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Nurse Staffing and Quality of Care: Case-mix for Emergency Care Carole Bingley Chamberlain College of Nursing NR552: Economics of Healthcare Policy Dr. Poirier August 12, 2018 £4.23   Add to cart
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Nurse Staffing and Quality of Care: Case-mix for Emergency Care Carole Bingley Chamberlain College of Nursing NR552: Economics of Healthcare Policy Dr. Poirier August 12, 2018

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Nurse Staffing and Quality of Care: Case-mix for Emergency Care Carole Bingley Chamberlain College of Nursing NR552: Economics of Healthcare Policy Dr. Poirier August 12, 2018

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  • May 9, 2022
  • 5
  • 2021/2022
  • Case
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  • 2018
  • nurse staffing and quality of care case mix for emergency care carole bingley chamberlain college of nursing nr552 economics of healthcare policy dr poirier august 12

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Running head: NURSE STAFFING AND QUALITY OF CARE




.
Nurse Staffing and Quality of Care: Case-mix for Emergency Care

Carole Bingley

Chamberlain College of Nursing

NR552: Economics of Healthcare Policy

Dr. Poirier

August 12, 2018




This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 15:03:34 GMT -05:00


https://www.coursehero.com/file/32854191/Week-6-DQ-Nurse-Staffing-and-Quality-of-Caredocx/

, NURSE STAFFING AND QUALITY OF CARE 2




The Emergency department normally experiences a surge in the number of patients. The

clinical stability of patients varies considerably. To provide optimal care for patients a more

flexible and responsive staffing pattern is required. In delivering high-quality and timely care in

the Emergency Department, correct staffing is essential. A combination of the increased number

of patients and shortage of nurses in the Emergency Department has resulted in the formulation

of a number of staffing models (Gedmintas et al., 2010). This paper will, however, address the

case-mix model which quantifies the type and number of patients or diseases that a nurse attend

to or treat (Harrington & Swan, 2003).

Case-mix uses diseases as the main criterion for measurement because it forms the

primary reason for consuming hospital services (Harrington & Swan, 2003). This system puts

patients into categories based on acuity, need or dependency. Then, the service provided to the

patients and the required time for each service by each nurse is computed. From here, average

nursing resources needed per-patient in each shift is established (Harrington & Swan, 2003). This

helps establish the required number of nursing resources. It can be used to establish whether

there is a shortage hence more recruitment (Harrington & Swan, 2003). This can produce

sufficient staffing to provide quality care. Direct measurement of output can produce positive

patient outcome as adjustments to increase efficiency can be made. (Harrington & Swan, 2003).

It can also be used to contain costs because it ensures out-put based reimbursement (Twigg et al.,

2015). Diseases based grouping ensures consistency in payment (Twigg et al., 2015).

To conclude, the case-mix model helps quantify diseases against the available nursing

resources hence it becomes easy to identify nursing shortage or surplus. This facilitates nursing

staffing. It is also based on the output which helps in containing costs and improving patient


This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 15:03:34 GMT -05:00


https://www.coursehero.com/file/32854191/Week-6-DQ-Nurse-Staffing-and-Quality-of-Caredocx/

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