Boston Medical Center - Emergency Department - Observation

Acute Care
Emergency Department - Observation
Emergency Department
Variance Info
Current Posted Planned Worked Hours Per Patient Visit 8.00
Actual Worked Hours Per Patient Visit 9.95
Variance 1.95
% Variance from Budget 24.37%
 
Reason For +/- 5% Variance From Budget
No explanation required  
Fluctuating day to day census X
Lower daily census than planned  
Higher daily census than planned  
Higher patient care needs than planned X
Lower patient care needs than planned  
Staff vacancies  
Adjusted for patient care needs X
Minimum fixed staffing requirements X
Care delivery model changes  
Increased 1:1 staffing requirements  
Closure of unit  
Not admitting to beds due to staffing  
Increased census to telemetry patients  
Plan based on high needs in critical care  
Increased staff hours to facilitate admissions and discharges  
Change in patient mix  
 
Other Reasons for +/- 5% Variance
 
Additional Comments
Staffing is adjusted each shift to meet the clinical needs of the patients.

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