[MCOH-EH] staffing of EHS

Sampson, Deborah Deborah.Sampson at snhhs.org
Thu Jan 12 13:50:04 PST 2017


Can you tell me where the standard of 1RN/750 employees is published?
Thanks
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





-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Wyatt, Melissa
Sent: Tuesday, January 10, 2017 10:57 AM
To: mcoh-eh at mylist.net
Subject: [External] 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




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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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