UMass Memorial Health Harrington Hospital - Pediatrics

Acute Care
Pediatrics
Pediatrics - Medical / Surgical Combined
Variance Info
Current Posted Planned Worked Hours Per Patient Day 27.42
Actual Worked Hours Per Patient Day 19.22
Variance -8.20
% Variance from Budget -29.91%
 
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  
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 X
Change in patient mix X
 
Other Reasons for +/- 5% Variance
Hours are budgeted for the unit-based educator because the institution does not have a centralized education department. Unable to carve out orientation hours, preceptor hours, council work, transporting of patients, response to emergency calls, class time (e.g. Dr. Armstrong training) QA & other performance improvement initiatives are performed by staff during their clinical work hours. Staff do after hours EKGs. Adult overflow patients are admitted to Pedi when appropriate and possible to do so. After the budget was planned and submitted, adjustments were made to patient flow processes to increase the number of adults on the Pediatric unit to make it more productive.
 
Additional Comments

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