One of the many challenges facing healthcare organizations relates to nurse staffing. Many healthcare organizations utilize financial tracking tools to predict nurse staffing levels. For example, conventional financial tracking tools provide staffing estimates for one or more departments within the organization based upon historical data which relate worked nursing hours to a patient census carried by the department during those hours.
Conventional staff prediction tools suffer from a variety of deficiencies. As provided above, healthcare organizations utilize financial tracking tools using historic data to predict nurse staffing levels. However, healthcare organizations can experience variations in patient census and patient acuity levels over a relatively short time duration. Accordingly, in certain situations, the patient care needs can exceed the capacity of the nursing staff Inadequate staffing levels can lead to dissatisfaction among staff members.
Studies have shown that adequate levels of nurse staffing can increase patient safety. However, leaders have had difficulty articulating the need for adequate nurse staffing levels to meet the acuity needs of various patient populations in an objective and statistical manner. For example, the Guidelines for Professional Nurse Staffing for Perinatal Units by the Association of Women's Health, Obstetrics, and Neonatal Nursing (AWHONN, 2010) provide staffing recommendations based on patient acuity. However, the published staffing guidelines are complex and typically not well understood by healthcare administrators or executives.
By contrast to conventional staff estimation tools, embodiments of the present innovation relate to a staffing and patient acuity tool. In one arrangement, a healthcare staffing device is configured to receive patient census information via a graphical user interface (GUI) for a variety of patient acuity (e.g., severity of illness) types handled by a department within a healthcare organization. Based upon application of staffing guidelines to the patient census information, the healthcare staffing device can provide real-time recommendations for staffing needs of the department over a given time period.
The healthcare staffing device provides an easy-to-use frontline tool that gives the user the ability to compare the department's staffing levels with known, published staffing guidelines. As such, the healthcare staffing device mitigates the need for healthcare administrators or executives to be involved with staffing decisions or to understand complex guidelines. Further, the healthcare staffing device can track a department's ability to adjust their staff resources to match the patient volume and acuity levels in real time. Also, information provided by the healthcare staffing device can be used to improve the efficiency of resources, to advocate for additional resources, and to accurately and objectively capture the activity of the department.
In one arrangement, embodiments of the innovation relate to a method for assigning staffing levels in a healthcare staffing device. The method includes displaying, by the healthcare staffing device, a set of patient acuity types associated with a department of a healthcare organization; receiving, by the healthcare staffing device, patient census information and patient acuity information for each patient acuity type of the set of patient acuity types associated with the department of the healthcare organization; applying, by the healthcare staffing device, staffing guidelines to the patient census information and patient acuity information for each patient acuity type; and outputting, by the healthcare staffing device, a staffing level indicator for the department of the healthcare organization based upon application of staffing guidelines to the patient census information and patient acuity information for each patient acuity type.
In one arrangement, embodiments of the innovation relate to a healthcare staffing device, comprising a controller having a memory and a processor, the controller being configured to display a set of patient acuity types associated with a department of a healthcare organization; receive patient census information for each patient acuity type of the set of patient acuity types associated with the department of the healthcare organization; apply healthcare staffing device, staffing guidelines to the patient census information for each patient acuity type; and output a staffing level indicator for the department of the healthcare organization based upon application of staffing guidelines to the patient census information for each patient acuity type.
The foregoing and other objects, features and advantages will be apparent from the following description of particular embodiments of the innovation, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of various embodiments of the innovation.
Embodiments of the present innovation relate to a staffing and patient acuity tool. In one arrangement, a healthcare staffing device is configured to receive patient census information via a graphical user interface (GUI) for a variety of patient acuity types handled by a department within a healthcare organization. Based upon application of staffing guidelines to the patient census information, the healthcare staffing device can provide real-time recommendations for staffing needs of the department over a given time period.
The healthcare staffing device provides an easy-to-use frontline tool that gives the user the ability to compare the department's staffing levels with known staffing guidelines. As such, the healthcare staffing device mitigates the need for healthcare administrators or executives to be involved with staffing decisions or to understand complex guidelines. Further, the healthcare staffing device can track a department's ability to adjust their staff resources to match the patient volume and acuity levels in real time. Also, information provided by the healthcare staffing device can be used to improve the efficiency of resources, to advocate for additional resources, and to accurately and objectively capture the activity of the department.
In one arrangement, the staffing engine 104 is configured to apply staffing guidelines 112 to the patient census 114 and patient acuity 116 information in order to identify staffing levels 150, such as nursing staffing levels, for a department 115 of a healthcare organization 110. The staffing guidelines 112 can provide suggestions regarding optimal staffing levels based upon the patient census and acuity for a department 115. For example, the staffing guidelines 112 (e.g., nursing staffing guidelines) can indicate that, in the presence of a given number of patients with a particular severity of illness, the department 115 should utilize a certain number of healthcare workers (e.g., nurses). With application of the staffing guidelines 112 to the patient census 114 and patient acuity 116 information, the staffing engine 104 can predict a department's staffing needs over a given timeframe.
In one arrangement, the staffing engine 104 is configured to utilize a set of staffing guidelines 112 in order to identify staffing levels for a single department 115 of a healthcare organization 110. A healthcare organization 110 can include multiple departments (e.g., surgery, trauma, obstetrics, etc.) where each department 115 has its own unique set of staffing guidelines which can identify optimum staffing levels based upon the patient census and acuity for that department. For example, a maternity/obstetrics department within the healthcare organization 110 can utilize, as the staffing guidelines 112, the Guidelines for Professional Nurse Staffing for Perinatal Units provided by the Association of Women's Health, Obstetrics, and Neonatal Nursing (AWHONN, 2010). However, a surgical department within the healthcare organization 110 can utilize a separate and distinct set of surgical staffing guidelines 112. Accordingly, in one arrangement, in order to apply the appropriate staffing guidelines 112 to the patient census 114 and patient acuity 116 information for a given department 115, each department 115 of the healthcare organization 110 can include a dedicated healthcare staffing device 100 configured with the staffing guidelines 112 for that particular department.
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As a result of receiving the inputted patient census information 114 and associated patient acuityl16 information, the healthcare staffing device 100 can predict staffing levels for the department 115 in substantially real time. For example, the healthcare staffing device 100 can display the staffing levels as part of the GUI 108.
In element 202, the healthcare staffing device 100 displays a set of patient acuity types 130 associated with a department 115 of a healthcare organization 110. For example,
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In one arrangement, when applying the staffing guidelines 112 to the information 114, 116, the healthcare staffing device 100 can compare the patient census information 114 and patient acuity information 116 with the staffing guidelines 112 to identify the staffing needs of each unit of the department 115. For example, with reference to the first time division 136-1, assume the case where the patient acuity information 116 identifies “OB Triage—Unstable Patients” as the patient acuity type 130 and the patient census information 114 identifies three patients for that patient acuity type 130. With the AWHONN staffing guidelines identifying one nurse for one patient, the healthcare staffing device 100 can provide a recommendation of three nurses to care for the three patients classified as “OB Triage—Unstable Patients” during the first time division 136-1.
In one arrangement, by applying the staffing guidelines 112 to the patient census information 114 and patient acuity information 116, the healthcare staffing device 100 can identify recommended staffing level indicator values 142 for the department 115 on a per unit basis (i.e., for each of the OB triage unit 120, labor and delivery unit 122, etc.) and on a per time division 136 basis. For example, with reference to
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In one arrangement, the healthcare staffing device 100 is configured to provide productivity measurements related to the patient census information 132 for each patient acuity type 130. For example, healthcare staffing device 100 can provide nurse-patient ratios 160 and worked hours per equivalent patient day (WHPPD) 162 values as part of the GUI 108.
With this process, the healthcare staffing device 100 is configured to provide a real-time recommendation of staffing needs for a department 115 for each time division 136, or shift, of the time period 138. User interaction with the GUI 108 is relatively non-labor intensive and, as such, the healthcare organization 110 can provide staffing recommendations as it receives the patient census values 132 for each patient acuity type 130. Further, the healthcare staffing device 100 can provide dynamic recommendations for staffing needs as it receives updated patient census values 132 for each patient acuity type 130 during the time period 138.
In one arrangement, the healthcare staffing device 100 is further configured to collect and store the staffing level indicator 150, along with additional information, over a series of time periods 138 for the department 115. For example, for each time division 136 of the time period 138, the healthcare staffing device 100 can store the patient census information 114, patient acuity information 116, and the calculated staffing level indicator 150 as part of a database 117. In one arrangement, for each calculated staffing level indicator 150 stored in the database 117, the healthcare staffing device 100 is configured to store an associated actual staffing level indicator 152. For example, when the GUI 108 displays the staffing level indicator 150 for each patient acuity type 130 and each time division 136, the GUI 108 allows the operator to enter the actual number of staff members (e.g., nurses) assigned to the patients, as well as hours worked, in light of the recommendation. The GUI 108, in turn, provides each entry to the healthcare staffing device 100 as the actual staffing level indicator 152.
The healthcare staffing device 100 can access the database 117 to generate a variety of staffing reports 161. For example, with reference to
In another example, based upon the collection of information for the department 115 over successive time periods (e.g., days, months. etc.) 138 in the database 117, the healthcare staffing device 100 is configured to detect staffing level trends 154 for the department 115 and to generate a staffing trend report 151.
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The staffing trend reports 151 can be configured to provide a variety of types of information. In one arrangement, as indicated in
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In one arrangement, after generating and providing the staffing trend report 151 to the GUI 108, the healthcare staffing device 100 can be configured to receive feedback information regarding aspects of the report 151 from the end user via the GUI 108. For example, with reference to
In one arrangement, the healthcare staffing device 100 can be configured to predict staffing levels for the department 115 based upon the patient census information 114 for each patient acuity type 130 over the successive time periods 138. For example, with reference to
With the healthcare staffing device 100 having developed the training data set 302 for a particular department 115, the machine learning engine 300 can train a statistical function 304 with the training data set 302 to generate a staffing prediction model 306. For example, the machine learning engine 300 can fit a statistical function 304, such as a Random Forest, neural network, or deep learning function to the training data set 302 to develop the prediction model 306.
Once developed, the machine learning engine 300 can utilize the model 306 to predict future behavior of the department 115 during subsequent time divisions 136 in response to receiving additional or updated patient census 114 or patient acuity 116 information. In one arrangement, based upon the application of updated patient census 114 or patient acuity 116 information to the model 306, the machine learning engine 300 can identify a predicted staffing level 308 from the staffing prediction mode 306 where the predicted staffing level 308 indicates a staffing level for the department 115 of the healthcare organization 110 for at least one of a subsequent time division 136 and a subsequent time period 138.
For example, based upon use of the model 306, the machine learning engine 300 can identify time divisions 136 which are typically understaffed and can transmit the predicted staffing level 308 as a prediction notice to the GUI 108 which provides a recommendation regarding staffing levels for subsequent time divisions 138. In another example, the machine learning engine 300 can receive additional or updated patient census 114 or patient acuity 116 information and can apply the information 114, 116 to the model 306 to predict the patient acuity types 130 to be experienced by the department 115 for a given time of day, time of week, or time of year. Since the model 306 is developed in light of known staffing guidelines 112, such as
AWHONN staffing guidelines, predictions resulting from application of the model can also be considered as compliant with such staffing guidelines.
As provided above, each department 115 can include its own healthcare staffing device 100. In such a case, the single healthcare staffing device 100 can display a GUI 108 which identifies patient census 114 and patient acuity 116 information for all units within the department 115. In one arrangement, in the case where the healthcare organization is relatively large, healthcare staffing device 100 can divide the GUI 108 into different components and can provide each component to separate displays 106 within the department 115.
For example, with reference to
Following this identification, the healthcare staffing device 100 can divide the GUI 108 into components based upon the identified units and can direct the GUI components to the corresponding displays 106 in the units 360, 362. For example, the healthcare staffing device 100 can provide a first GUI component 108-1 identifying a labor, delivery, and recovery model to a first display 106-1 in the labor, delivery, and recovery unit 360 and can provide a second GUI component 108-2 identifying a post-partum and newborn nursery model to a second display 106-1 in the post-partum and newborn nursery unit 36. As such, the healthcare staffing device 100 displays the set of patient acuity types 130 associated with each respective unit 360, 362 of the healthcare organization 110. During operation, an operator, such as a nurse manager, for each respective unit 360, 362 can provide patient census information 114-1, 114-2 and patient acuity information 116-1, 116-2, respectively, for each patient acuity type 130 associated with that unit 360, 362 to the healthcare staffing device 100. The healthcare staffing device 100 can then apply staffing guidelines 112 to the patient census information 114-1, 114-2 and patient acuity information 116-1, 116-2 for each unit 360, 362 and output a corresponding staffing level indicator 150-1, 150-2 for each patient acuity type 130 associated with each unit 360, 362 of the healthcare organization 110.
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As provided above, a healthcare staffing device 100 is utilized to collect patient census 114 and patient acuity 116 information for a given department 115 a healthcare organization 110. However, a more global collection process can be utilized. For example, with reference to
As provided above, the healthcare staffing device 100 can generate and output a staffing report 161 which offers insight into the staffing and operation of the department 115 during the course of the month. In one arrangement, the healthcare staffing device 100 can generate a variety of reports. For example, these reports can provide a user with real-time information to flex nursing resources appropriately and safely. Additionally, the reports can provide nursing productivity information (i.e., nursing ratios which identifies the number of patients per nurse) over any time period to allow an end user to make longer-term operating decisions with respect to the department 115, such as to increase or decrease number of budgeted nurses. The reports can also be used to provide information used to improve the efficiency of resources within a department, to advocate for additional resources, and to accurately and objectively capture the activity of the department 115.
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While various embodiments of the innovation have been particularly shown and described, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the innovation as defined by the appended claims.
This patent application claims the benefit of U.S. Provisional Application No. 62/816,092 filed on Mar. 9, 2019 and entitled “Staffing and Patient Acuity Tool,” the contents and teachings of which are hereby incorporated by reference in their entirety.
Number | Date | Country | |
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62816092 | Mar 2019 | US |