Failing to control costs can do what? - Answer-sink a healthcare organization
Fixed costs do what as the census changes? - Answer-Do not change
What type of cost should raw food costs be? - Answer-Variable cost
costs that accrue over a specific span of time are called - Answer-Period costs
what is one of the most common ways to examine labor costs and staffing - Answer-HPPD formula=
Hour per patient day
what does FTE stand for? - Answer-Full time equivalent of 1 employees productive and non-productive
time usually 40 hours
reasons to avoid nursing pools/agencies - Answer-1. nursing pools are expensive
2. hiring outside of the organization takes away from the continuity that must exist to continue
providing excellent nursing care
3. They aren't as invested in the facility as some of the regular nurses are
,4. They sometimes make more money than regular nurses so you could lose some staff to agencies
what might a high rate of absenteeism indicate? - Answer-1. the need for over time hours and nursing
pools
2. greater amounts of stress for the workers who cover for those who are absent
3. anger from other employees
4. financial problems for the facility
5. demoralization within the workplace
what are some of the direct financial costs associated with turnover? - Answer-training and recruitment
costs
Fixed cost - Answer-Fixed costs do not vary
example: salaries of department managers
variable cost - Answer-variable costs vary
example: supplies
what makes a cost a variable? - Answer-a cost is only a variable if it is managed and adjusted as changes
in the cost drivers or activity drivers change
Step fixed cost - Answer-half fixed/half variable
example: staffing
what percent of an average budget is spent of staffing in long term care - Answer-60-70%
, what does is mean if CNA's are working short? and what are consequences of this? - Answer-1. It means
they are short staffed, they have to do more in less time. This is bad because it can affect the quality of
care given and resident's quality of life
2. turnover and potential surgery citations
what are minimum staffing requirements in WI for nursing in SNFs? Federal minimums? - Answer--
Federal minimum is not specified needs to be sufficient enough to provide care.
- State minimum: 13 states have minimums number but these are dated.
- PPD calculations here for minimum SNF has to have 2.50
what does a patient day mean? - Answer-add up the daily census for days and multiply by the number
of days in a period.
what are some typical nursing PPD benchmarks in the chippewa valley - Answer-average is 3.5 PPD
what are some benchmark floor staffing ratios for nursing employees in SNFs? - Answer-Day PM NOC
LPN/RN 1:25 1:25 1:50
CAN 1:6-8 1:10-12 1:20-25
what are some comparative benchmarks for staffing and other costs for typical SNF departments -
Answer-- Dietary staff
- Dietary food and supplies
- Housekeeping
- Laundry
- Maintenance
what are benefits or disadvantages to staffing CNAs or other employees on 7.5 versus 8 hour shifts -
Answer--save company money
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