About productive hours per patient day?

Specialties Management

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I'm the manager of a 20 bed ortho/neuro unit and a 29 bed medical/surgery unit. My questions is what are the productive hours per patient day alotted to various units/hospitals across the nation. We just had consultants come and evaluate our productivity. They then suggested lowering our productivity based on "national benchmarks" so I was wanting to compare the real world numbers. Gather my ammunition. ANy help would be appreciated.

Does anyone have any benchmark data for HPPDs for Progressive Cardiac Units or Telemetry Units?

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Does anyone have their HPPD for L&D? Also, what formula do you use to calculate a patient day in L&D?

At our facility, HPPD is hours "worked" only (productive hours). This means if staff is paid, but not working on the unit, their hours are non productive and not included. Staff attending an education class, are non productive.

They do however include ALL staff.

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Is their a program to help in calculating Nursing Hours Per Patient Day.

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There isn't a program per se, since each facility may define hours differently. At our facility we use only "productive" hours. We total all productive hours for the unit, (this includes the director) and divide by the number of patient days. This gives us hours worked per unit of service, or "Nursing Hours Per Patient Day".

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Specializes in Heme/Onc, Home Health, Geri, Mgt.

This is my first post and unfortunately I am answering a question with a question:

I am well-versed on hppd from my years of management at an acute care facility and then a SNF. Currently I am six months into a director of nursing position at a community-based health clinic. Here we see the walking well, Mon-Fri 8-5, yet staff will be staff, and are always screaming for more help! I am searching for some kind of hppd for our clinic. Our measurable statistic is "encounters" or "visits" with providers. I went to our state organization but found they measure by nursing staff/provider. This makes no sense to me since our nursing productivity should be based on how many patients we actually process through our clinic doors each day.

Any one out there have any info on hppd for my clinic? We are a large department-I have 80 staff so we're talking lots of $ in salaries.

Thanks!

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I did not see an answer about staffing according to acuity. Any takers? Do you have the ability to flex up and down?? What if in an ICU or telemtry unit your acuity stays very high?

What is the tool that you are benchmarking against? Is it something that can be found on line?

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anyone have any info on staffing and nurse:patient ratios for psych?

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Mr. "RNPATL",

Dude, you're awesome. I can't count how many postings I've read from you that were soooo helpful. There was absolutely no orientation to my management postition when I started 1 1/2 year ago as the manager had quit months before and the Nurse director was filling in while doing her job. Thank you for all your advice, and for god's sake, please keep reading and posting. You are a tremendous help in explaining the basics!!

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Specializes in Nursing Education.

Thank you for the kind words. Unfortunately, I have not had much time to be on the board and I miss not being here a great deal. But thanks again for your nice words and I promise that I will keep posting! You keep posting too and welcome to the board!

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Specializes in Emergency Room.

what about staffing in er? do you use HPPD for your ER?

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Specializes in TCU,ICU,OHRR,PACU,5Solid Organ Transplan.
I run a 40 bed unit (med-surg) and my productive hours are 7.80 ... these hours are good, but they include my hours, education as well as new graduate training. So, if you take away all these expenses each payperiod .... I am probably actually running a productive hours base of 6.8 or less and it is hard to meet patient needs with that!

What's your ratio?

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Specializes in TCU,ICU,OHRR,PACU,5Solid Organ Transplan.

Our med surg department has 85 beds spread in to 5 units. Navagant came and "suggested" we lower our hppd to 7.5. Of course we were held accountable to that number. Forget it!! By the time you enter all team members, 1 director, 2 managers, 1 charge nurse and an educator?? When we are full and running full staff, we can't hit 8.0

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