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.
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
yup, this exactly. see my next thread about returning to work home health in a "bottom feeder" agency. they don't get any Medicare pt because they can't get reimbursed...and yet my work done in the SOC, OASIS assessment, narrative notes, creating care plans and case management remain the exact same effort (because ETHICS) even though my compensation is crap. Boss does not have a background in healthcare and is wishing for the golden age of home health when RNs would visit 75 patients a week (as he tells it). Pigs will fly before I visit 75 patients a week.
lilu678
6 Posts
yup, this exactly. see my next thread about returning to work home health in a "bottom feeder" agency. they don't get any Medicare pt because they can't get reimbursed...and yet my work done in the SOC, OASIS assessment, narrative notes, creating care plans and case management remain the exact same effort (because ETHICS) even though my compensation is crap. Boss does not have a background in healthcare and is wishing for the golden age of home health when RNs would visit 75 patients a week (as he tells it). Pigs will fly before I visit 75 patients a week.