National Standard Productivity

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. 

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

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.

 

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