[MCOH-EH] EH Staffing

[Long, Gwen]

*         850  Employees students, contractors  =  EH Staffing - 1 PA-C @ 80%

We have 850 employees and I was hired for EH/IC/IP/Vaccines/Safety/L&D for 3 days a week, FTE 60%.  After 6 years of frustration, my FTE was increased to 4 days a week 80%, and they added 2 more major programs onto my job description.  I had a Admin Assistant but she was reassigned to a VP.  Many of my EH/IP colleagues seem to feel the same but since we do not generate revenue, it is hard to get attention.  Since we are so good at PREVENTION of injuries, illnesses, and accidents, it is hard to provide solid numbers of how much $$ our job position is worth, or saves.
Also being a mainly female profession does not help.
I do enjoy my job but it is hard being a department of ONE, reporting to all the managers regarding their needs. 

Just my 2 cents.
Gwen Long, PA-C
Madison, WI


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Sent: Tuesday, January 10, 2017 9:04 AM
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Subject: MCOH-EH Digest, Vol 252, Issue 1

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Today's Topics:

   1.  EH Staffing (Boruff, Lisa J. (IHS/PHX))
   2. Re:  [External]  EH Staffing (Sampson, Deborah)


----------------------------------------------------------------------

Message: 1
Date: Tue, 10 Jan 2017 14:39:35 +0000
From: "Boruff, Lisa J. (IHS/PHX)" <Lisa.Boruff at ihs.gov>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] EH Staffing
Message-ID:
	<23eaf94834c84781afed4c79e96e1dc8 at IHSRCKCESEXDN2.d1.na.ihs.gov>
Content-Type: text/plain; charset="us-ascii"

Good Morning,

I am making an inquiry about EH Staffing and hope to learn what others are doing.  I have a sense we are understaffed  and have been asked to  find out if there is a  standard or guideline. Please share with me your staffing pattern and whether or not there is  any staffing guidance.


*         1400  Employees students, contractors  =  EH Staffing - 1 RN

Thank you
Lisa

Lisa Boruff RN, MSN, CIC
Infection Prevention and Control Specialist, Supervisor

Phoenix Indian Medical Center
4212 N 16th St.,
Phoenix, AZ  85016
Office: 602-263-1519
Cell: 602-819-1816
Fax: 602-263-1593
lisa.boruff at ihs.gov<mailto:lisa.boruff at ihs.gov>


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Message: 2
Date: Tue, 10 Jan 2017 15:03:55 +0000
From: "Sampson, Deborah" <Deborah.Sampson at snhhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External]  EH Staffing
Message-ID:
	<D482F4A6B9121A4783250D7A0FEE17A52FF8C4EC at IFMBOX1V.snhmc.org>
Content-Type: text/plain; charset="iso-8859-1"

Hello Lisa
I just had the conversation about this with my boss 5 minutes ago.

When I researched this last year, I could find nothing.
Our facility participates in Truven reporting.

2015 data report from Truven identified the following:

?         Sample size of 31 -37 facilities reporting

?         Of those reporting, the data noted:

o   Average 9,588 visits to EHS

o   Average EHS FTE is 2.42

o   Average paid employees 1,745 covered by EHS

Now a simple breakdown and analysis demonstrates to anyone with some data savvy that this information cannot possibly be accurate-much less for determining staffing levels per patient visit.
Moreover, the determinants for reporting the data and 'case' definition for what constitutes a 'visit' were not provided for those of us doing the reporting.

So I think the data is VERY sketchy but our finance department is focusing on the fact that we have 3.12 FTEs and only have ? the number of visits of the 'average' facility in the Truven report.

To try to increase ONE FTE I have produced significant justification over the last year:

?         productivity data by visit type,

?         time studies by type of visit,

?         data on # of phone calls and

?         total minutes of phone work per month (we have a computerized phone system that produces that data for us in one 5 minute request)

?         record keeping and required reporting time data

?         administrative time including

o   meetings

o   policy revision

o   staff ed and orientation

o   personnel task by administrator

o   finance processes

?         Documentation of potential for patient care, financial and documentation errors AND increased risk to organization and employees r/t poor staffing level

?         Staff burnout concerns

?         etc etc etc

All to no avail.

I look forward to others thoughts.

Deb
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]



From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Boruff, Lisa J. (IHS/PHX)
Sent: Tuesday, January 10, 2017 9:40 AM
To: 'mcoh-eh at mylist.net'
Subject: [External] [MCOH-EH] EH Staffing

Good Morning,

I am making an inquiry about EH Staffing and hope to learn what others are doing.  I have a sense we are understaffed  and have been asked to  find out if there is a  standard or guideline. Please share with me your staffing pattern and whether or not there is  any staffing guidance.


?         1400  Employees students, contractors  =  EH Staffing - 1 RN

Thank you
Lisa

Lisa Boruff RN, MSN, CIC
Infection Prevention and Control Specialist, Supervisor

Phoenix Indian Medical Center
4212 N 16th St.,
Phoenix, AZ  85016
Office: 602-263-1519
Cell: 602-819-1816
Fax: 602-263-1593
lisa.boruff at ihs.gov<mailto:lisa.boruff at ihs.gov>


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