Sturdy Health - Emergency Department

Acute Care
Emergency Department
Emergency Department
Variance Info
Current Posted Planned Worked Hours Per Patient Visit 2.34
Actual Worked Hours Per Patient Visit 2.21
Variance -0.13
% Variance from Budget -5.56%
 
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  
Lower patient care needs than planned  
Staff vacancies X
Adjusted for patient care needs  
Minimum fixed staffing requirements  
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
Actual volume 3.54% above budgeted/expected volume Unexpected RN/UAP Long Term Illness/Leave of absence = 1840 hours (loss of productive hours)
 
Additional Comments
We have implememted a two tierd incentivised per diem sturcture as a recruitment tool to increase the availability of experienced per diem emergnecy nurses. This measure has increased the per diem pool to offset unexpected staffing shortages in late FY15 and FY16. Currently have 2 FTE RN in orientation.

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