Productivity requirements

  1. I was wondering if anyone knows where I can locate some productivity requirement scales...The agency where I work has just come up w/ a points system but it doesn't account for travel time, IV's, Lab draws, extensive/complex wound care/wound vac, or training of new field staff!!
    I am so frustrated, that I am considering going back to hospital employment.
    An admit or post-hosp.=2pts, a d/c or recert=1.5 and re-evals & sup. visits w/
    skill=1....I suppose routine visits count as 1 as well, but they don't assign those to RN's. We have a 50 mile radius, and often except people w/in 60!
    I work 30 hrs/week, and extra on weekends. I have been told I should be doing 23 points per week...I have been doing 10 admits=20pts, and some office wk(I was actually hired to be the nurse educator/ new staff trainer. I have been training the new RN's on the computer system,and in the field while doing my 20 pts....I already take computer/paper work home, and almost never leave wk on time! I can't believe they expect more!!! Sorry for being a cry baby... Please send any productivity scales, any advice, ANYTHING!!!!!
    Last edit by mikaylamom on Feb 18, '04
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  2. 13 Comments

  3. by   ksb13
    I work in extreme Western Ky. Our agency covers 6 counties in Ky and ?3 or 4 in Southern Illinois. We have a main office and 3 branch offices. Our productivity is based on points also. Admit=3, recert, dc, scic or roc=2, revisit=1, supervisory=0.5. Meetings =1 (no matter how long or short). Back up call=1 and precepting a new employee=1 point for each day. We are expected to do 30 points per week. Travel is taken into account if you travel more than 300 miles a week. Our agency also takes any time you have to spend on things not related to pt care out of productivity...such as if you have 1/2 day doing clinical chart audits, or working on a QI project. I have been doing homehealth for 12 years and we have seen this system evolve slowly. All in all I think it is a very fair system for where we live. I am also part time, I work 3 days a week job sharing with another RN and our productivity points are pro rated. I usually am somewhere between 90-110% of productivity and between 22-26 hours, so I think it works out fairly for me. We also have 2 dedicated admission nurses and so do not do the majority of our own admits, occ we do, but not as a rule. Hope this helps some.
  4. by   mikaylamom
    Thanks for the input...your points system sounds a little more reasonable.
  5. by   renerian
    We cover 5 counties/over 120 miles end to end (limit clients though due to staff). Our point system is just like yours but our productivity is 27 down from 30. The staff get a point for team and a point for meetings. Nothing extra in points for long visits or drive time.

    renerian
    Last edit by renerian on Feb 25, '04
  6. by   Bandtogether
    Our admits = 2 points, DC 1, phone DC ZERO, ROC 2, RC 2. We travel about 30-50 miles per day. Our Case managers, if they have 20 pt's or more only need 4 points/per day. But, when our admits take 4 hours (non computer) from start to finish, 2-3 hours of case mgmt in the morning, that pretty much sucks up your time and then we still would have to see 2 more pt's.

    How long does it take you all from start to finish to complete an admit including driving time?
  7. by   Reborn
    Gee, I KNEW I was being abused.

    June 2001-Aug 2002, I worked full-time (salary) and was expected to to do least 30 per week, with only an admission or a visit over 2 hours counting as "2".
    I was also driving around 2500 to 3000 miles a month, approx 800-1200 not paid milage, due to distance of agency from my home, and the rest paid @ 31c/mi )

    Then the agency hired a nurse through an agency and were paying her per visit, divided my territory and gave her half, and when MY case load fell off some, I had to go to the agency every morning 40 miles away, even though "my" (former) territory started in my town, and take "re-assigns", when I politely tried to express my feelings to the manager I was more or less told, " tough"

    Needless to say, it didn't take me too long to find another job
  8. by   mikaylamom
    So, What's your new job like??? Is there a points system? Glad you got out of the old one! We get "trip fees" not mileage pay..it's $3/visit, not too bad except my visits are 15-75 miles each!
    Quote from Reborn
    Gee, I KNEW I was being abused.

    June 2001-Aug 2002, I worked full-time (salary) and was expected to to do least 30 per week, with only an admission or a visit over 2 hours counting as "2".
    I was also driving around 2500 to 3000 miles a month, approx 800-1200 not paid milage, due to distance of agency from my home, and the rest paid @ 31c/mi )

    Then the agency hired a nurse through an agency and were paying her per visit, divided my territory and gave her half, and when MY case load fell off some, I had to go to the agency every morning 40 miles away, even though "my" (former) territory started in my town, and take "re-assigns", when I politely tried to express my feelings to the manager I was more or less told, " tough"

    Needless to say, it didn't take me too long to find another job
  9. by   mikaylamom
    last week one of my admits was a 2 hr drive(round trip), she had a wound and needed a wound vac set-up. total admit time w/ driving, doing 485, frequency calling MD, case manager etc. was 5HRS!!! usually takes me around 2.5-3.5 hrs though, depending on the care needed etc.
    Quote from Bandtogether
    Our admits = 2 points, DC 1, phone DC ZERO, ROC 2, RC 2. We travel about 30-50 miles per day. Our Case managers, if they have 20 pt's or more only need 4 points/per day. But, when our admits take 4 hours (non computer) from start to finish, 2-3 hours of case mgmt in the morning, that pretty much sucks up your time and then we still would have to see 2 more pt's.

    How long does it take you all from start to finish to complete an admit including driving time?
  10. by   Reborn
    Quote from mikaylamom
    So, What's your new job like??? Is there a points system? Glad you got out of the old one! We get "trip fees" not mileage pay..it's $3/visit, not too bad except my visits are 15-75 miles each!
    Totally OUT of Home health!!! Finally found a decent paying office job
    But I liked helping people in their homes, I usually felt very "needed" (most times :wink2: )
  11. by   goodywhyte
    I originally found this board because my work schedule was killing me and I didn't know if it was par for the course and I was a baby or if it was too much. Regardless, my weeks were getting to be 45-50 hours long with paperwork piling. I had to do the usual admits, recerts, post hospitals, etc etc, everything except revisits. Along with alot of case management, etc etc. Anyway, I did go to the fellow there who hired me, reminding him in a very professional way that when I was hired it was to be 60/70% in office and 40/30% field. Now I'm in the office 4 hours and out 4 hours, with some late days due to distance, complicated patients, or whatever. I am now a sane and rational being. I could love my work again. It's only 3 weeks though since the change and I don't know if it will last. I do know that I will last only if *it* does. That last schedule was adding on more years than raising teenagers, having to get divorced unexpectedly, and all the rest! lol
    Now, I'm probably way in the minority of the home health field. But our company only has one full time RN (me), one 3/4 time, and 1 part time who says *no* alot. We also have 1 full time LVN and 1 part-time. No one there knows what the census is, which just slays me. But I think it's close to 90-100. I don't even know for sure if *this* is an average ratio!!!

    Nik
  12. by   ksb13
    I am not sure what our agency census is because we are so spread out, one main office and 3 branch offices, but in the branch office that is my home base, we have 4 RN positions (my partner and I share a fulltime position) and we average 22-27 pts per full time position. We have LPN availability but that fluctuates depending on private duty cases, etc and different branch needs. We are a hospital based agency and our hospital is a not for profit, so that probably makes a big difference. One of the local for profit agencies has been bought twice, in bankruptcy and is now losing staff left and right (rumor is newest buying company is overextended and closing offices). We are the oldest and the largest agency and have more specialty nurses than the other local agencies. We probably do a 50-50 mix of office and pt care for the most part. I for one love home health, but not enough to work the hours some agencies seem to require........life is too short and I have too many other things I enjoy.
  13. by   sphinx
    The agency I *used to* work at (till a week ago!) averaged their productivity per week. Productivity expectation was 5.2.......Basically a revisit was worth 1......an opening also worth 1.......same as a recert......or a ROC...or whatever. No consideration for mileage, meetings, etc. They always held up a carrot of "weighted productivity", but it never happened. I was later told they'd abandoned the idea because it would "never work". Huh? Works for other agencies!!!!!! (wonder why I don't work there any more? "Let me count the ways......").
  14. by   ksb13
    The more I read here the more I realize that I work for a very good agency. The fact that our productivity requirements have changed in response to RN/LPN input and that our agency does see pt who have no payor source, and I have a supervisor that LISTENS and tries to resolve situations in a win-win way. Makes me very grateful I work where I do and with the people I do. Our agency also makes a profit. Not a huge one, but we are in the black. No lay offs or cut backs, no decreases in salaries or benefits. I am so very grateful. Shows it can be done.

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