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Leadership Exam 2 - Chapter 14
Staffing and Scheduling
30
Nursing
Undergraduate 4
07/01/2013

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Cards

Term
Average Daily Census (ADC)
Definition
Average number of patients cared for per day for a reporting period.
Term
Average Length of Stay (ALOS)
Definition
The number of patient days in a specific time period divided by the number of discharges in that same period.
Term
Cost Center
Definition
An organizational unit for which costs can be identified and managed.
Term
Direct Care Hours
Definition
The amount of time spent in providing care to patients.
Term
Factor Evaluation System
Definition
  • A patient classification system that incorporates specific elements or critical indicators and rate patients on each of these elements.
  • Each indicator is assigned a weight or numerical value.
Term
Fixed FTEs
Definition
Full-time equivalent roles that do not fluctuate based on pateint care demands.
Term
Forecast
Definition
The process of making decisions about the future based on multiple sources of data.
Term
Full-Time Equivalents (FTEs)
Definition
Employees who work fulltime, 40 hours per week (or 80 hours per 2-week pay period), 2080 hours per year.
Term
Indirect Care Hours
Definition
The amount of time spent in activities that support the care of patients, but do not involve direct provision of care.
Term
Labor Cost per Unit of Service
Definition
A comparison of budgeted salary costs per budgeted volume of service with actual salary costs per actual volume of service.
Term
Mandatory Overtime
Definition
The expectation that staff will work beyond the hours assigned, often accompanied by a real or perceived threat.
Term
Nonproductive Time
Definition
Benefit time such as vacation or sick time.
Term
Nurse Outcomes
Definition
Typically, a system of classification to evaluate nursing care.
Term
Nurse-Sensitive Data
Definition
The actual data elements collected that relate to nursing-sensitive outcomes.
Term
Nursing Productivity
Definition
The ratio of required staff hours to actual provided staff hours.
Term
Overtime
Definition
Time in excess of the standard amount per day; often based on an 8-, 10- or 12-hour shift.
Term
Patient Outcomes
Definition
The result of patient goals that are achieved through a combination of medical and nursing interventions with patient participation.
Term
Percentage of Occupancy
Definition
The patient census divided by the number of beds on the unit.
Term
Productive Time
Definition
Time an employee actually works.
Term
Prototype Evaluation System
Definition
System for classifying in broad categories.
Term
Scheduling
Definition
Is a function of implementing the staffing plan by assigning unit personnel to work specific hours and days of the week.
Term
Staffing
Definition
  • Involves planning for hiring and deploying qualified human resources to meet the needs of a group of patients.

  • Is a primary responsibility of the Nurse Manager.

  • Is about patient safety and positive healthcare outcomes and experiences.
Term
Staffing Plan
Definition
The conceptual approach of accomplishing the work to be done on a given unit.
Term
Staffing Regulations
Definition
Licensing regulations required by the state department of health, usually related to the minimum number of professional nurses on a unit at a given time.
Term
Units of Service
Definition
A measure of the work being produced by the organization, such as patient days, patient or home visits, or procedures.
Term
Variable FTEs
Definition
Those full-time equivalent positions that depend on the demand for care, typically staff positions.
Term
Variance Report
Definition
A report defining the difference between the actual and projected staffing or budgeting.
Term
Workload
Definition
The amount of work distributed to a person or unit for a given time period.
Term
AHRQ Nurse Staffing Model
Definition
  • Agency for Healthcare Research and Quality (AHRQ) conceptual frmework illustrating the complex relationships between nurse staffing and the quality of patient care.

  • Considers the impact of patient and hospital factors, nurse staffing, nurse characteristics, nurse outcomes, medical care, and organizational factors on patient outcomes.

 

Term
HPPD
Definition
Hours Per Patient Day required to provide the necessary care for patients on the unit.
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