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

[Wyatt, Melissa]

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

Send MCOH-EH mailing list submissions to
	mcoh-eh at mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
	http://mylist.net/listinfo/mcoh-eh
or, via email, send a message with subject or body 'help' to
	mcoh-eh-request at mylist.net

You can reach the person managing the list at
	mcoh-eh-owner at mylist.net

When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


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>


[DSC08720]



-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170110/4a9915f9/attachment-0001.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 5416 bytes
Desc: image001.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170110/4a9915f9/attachment-0001.jpg>

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

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>


[DSC08720]



-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170110/dbb83399/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 5416 bytes
Desc: image001.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170110/dbb83399/attachment.jpg>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image002.png
Type: image/png
Size: 10221 bytes
Desc: image002.png
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170110/dbb83399/attachment.png>

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

Subject: Digest Footer

---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.

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

End of MCOH-EH Digest, Vol 252, Issue 1
***************************************


This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law.  If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error.  Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.  Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare.