Baystate Medical Center

636 Hospital Licensed Beds
Tertiary - Academic Medical Center
Springfield 5
Adult Med / Surg Combined - Cardiac
Reason For +/- 5% Variance From Budget “X” As Many As Needed
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
Charge nurse not included in FY06 planned worked hours per patient day but included in actual. Unable to isolate hours related to role.