15
Module 5 Administrative Applications 1
Module 5
Administrative Applications
1
ApplicationsCombine business management skills with sensitivity to patient care requirementsTwo levels of software Executive Management
2
Executive Level
Responsible for planning strategyDetermining nursing goalsAllocation of resources (human, financial, material)Leadership in setting goals for the effective and efficient care of patientsEvaluating the quality of nursing services provided
3
Manager LevelCoordinates nursing activitiesParticipates in resource management decisionsServe as the link between the nursing service staff both inter and intra departmentally in the organizationImplements the strategic plan of the organizationParticipates in policy formationDevelopment of staffing and schedulingEvaluation of performance standard
4
Software
Both level are involved in the collection and analysis of large quantities of data.Primary intent of nursing management systems is the provision of information to make decision about the effective and efficient allocation of resources for the highest quality of patient care.
5
Groups of Applications
Specific Groups Management of Services Personnel Management Fiscal Management
6
Management of Services
Productivity Systems Patient Classification
Hours per Patient Day (HPPD) Acuity System
Used to predict nurse staffing levels
7
Hours Per Patient DayBased on Calculation Number of hours of nursing care provided in
24hours Number of patient in a 1day Compared to Standard
Example 185 hours of nursing (total of all hours of
care in 24 hours) 23 patient days (Census of 23 patients for
24 hours) Calculation = 185/23 = 8.04. Med/Surg
Standard 8.07. Department is within range.8
Advantages Calculations simple process of
addition and division Data usually readily available
Disadvantage Does not account for patient severity
of illness; a patient is a patient. Does not account for unit activity
(admissions, transfers, discharges)
Hours Per Patient Day
9
Acuity SystemTypes of systems based on Self care Deficits – Activities of ADL’s,
treatments, medications, & Patient Teaching
Time Based Nursing Activities – Amount of time required to carry out nursing activities such as nursing assessments and physical care.
Patient Care & Nursing Care Requirements – based on needs of patients for nursing care rather than task itself.
10
Acuity System
Advantage Calculations can be performed more
rapidly than manual system and provide concise reports for managers to review.
Disadvantage Maintenance of the categorization
system and underlying hours of care Systems need auditing to maintain the
reliability and validity of the system
11
Personnel ManagementFocus on Nursing Personnel staffing & employment dataProfiles include general demographic data (Employment history, Educational history, License, absentee rate, Benefit accruals, Evaluations)Work status data such as daily work schedules and time off requests.Automated Staff scheduling useful component. Need identification of levels of expertise, nursing workload, patient acuity and scheduling priorities
12
Advantages Less time spent on scheduling Unbiased assignments Advanced notice of staff shortages Availability of payroll data
Disadvantages Need to develop and maintain rules regarding
modification of data Changes need to be carefully regulated to
assure proper scheduling and maintenance of staffing levels.
Personnel Management
13
Fiscal Management
Periodically produced reports allowing the monitoring of budgets, identification of budget variances (actual versus planned expenses) and assistance with planning of future budgets.Inventory control helps to monitor supplies, process orders, and assist in proper dispensing of supplies.
14
Fiscal Management
Advantages Speed with which data can be retrieved,
compiled, summarized and presented Most packages built on Excel functionality Ability to design reports for individual needs
Disadvantage Reports can be unusable if too complex to
interpret by manager Report can be unusable if not provided in a
timely manner to assist with decision making
15
