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How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics

How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics . Penny Moore MSN RN OCN Director of Nursing Infusion Services Kevin Turner MSM-HCA BSN RN Clinic Nurse Manager. Previous Workload Measurement. Visionware Productivity M odel

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How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics

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  1. How Many Nurses Do We Need? Developing an Acuity Tool for Ambulatory Infusion Clinics Penny Moore MSN RN OCN Director of Nursing Infusion Services Kevin Turner MSM-HCA BSN RN Clinic Nurse Manager

  2. Previous Workload Measurement • Visionware Productivity Model • Productivity goal of 100% • Based on billable charges • “Nursing Time” associated with each charge- established by Infusion Nurses • Drawbacks: • Unable to capture unbillable vital nursing care  inaccurate picture of workload • Inability to justify addition of needed positions

  3. Striking a Balance

  4. Moving to an acuity based staffing model…why make the change? • Increased support of: • improved nurse to patient ratios • relationship based care • primary nursing

  5. How can we justify additional nursing needs with data?

  6. Ambulatory Infusion Acuity Tool- PilotDevelopment

  7. Data Collection Tool

  8. Data Collection Tool

  9. How the pilot worked • Updated acuity and number of hours worked by nursing submitted to finance

  10. Lessons Learned

  11. Increased productivity…..did it matter?

  12. What the acuity model demonstrated

  13. Thank You: 2 James Staff, Kevin Turner, Sara Vetter, Ronny Suwignjo and Ting Chen

  14. References Buswell, L. , Reid Ponte, P., & Shulman, L.. (2009). Provider practice models in ambulatory oncology practice: analysis of productivity, revenue, and provider and patient satisfaction. Journal of Oncology Practice 5(4). 188-192. de Raed, J., Gool, K., Haas, M., Haywood, P., Faedo, M., Gallego, G., Pearson, S., & Ward, R. (2010). Nursing takes time: workload associated with administering cancer protocols. Clinical Journal of Oncology Nursing, 14(6). 735-741. DeLisle, J. (2009). Designing and acuity tool for an ambulatory oncology setting. Clinical Journal of Oncology Nursing, 13(1), 45-50. Dickson, K., Cramer, A. & Peckham C. (2010). Nursing workload measurement in ambulatory care. Nursing Economics 28(1). 37-43. Hawley, E., & Carter, N. (2009). An acuity rating system for infusion center nurse staffing. The Cleveland Clinic Cancer Center Hillcrest Hospital experience. Oncology Issues. November/December 34-37.

  15. Thank You To learn more about Ohio State’s cancer program, please visit cancer.osu.edu or follow us in social media:

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