Category Archives: Health Care Workers

Improvements in Disaster Planning and Directions for Nursing Management

Source: Denise Danna, Marirose Bernard, John Jones, Pamela Mathews, Journal of Nursing Administration, Volume 39 Issue 10, October 2009
(subscription required)

From the abstract:
Since Hurricane Katrina, there have been numerous lessons learned and improvements in disaster planning and nursing management. The subsequent Hurricane Gustav allowed nurses and disaster planners to “test the system” and identify improvements that worked and did not. The authors outline those improvements and give direction for change and further improvements.

Mass Medical Care with Scarce Resources – The Essentials

Source: Department of Health & Human Services, Agency for Healthcare Research and Quality, AHRQ Pub. No. 09-0016, September 2009

From the summary:
This guide from Department of Health & Human Services’ (HHS) Agency for Healthcare Research and Quality (AHRQ) can help community planners prepare for public health emergencies, such as pandemic flu, when demand for medical resources outweighs supply. The guide includes information on ethical and legal issues, and on the provision of services to address pre-hospital, acute hospital care, alternative care sites, and palliative care during a public health emergency.

To illustrate how to apply these basic principles, the guide includes a special section on influenza pandemic preparedness. This new guide is an abbreviated version of Mass Medical Care with Scarce Resources, published by AHRQ in 2007.

MRSA Cases Drop After Facilities Agree to Self Report

Source: Sarah Kearns, HealthLeaders Media, August 10, 2009

A recent study shows the number of methicillin resistant Staphylococcus aureus (MRSA) infections found in patients located at 13 New Mexico hospitals and three state clinics was cut almost in half after the facilities agreed to self report cases.

Last year, the facilities reported 44 cases of MRSA, but after agreeing to self report the cases, the MRSA infections dropped to 27 cases. This reduction was a result of simple medical measures, such as handwashing, nasal swab tests, and segregating the infected.
See also:
New Mexico MRSA Collaborative

Why Health Reform Is the Right Prescription for Health Professionals and Their Patients

Source: Ellen-Marie Whelan, Mandy Krauthamer, Center for American Progress, October 5, 2009

From the summary:
The health care community will play an important role in the eventual implementation of health care reform legislation, but will also have a unique ability to explain to patients how health reform will impact their lives, the health of their communities, and the delivery of their health care. The public has very high confidence in health professionals to recommend the right thing. One recent survey found that 79 percent of responders had at least a fair amount of confidence in nurses’ groups, and 70 percent in doctors’ groups.

Economic Cost and Health Care Workforce Effects of School Closures in the U.S.

Source: Howard Lempel, Ross A. Hammond, Joshua M. Epstein, Brookings Institution, September 30, 2009

From the abstract:
School closure is an important component of U.S. pandemic flu mitigation strategy. The benefit is a reduction in epidemic severity through reduction in school-age contacts. However, school closure involves two types of cost. First is the direct economic impact of the worker absenteeism generated by school closures. Second, many of the relevant absentees will be health care workers themselves, which will adversely affect the delivery of vaccine and other emergency services. Neither of these costs has been estimated in detail for the United States. We offer detailed estimates, and improve on the methodologies thus far employed in the non-U.S. literature. We give estimates of both the direct economic and health care impacts for school closure durations of 2, 4, 8, and 12 weeks under a range of assumptions. We find that closing all schools in the U.S. for four weeks could cost between $10 and $47 billion dollars (0.1-0.3% of GDP) and lead to a reduction of 6% to 19% in key health care personnel. These should be considered conservative (i.e., low) economic estimates in that earnings rather than total compensation are used to calculate costs. We also provide per student costs, so regionally heterogeneous policies can be evaluated. These estimates permit the epidemiological benefits of school closure to be compared to the costs at multiple scales and over many durations.

Nurse Working Conditions and Nursing Unit Costs

Source: Barbara A. Mark, Lisa Lindley, Cheryl B. Jones, Policy, Politics, & Nursing Practice, Vol. 10, No. 2, May 2009
(subscription required)

From the abstract:
The authors examined the relationship between nurse working conditions and nursing unit costs in 210 general medical, general surgical, and general medical surgical units in 112 randomly selected U.S. hospitals. Data were collected from registered nurses (N = 3,747 and 2,878), patients (N = 2,100), study coordinators, and secondary data sources. After controlling for relevant hospital, nursing unit, and patient characteristics, the authors found that good working conditions did not increase nursing unit costs. Teaching status was associated with higher costs, whereas larger unit size was associated with lower costs. Higher proportions of registered nurses and licensed practical nurse staffing were also associated with higher costs. Patient variables were not significantly related to costs. We suggest a variety of strategies that managers may use to improve working conditions.

Estimating Costs and Benefits of School District Services

Source: Ralph A. Hanson, Fred Niedermeyer, 3RsPlus, Inc., February 4, 2009

From the abstract:
Public schools provide many services in addition to academic instruction and childcare for which they receive little credit. School nursing services is one such area, and provides important benefits to individual students and the general citizenry. However, the extent to which these services are delivered to students are seldom clearly described, and the costs of delivering them are buried deep in administrative budgets. Thus, what taxpayers are getting for their money is unknown. As a results, nursing and many other school services are easily targeted for downsizing and budget cutbacks. This is not good educational policy, and it is poor management.

The three-year study presented here was a programmatic R&D effort to help a large, urban school district develop and implement the Nursing Accomplishment Information System (NAIS), an information management system that allowed the district to (a) clearly define its nursing services, (b) track the extent to which these services were actually delivered, and (c) calculate the costs of these services. As a result, the district found, and was able to communicate its constituencies, that it was delivering an impressive array of nursing services to students in a very cost-effective manner. Thus, the study yielded an operational prototype that can be used to determine and manage the costs and benefits of any service provided by a public school district.

7 Ways that Nurse Staffing Impacts Profitability

Source: Marcia Faller, AMN Healthcare, September 23, 2009

Because quality is increasingly linked to a hospital’s financial health, adverse outcomes related to inadequate staffing will have a growing impact on a hospital’s bottom line. The most direct example of the quality-finance link can be seen in the Center for Medicare & Medicaid Services’ (CMS) 2008 Inpatient Prospective Payment System rules, which state that hospitals will no longer be reimbursed for any patient care needed as a result of a hospital-acquired condition, such as certain mistakes called “never events.” Many of these events can be directly tied to or influenced by nursing care. A study, done by the American Nurses Association in 2000, showed that hospital-acquired events like postoperative infections, urinary tract infections, pneumonia and pressure ulcers were preventable conditions that could be reduced with increased nurse staffing.

Roundup of H1N1 Resources for Nurses

Source: Robert Wood Johnson Foundation, August 31, 2009

With the traditional flu season fast approaching, the nation’s pedal-to-the-metal effort to produce a sufficient supply of vaccine and put measures in place to prepare for a new H1N1 virus outbreak is about to be tested. A heavier than expected load of cases during the summer months has health care providers and public health officials concerned.

A number of government agencies and health organizations are doing their part to prepare. Following is a roundup of online H1N1 resources for nurses and other health care providers.

Nurses in the Workplace: Expectations and Needs

Source: International Council of Nurses (ICN), May 2009

From the press release:
Nurses believe that heavy workloads and insufficient staff are impacting patient care and health outcomes around the world, according to research presented today at the International Council of Nurses (ICN) 24th Quadrennial Congress. The results are part of an extensive global attitudinal survey, which asked more than 2,000 nurses about the challenges and opportunities that face nurses.