How do you analyze and compare the productivity of the two nursing units (for each productivity ratio and indicate which unit is more productive) with respect to:
Adjusted nursing hours per adjusted discharge
Nursing salary expense per adjusted discharge
Percentage of adjusted nursing hours in direct patient care
Table EX 9.10Unit 1Unit 2Measurement200,000Annual Hours Worked (paid)175,00015,000Annual Patient Days12,0005Average Length of Stay (days)6Distribution of PatientsPatient ClassificationDirect Care HoursUnit 1Unit 2Low-Level Care2.00.200.25Medium-Level Care4.50.400.55Medium-High-Level Care6.00.300.15High-Level Care8.50.100.05Skill Mix DistributionRNs ($35/hour)0.401.00LPNs ($20/hour)0.300.00NAs ($14/hour)0.300.00Assume that 1 LPN = 0.80 RN and 1 NA = 0.60 RN.
Statistical Data for Nursing Unit A in HADM Memorial Hospital Using the data provided in Table EX 9.5 , calculate the following ratios and compare them to the benchmark values of a peer group shown in brackets “ [ ] ” :
a. Case – mix index [1.20]. Does Unit A serve more severe patients?
b. Adjusted Nursing Hours per Adjusted Discharge [32.81]. What would be the reasons for the difference between Unit A and the benchmark productivity ratio?
c. Nursing Salary Expense per Adjusted Discharges [1,294.27]. What steps would you take based on this ratio?
d. Percentage of Adjusted Nursing Hours in Direct Patient Care [.64].