Jump to content

National Standard Productivity

Home Health   (1,186 Views 8 Comments)
by mukluk2 mukluk2 (New) New

592 Profile Views; 9 Posts

Is there any kind of national standard for productivity?  If not, where did your agency get their metric? 

Our agency is currently counting every visit no matter what type as 1 unit, and 1-120 miles as 0 units, 120-239 miles as one unit, and >240 miles as 2 units.  

A typical day one to two times a week is 150-170 miles, a SOC, and ROC, a recert, an oasis discharge, and one regular visit.   Other days are not quite as bad, but still much more than the 5-6 units as calculated by the metrics other people have posted for their agency. 

Anything you can provide that would help us nurses have a conversation with our management so that we aren't drowning as badly would be much appreciated. 

Share this post


Link to post
Share on other sites

1 Follower; 83 Posts; 671 Profile Views

My agency uses PPV, not points. Though I’m unsure where they get their metrics for even that.  🤔 

Share this post


Link to post
Share on other sites

Kaisu has 2 years experience.

144 Posts; 1,920 Profile Views

Start of Care is 2 points, Recert is 1.5 points, regular visit 1 point, unless more than 2 cares are required, for example, wound care and ostomy care, still 1 point, add a wound vac and now it is 3 cares and becomes 1.5 points.  60 miles is a point and fractions are calculated.  Productivity expectation is 25 points a week.  Very doable.  Great job.

 

Share this post


Link to post
Share on other sites

NRSKarenRN has 40 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion.

5 Followers; 10 Articles; 14,625 Posts; 161,349 Profile Views

There are various compensation models and productivity standards based on type of agency: profit, non-profit, urban, suburban, rural; some have mileage adjustments.  Periodically state Home Health Association meetings will query agencies re productivity standards (Urban vs rural agency) and provide information to members. Sharing info between local agency's can be viewed as violating federal antitrust regulations so called wage-fixing agreements.  From previous posts  allnurses members 5-6/day appears average- that was my average with 35 patient caseload..

Compensation Models in Home Health

2014: Fazzi State of the Industry Report- Fazzi Associates

       What are the Industry standards regarding productivity?  see page 21

 

 

 

Share this post


Link to post
Share on other sites

fsudmbRN has 10 years experience.

33 Posts; 322 Profile Views

I am PPV and we have the same basic rubric as Kaisu.... SOC- 2 units, ROCs, recert, and DC's are 1.5, routine visits are 1. Any visit over 90 minutes are 1.5. We dont get units for miles though... we get paid for each mile. Full time for us is 30 units a week. 

Share this post


Link to post
Share on other sites

31 Posts; 1,756 Profile Views

federal law says 30+ hr/wk is full time and >40/wk is OT. 

It is industry standard to call HH nurses exempt employees but this is just fraud if you have any hourly pay, even if you are primarily PPV.

every job I have had (x4) says I should work about 60 hours per week for full time status. But they say "when you get some experience you can finish in 40." 

That is true if you swallow your integrity and start looking at home health as a game of Get VS, Drive to Next Pt, Commit Fraud in Documentation.

My last job said SOC had equal value for my full time status as RV! My contract could theoretically expect me to work 120 hr to be full time. But they don't pay OT

/RANT We got a pay cut for private SOC because they bill less. Oddly, for some reason the BRN doesn't seem to say I have less responsibility if I am taking care of private patients. Oddly, for some reason we pay medline the same amount for these private Pt's supplies. Oddly, for some reason I would feel guilty if I put 75% effort into a private case. Not odd at all: they cut labor costs, and refuse to even discuss it. /ENDRANT

BUT

If they hire you full time and say "you're  not getting enough points" they can have you sign something that says you are part time (but why would you sign?!), or they can fire you. But they don't have nurses knocking down their door so...

SO

To hell with their metrics. Stop working after 40 hours unless you get over time. And I include on call in that too.

Share this post


Link to post
Share on other sites

tjean5377 specializes in med surg/onc/home care/LTC.

2 Posts; 25 Profile Views

wow. just. wow. New England here. 2 units SOC/RoC. 1 unit recert, 1 unit SN visit. mileage 66cents per mile, productivity over full time (30 units in 40 hours) $13 above visit rate ($46hr visit rate) record time/phones $36/hr. $3 shift diff for evening, beeper on top $14/hr. what you are describing is insanity. I can efficiently due 1 SOC and 4 revisits perhaps 5 revisits if quickwounds. WE DO NOT do SOC and ROC with revisits unless an admissions nurse they don't case manage. An SOC can be witha recert we know with 3 other revisits but that is stretching it. I can do 7 revisits and an SOC on a day but its a 12 hour day. I realize I don't have anywhere NEAR the mileage you do. What your describing alone without mileage is INSANE. 

 

Share this post


Link to post
Share on other sites

Svit is a LPN, RN and specializes in Home Health.

5 Posts; 109 Profile Views

TN is here. Points system. 25 per week full time. 0.75 points regular visit, 1.25 ROC, 1.5 resumption, 2.25 SOC, 0.40 c per mile gas reimbursement

 

Share this post


Link to post
Share on other sites
×