Productivity Expectations for Rural Areas

[mousie]

Hi Everyone!

I have been in home care for 10 years and am presently a Director. I am attempting to walk that fine line of productivity, playing fair (yes, I do care about the field staff and I'm not crazy - yet! ) and still maintain financial stability. I've worked as a field nurse (yes, recently) and know how long that dreaded paperwork can take, as well as how long it takes for laptops. I am interested in knowing visit expectations for RN's and LPN's/LVN's, as well as how Admits, Resumptions of Care, Recerts, SCIC's and Discharges are counted. (We presently count Admits as 2 visits and ROC's as 1.5) I would also be interested in your average daily mileage. How many of you use field RN's as Case Managers and what is the average caseload? Sorry for all the questions.

[homehealth43130]

We utilize case managers and visit nurses. Case managers carry a caseload between 30 to 35, but do not have any productivity expectations, we are interested in quality not quantity. They do the majority of the OASIS visits. The visit nurses have a productivity of 6 per day. SOC/ROC and recerts = 2, discharges = 1.5. They get credit for 1 patient for every 60 miles driven. We are both rural and urban. We have moved all the non-skilled visits - aides only to a case manager who opens and recertifies and performs the supervisory visits. We implemented this system fully in January, and it is working as envisioned with staff satisfaction.

[renerian, BSN, RN]

43130 I like your scale and expectations. I don't suppose your in Ohio are you?

renerian

[homehealth43130]

Yes we are

[mousie]

Sorry, I'm not in Ohio. Thanks for everyone's input. I will keep checking.

[DutchgirlRN, ASN, RN]

Full time is 30 patients per week. Admits, Recerts and Resump's each count as two visits. The only Oasis we do are for Medicare and Tricare. The rest are non-oasis. 90 % of our patients are non-oasis. We have no case managers.

Each nurse works only in her own area which greatly cuts down on mileage. I've traveled approx 3,800 miles in 5 months working full-time. I'm actually PRN but working seeing as many patients as the full-time nurses. We have scan med paperwork which isn't too time consuming. I have to keep up with my paperwork everyday or I'd get so far behind I'd never get anything turned in. I live 25 miles from the office and go in only 1 or 2 x per week.