences in nurse satisfaction and retention that impacts patient satisfaction. The literature shows that nurse satisfaction reduces staff turnover and absenteeism, and increases a sense of professionalism. This paper presents a detailed process of how self-scheduling can be implemented in the hospital setting, including the process of implementation, evaluation and dissemination of the information. Key factors of the change process are discussed as the new design is adopted with the goal of increasing nurse satisfaction and, ultimately, improving patient outcomes.
Download or read book Strengths Based Nursing Care written by Laurie N. Gottlieb, PhD, RN and published by Springer Publishing Company. This book was released on 2012-08-22 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.
Download or read book The Educational Process in Nursing Staff Development written by JoAnn Alspach and published by Mosby Elsevier Health Science. This book was released on 1995 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Compassion and Caring in Nursing written by Claire Chambers and published by CRC Press. This book was released on 2018-05-08 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Compassion, in its many manifestations, is the key to rediscovering what lies at the heart of nursing practice all over the world. It is absolutely essential that nurses start to revisit compassion as a central focus for nursing practice...' This user-friendly book adopts a patient-centred approach to care. The challenging theories are grounded in practical applications, encouraging readers to recognise opportunities for change in their daily practice. The book focuses on six key concepts central to compassionate care: A*
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Download or read book Research on Nurse Staffing in Hospitals written by Eugene Levine and published by . This book was released on 1973 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Handbook of Healthcare Operations Management written by Brian T. Denton and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
Download or read book Assessing Progress on the Institute of Medicine Report The Future of Nursing written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-03-22 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
Download or read book Resources in Education written by and published by . This book was released on 1986 with total page 956 pages. Available in PDF, EPUB and Kindle. Book excerpt:
