[MCOH-EH] MCOH-EH Digest, Vol 252, Issue 1

Thrasher, Terri Terri.Thrasher at cchmc.org
Tue Jan 10 08:02:22 PST 2017


We have 15,000 employees and over 6,000 contractors students etc..

I have 1 nurse manager, I FTE RN, 4 MA's, and 4 coordinators

I have a PA that does injury care 

It is hard to compare because we aren't apples to apples... I have a lot of technical capability.   
I get a lot of things done with coordinators.
Terri

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, 803-SAFE, Injury Management, Non CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave 
Cincinnati Ohio 45229  MLC 9006
513-636-6240



-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Wyatt, Melissa
Sent: Tuesday, January 10, 2017 10:57 AM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 252, Issue 1

I am familiar with the recommendation of 1 FTE RN in Employee Health for every 750 persons assigned though we are basically staffed at 1 FTE RN for every 1,000 persons assigned and are all very busy trying to keep up with everything. 

We are a 6 hospital system with ~ 6,500 employees in addition to the physicians, allied health, contract staff, volunteers and students that we provide services for. 



Melissa Wyatt RN BS COHN-S 

Director Employee Health/Workers Comp

205 Camden, #101, San Antonio, TX

210-297-7861 office

210-297-0094 fax

210-884-7793 cell

mwyatt at baptisthealthsystem.com









-----Original Message-----

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net

Sent: Tuesday, January 10, 2017 9:04 AM

To: mcoh-eh at mylist.net

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)





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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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