Published Sep 17, 2003
I've work for/been involved with several HHA's in the past 15 years. The visits per day expectations have not changed in this area of the country (northeastern North Carolina), despite OASIS, OBQI and all the rest of changes that have added paperwork time. It's generally six visits per day, or 30 visits per week. Admissions are factored into the overall number.
I'd like to know how other agencies define productivity, and if any adjustments have been made over the past few years.
renerian, BSN, RN
5 to 6 was the expectation but an open counted for 2. A recert/dc/ROC was 1.5 in the point mix. Does your agency have a formula to increase the points for those items?
We allow 2 points for an admission and 1 point for meetings.
OHHH I like the point for meetings! renerian
I work in rural Western Ky, right at the edge of KY Lake
Our agency allows 1 point for visit, 3 for admit, 2 for ROC/SCIC/recert or d/c, 1 for meetings and 0.5 for SV only. Our expectation is 6/day and if we drive over 300miles per week 1 point, 360 2points, 400 3 points..... I usually aveage 100 miles a day, but I cover one county as the only nurse. We also get 1 point for back up call, 6 points if we have to triage/visit on call for 24 hour period (the oncall nurse is sick or on vacation) and 1 point per day if we precept a new employee. How do other agencies define productivity?
sphinx, BSN, RN
We don't have any type of weighted productivity at all, meaning an opening counts the same as a revisit. Generally if you do 5 visits most days, and throw in 6 a couple other days, you make productivity. The problem is when patients drop off due to MD appointments they never told you about, or a myriad of other reasons.
We have recently gotten better at picking up productivity. Before, when a pt dropped off, the nurse would just go on with their day. Now they call and take back a pt they'd given off, move a pt from another day, or we can help another team with their patients. We still have room for improvement. Funny how the caseloads grow and grow, but productivity can still be in the toilet.
Sphinx is that you in the avatar? Just wondered. If not who is it??? I do not know if your male or female LOL.
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