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Hospital Productivity

Management Program

2 January 2013

Table of Contents

About the program ----------------------------------------------------------------------------- page 3

Nursing Units -------------------------------------------------------------------------------- pages 4-5

Departments --------------------------------------------------------------------------------- pages 5-7

Productivity Login ----------------------------------------------------------------------------- page 8

Welcome to Productivity Management ------------------------------------------------- pages 9-10

Select/Edit Nursing Units -------------------------------------------------------------------- page 11

Select/Edit Departments ---------------------------------------------------------------------- page 12

Enter/Edit Nursing Units ---------------------------------------------------------------- pages 13-15

Enter/Edit Departmental Data ---------------------------------------------------------- pages 16-18

Nursing Unit Definitions – Reporting Instructions – Statistic Definitions ------ pages 19-27

Department Definitions – Reporting Instructions – Statistic Definitions -------- pages 28-36

Reports ------------------------------------------------------------------------------------ pages 37-39

3 January 2013

About the Program

The OHA Hospital Productivity Management Program was designed to be a straightforward and efficient, yet valuable, program to gather productivity data at the nursing unit and department level. The program was developed by the Iowa Hospital Association and has received the approval of the OHA Council on Finance and Strategic Information. The program offers quarterly comparative reports to reporting facilities for benchmarking against peer groups and statewide data for staffing productivity in nursing units and other departments. Because hospital nursing units and other departments vary from one facility to the next and because productivity stats are compiled differently from one facility to the next, the OHA Hospital Productivity Management Program allows flexibility so each facility can enter productivity information that matches their service delivery. Quarterly data are due 45 days after the end of each calendar quarter:

• 1Q due May 15 • 2Q due August 15 • 3Q due November 15 • 4Q due February 15

A preview period for data validation is offered making final reports available 60 days following the end of a quarter. Contact Mia Johnston or Rick Snyder, or call (405) 427-9537 with questions or concerns.

4 January 2013

Nursing Units

The IHA Hospital Productivity Management Program collects [worked hours], [paid hours], [contract hours], [overtime hours], [salary expenses] and a [statistic] that indicates workload on nursing units. Definitions and instructions on units, data entry and statistics begin on page 19. Nursing Units and their statistics are:

NURSING UNITS Nursing Unit Nursing Unit Breakout Statistic Acute Care Acute Care/Swing Bed (CAH) Patient Days

OB/GYN (CAH) Patient Days Medical/Surgical/OBGYN/Pediatric Patient Days Acute Care Units Broken Out Medical Patient Days Surgical Patient Days OB/GYN Patient Days Pediatrics Patient Days

Behavioral Health Patient Days Psychiatric Patient Days Chemical Dependency Patient Days

Dialysis Total Billable Dialysis Treatments Emergency Department/Ambulance Total ED Visits

Emergency Department Total ED Visits Ambulance Total Number of Ambulance Runs

Endoscopy Total Endoscopy Encounters Inpatient Hospice Patient Days

5 January 2013

Inpatient Rehabilitation Patient Days Intensive Care Units Patient Days

Medical Patient Days Surgical Patient Days Neonatal Intensive Care Patient Days Pediatric Intensive Care Patient Days CCU Patient Days

Intermediate Care Facility (ICF) Patient Days Long Term Care Patient Days Nursery Patient Days Nursing Administration Adjusted Discharges Skilled Nursing Facility (SNF) Patient Days Surgery (non-CAH) OR Hours

Preop OR Hours OR OR Hours PACU OR Hours

Surgery (CAH) OR Hours Preop OR Hours OR OR Hours PACU OR Hours

Departments

The program also collects [worked hours], [paid hours], [overtime hours], [salary expense] associated with those hours, [contract hours] and [contract salary expense] and a [statistic] that indicates workload on other hospital departments. Definitions and instructions on units, data entry and statistics begin on page 28. Departments and their statistics are:

DEPARTMENTS Departments Department Breakout Statistic Business Operations Adjusted Discharges

6 January 2013

Business Office Adjusted Discharges Registration (Admitting)/Switchboard Adjusted Discharges Finance Adjusted Discharges

Cardiac Rehab Total Cardiac Rehab Encounters Environmental Services/ Laundry Total Internal Square Feet Cleaned

Environmental Services Total Internal Square Feet Cleaned Laundry Total Pounds Processed

HIM/Transcription Adjusted Discharges HIM Adjusted Discharges Transcription Total Transcription Lines

Home Health Total Home Health Visits Human Resources/ Education/Employee Health

Total Facility FTEs Supported by HR Human Resources Total Facility FTEs Supported by HR Education Total Facility FTEs Supported by HR Employee Health Total Facility FTEs Supported by HR

IT/Data Processing Adjusted Discharges Laboratory/Pathology Total Lab/Path Tests Marketing/Public Relations Adjusted Discharges Materials Management Adjusted Discharges Medical Social Work Adjusted Discharges Nutritional Services Total Meal Equivalent Outpatient Clinic Total Clinic Visits

Physicians (Employed) Total Clinic Visits Nurses (All) Total Clinic Visits Office/Clerical Total Clinic Visits

Pharmacy Total Unit Doses Plant Ops/Biomed/Security Total Square Feet

Plant Operations Total Square Feet Biomed Total Square Feet Security Total Square Feet

7 January 2013

Quality Improvement/ Utilization Review Total Patient Days Quality Improvement Total Patient Days Utilization Review Total Patient Days

Radiology

Total Radiology Tests CT Total CTs Diagnostic Total Diagnostic Radiology Tests Mammograms Total Mammograms MRI Total MRIs Nuclear Med Total Nuclear Med Tests PET Total PET Scans Ultrasound Total US

Rehabilitation Therapies

Total Rehab Units Charged Occupational Therapy Total OT Units Charged Physical Therapy Total PT Units Charged Speech/Language Pathology Therapy Total SLP Units Charged

Respiratory Therapy Total Respiratory Therapy Treatments Volunteer Services Adjusted Discharges

8 January 2013

Productivity Logon

Access the IHA Hospital Productivity Management Program at https://productivity.ihaonline.org/. Returning users log in using full email address as username and the password they created. New contacts need to Register as a New User and fill in the required information.

• First Name • Last Name • Choose your facility from dropdown • Email address

9 January 2013

• Password (confirmed)

Once the information is verified by IHA, a confirmation email will be returned to the user in order to communicate program availability. If you forget your [Password], click on Forgot Password to receive a reminder email.

Welcome to Productivity Management

The ‘Welcome to Productivity Management’ screen provides hospital contacts the ability to assess the status of quarterly information at a glance. ‘Open Quarter Management’ displays quarters available for data entry. Links offer access to reports and the manual. Submitting quarterly data is a two-step process:

• Step ONE – Select nursing units and departments that match your facility. Instructions begin on page 11.

10 January 2013

• Step TWO – Enter data on the Enter/Edit Nursing Unit Data and Enter/Edit Departmental Data pages. Instructions begin on page 13.

Dropdown menu options are:

• ‘Select/edit nursing units or departments’ o Choose Nursing Units or Departments– Takes user to ‘Select/Edit Nursing Units/Departments’ pages.

• ‘Enter/edit data for units or departments selected above’ o Choose Nursing Units or Departments – Takes users to ‘Enter/Edit Nursing Unit/Departmental Data’ pages.

Data status messages communicate quarterly progress:

• ‘Quarterly selection of Nursing Units/Departments has NOT been completed.’ • ‘Quarterly data entry for Nursing Units/Departments has NOT been completed.’ • ‘Quarterly data entry for Nursing Units/Departments has been Completed.’

Links allow users to:

• Generate reports (instructions begin on page 37). • Review data from closed quarters for nursing units and departments. NOTE: No change to data can occur to closed quarters. • Access the program manual. • Email message to IHA.

11 January 2013

Select/Edit Nursing Units

SELECTING/EDITING NURSING UNITS

1) Place a checkmark next to nursing units that match your facility using the instructions and definitions beginning on page 19. 2) Marked checkbox(es) will display on the ‘Enter/Edit Nursing Unit Productivity Data’ screen. 3) Any combination of breakouts may be selected. 4) Save selections once complete. See navigation options below.

12 January 2013

Navigation options are: • [Save/Return Home] – Saves any nursing units where checkbox is marked and takes user to the home page. • [Save/Enter Nursing Data] – Saves nursing units where checkbox is marked and takes user to data entry screen. • [Return Home] – Does not save changes made to selections and takes user to the home page. • [Select/Edit Departments] – Does not save changes made to selection and takes user to ‘Select/Edit Departments.’

NOTE: Nursing unit selections may be edited/changed at any time that a quarter is open, but making changes to selected units after data has been entered for a quarter may cause data to be lost. Subsequent quarters auto-populate with the previous quarter’s selections.

Select/Edit Departments

SELECTING/EDITING DEPARTMENTS

1) Place a checkmark next to the departments that match your facility using the instructions and definitions beginning on page 28. 2) Marked checkbox(es) will display on the ‘Enter/Edit Departmental Productivity Data’ screen. 3) Any combination of breakouts may be selected. 4) Save selections once complete. See navigation options below.

13 January 2013

Navigation options are: • [Save/Return Home] – Saves any departments where checkbox is marked and takes user to the home page. • [Save/Enter Departmental Data] – Saves departments where checkbox is marked and takes user to data entry screen. • [Return Home] – Does not save changes made to selections and takes user to the home page. • [Select/Edit Nursing Units] – Does not save changes made to selection and takes user to ‘Select/Edit Nursing Units.’

NOTE: Department selections may be edited/changed at any time that a quarter is open, but making changes to selected departments after data has been entered for a quarter may cause data to be lost. Subsequent quarters auto-populate with the previous quarter’s selections.

Enter/Edit Nursing Unit Productivity Data

ENTERING/EDITING NURSING UNIT DATA 1) Enter [worked hours], [paid hours], [contract hours], [overtime hours], [salary expense] associated with those hours and

the [statistic] for selected unit(s) using instructions and definitions beginning on page 19. Follow definitions to ensure meaningful and accurate comparisons.

2) Use tab key to navigate through fields. 3) Round hours/dollars/statistics to whole numbers. 4) Data entry field definitions:

14 January 2013

a. [Worked Hours] – Total number of hours spent by staff performing activities which are job-related during the quarter. Includes breaks, on-site training time and nonproductive times. Include OT hours. Do not include time traveled to and from work.

b. [Paid Hours] – Total number of worked hours + overtime hours + PTO. Includes vacation, holiday, sick leave and call time (worked) hours during the quarter. Include OT hours.

c. [Overtime Hours] – Total number of hours worked that are paid at an OT rate including Call Back and Holiday OT. d. [Contract Hours] – Total number of worked hours and paid hours furnished under contract for job-related activities

during the quarter. Do not include hours for physicians, equipment, supplies, travel expenses and other miscellaneous overhead items.

i. If Worked, Paid, Overtime and/or Contract hours are collected within your facility by pay periods, calculate each area’s total hours using this formula: Total hours for pay periods paid in a quarter divided by the Number of days in those periods (# pay periods X 14) = Hours per day. Hours per day X the number of days in the quarter = Total hours.

e. [Salary Expense] – Total wages paid including vacation, holiday, sick leave, incentive pay, night shift differential, call pay (worked) and overtime pay not including benefit expense. Do not include PTO buy back, hours and salary expenses for severance pay, jury duty, bereavement, short/long-term disability, or bonuses.

i. Calculate using this formula: Total salary dollars for pay periods paid in a quarter divided by the Number of days in those periods (# pay periods X 14) = Salary dollars per day. Salary dollars per day X the number of days in the quarter = Total salary expense.

f. [Contract Salary Expense] – Total wages paid for contract hours during the quarter. Do not include fees paid to agencies.

g. [Statistic] – See instructions for data entry beginning on page 19 for nursing unit-specific statistic definitions.

5) General rules for all nursing units: a. When keying in data, a warning message may appear. “WARNING: This value is significantly lower/higher than the

value entered last quarter.” Click OK to accept this value. Click Cancel to edit the value if it is incorrect. b. Hours and salary expenses for float resources (e.g. RN/LPN, etc.) should be reported in the unit where they worked. c. Hours and salary expenses for 1st line/front line supervisors and/or managers should be reported in the unit where they

worked. d. Worked hours, paid hours and salary expenses for contract labor are reported as distinct fields on the data entry screen

and should be reported in the unit where they worked. Report face-to-face time and not travel time. e. The program will now allow contract information (hours/salary expense) to be reported with a statistic matching the

department without hours/salary expense reported for hospital employees. f. Volunteer hours are not included. g. On-call hours and salary expenses for any nursing unit should include call-back information only. Do not include on-

call salary where the employee is not called back to work.

15 January 2013

h. Hours and salary expenses should agree.

Navigation options are: • (Complete Quarter/Run Edits) – Saves entered data, runs edits to ensure data accuracy. Edits will appear on the page if

necessary. If there are none, the user will be taken to the home page. See Closing Quarter. • (Save Data) – A quick save button that saves all information entered up to the minute. User remains on the data entry page. • (Edit Selected Nursing Units) – Saves entered data and takes user to Select/Edit Nursing Units page. • (Save Data/Return Home) – Saves data and takes user to the home page. No edits are run to check data. Use this button if

you are going to come back and complete data entry at a later time. Nursing - CLOSING QUARTER

1) To be included in quarterly Comparative and Trending Reports the quarter must be “marked complete.” 2) Select ‘Complete Quarter/Run Edits’ - “Quarterly data has been updated. Would you like to mark the quarter complete?” is

asked. a. Yes

i. Any data problems will return edits. ii. Color-coded edits need to be corrected.

1. GREEN – Field cannot be blank. 2. PINK – Field requires whole number greater than 0. 3. RED – Letters, symbols, and decimals are not allowed. 4. BRIGHT GREEN – Paid Hours cannot be less than Worked Hours. 5. YELLOW - Totals must equal sum of data entered for area. 6. ORANGE - Minutes must be less than 60. 7. BLUE – If paid hours or salary expenses reported, must have corresponding field be

greater than 0 (e.g. RN Paid Hours – RN Salary Expense). iii. Select Save Data/Return Home to update information.

b. No i. Return at a later time to complete.

3) Closing the quarter for nursing unit data does not close the quarter for departmental data. Both need to occur. 4) NOTE: Data may be changed at any time a quarter remains open – even after marking a quarter complete.

16 January 2013

Enter/Edit Departmental Data

ENTERING/EDITING DEPARTMENTAL PRODUCTIVITY DATA

1) Enter [worked hours], [paid hours], [overtime hours], [salary expense] associated with those hours, [contract hours] and [contract salary expense] and the [statistic] for selected department(s) using instructions and definitions beginning on page 28. Follow definitions to ensure meaningful and accurate comparisons.

2) Use tab key to navigate through fields. 3) Round hours/dollars/statistics to whole numbers. 4) Data entry field definitions:

17 January 2013

a. [Worked Hours] – Total number of hours spent by staff performing activities which are job-related during the quarter. Includes breaks, on-site training time and nonproductive times. Include OT hours. Do not include time traveled to and from work.

b. [Paid Hours] – Total number of worked hours + overtime hours + PTO. Includes vacation, holiday, sick leave and call time (worked) hours during the quarter. Include OT hours.

c. [Overtime Hours] – Total number of hours worked that are paid at an OT rate including Call Back and Holiday OT. d. [Contract Hours] – Total number of worked hours and paid hours furnished under contract for job-related activities

during the quarter. Do not include hours for equipment, supplies, travel expenses and other miscellaneous overhead items.

i. If Worked, Paid, Overtime and/or Contract hours are collected within your facility by pay periods, calculate each areas total hours using this formula: Total hours for pay periods paid in a quarter divided by the Number of days in those periods (# pay periods X 14) = Hours per day. Hours per day X the number of days in the quarter = Total hours.

e. [Salary Expense] – Total wages paid including vacation, holiday, sick leave, call pay (worked) and overtime pay. Do not include benefit expense.

i. Calculate using this formula: Total salary dollars for pay periods paid in a quarter divided by the Number of days in those periods (# pay periods X 14) = Salary dollars per day. Salary dollars per day X the number of days in the quarter = Total salary expense.

f. [Contract Salary Expense] – Total wages paid for contract hours during the quarter. Do not include fees paid to agencies.

g. [Statistic] – See instructions for data entry beginning on page 28 for department-specific statistic definitions.

5) General rules for all departments: a. When keying in data, a warning message may appear. “WARNING: This value is significantly lower/higher than the

value entered last quarter.” Click OK to accept this value or to edit the value if it is incorrect. b. Hours and salary expenses for 1st line/front line supervisors and/or managers should be reported in the department

where they worked. i. Paid hours and salary expenses for contract labor are reported as distinct fields on the data entry screen and should be

reported in the unit where they worked. Report face-to-face time and not travel time. c. The program will now allow contract information (hours/salary expense) to be reported with a statistic matching the

department without hours/salary expense reported for hospital employees. d. Volunteer hours are not included. e. On-call hours and salary expenses for any nursing unit should include call-back information only. Do not include on-

call salary where the employee is not called back to work. f. Do not include PTO buy back. Hours and salary expenses should agree. g. Do not include hours and salary expenses for severance pay, jury duty or bereavement.

18 January 2013

Navigation options are:

• (Complete Quarter/Run Edits) – Saves entered data, runs edits to ensure data accuracy. Edits will appear on the page if necessary. If there are none, the user will be taken to the home page. See Closing Quarter.

• (Save Data) – A quick save button that saves all information entered up to the minute. User remains on the data entry page. • (Edit Selected Nursing Units) – Saves entered data and takes user to Select/Edit Nursing Units page. • (Save Data/Return Home) – Saves data and takes user to the home page. No edits are run to check data. Use this button if

you are going to come back and complete data entry at a later time.

Departments - CLOSING QUARTER

1) To be included in quarterly Comparative and Trending Reports the quarter must be “marked complete.” 2) Select ‘Complete Quarter/Run Edits’ - “Quarterly data has been updated. Would you like to mark the quarter complete?” is

asked. a. Yes

i. Any data problems will return edits. ii. Color-coded edits need to be corrected.

1. GREEN – Field cannot be blank. 2. PINK – Field requires whole number greater than 0. 3. RED – Letters, symbols, and decimals are not allowed. 4. BRIGHT GREEN – Paid Hours cannot be less than Worked Hours.

iii. Select ‘Save Data/Return Home’ to update information. b. No

i. Return at a later time to complete. 3) Closing the quarter for departmental data does not close the quarter for nursing unit data. Both need to occur. 4) NOTE: Data may be changed at any time a quarter remains open – even after marking a quarter complete.

19 January 2013

Nursing Unit/Department Definitions – Reporting Instructions – Statistic Definitions Statistic definitions are included below except: *[Patient Days] = Sum of Discharge Date – Admit Date for patient encounters specific to that unit. Include patient day equivalent for Observation (Total Observation hours/24). **[Adjusted Discharges] = (Total Hospital Revenue/Inpatient Revenue (include Acute/Swing Bed) = FACTOR) X Inpatient Discharges (Acute Care/Swing Bed only - exclude Nursery). Do not include SNF or LTC revenue or discharges.

NURSING UNITS UNIT DEFINITIONS REPORTING INSTRUCTIONS STAT STAT DEF

On the Select/Edit Nursing Units page...

On the Enter/Edit Nursing Unit Productivity Data page enter required information for duties including but not limited to:

Acute Care - Hospital unit(s) responsible for care and treatment of medical, surgical, OB/GYN and peds cases. Acute Care/Swing Bed /ICU(CAH) - Nursing unit in Critical Access Hospital where mix of medical, surgical, ICU and Swing Bed patients are treated. CAHs without ICUs report just Acute Care and Swing Bed. OB/GYN (CAH) - Nursing unit in Critical Access Hospital where OB/GYN patients are treated. Exclude Nursery reporting if mom and baby are taken care of by one RN. Medical/Surgical/ OBGYN/Pediatric -

1) CAHs – Mark checkbox next to Acute Care/Swing Bed (CAH) AND/OR 2) CAHs – Mark checkbox next to OB/GYN (CAH) OR 3) Non-CAHs – Mark checkbox next to Medical/Surgical/OBGYN/ Pediatric. Select just Medical/ Surgical/OBGYN/ Pediatric to report aggregate information OR just Medical, Surgical, OB/GYN and/or Pediatrics breakouts OR report both Medical/Surgical/

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, performing IV placement, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, administering enemas, providing general comfort cares and documenting in the patient's medical record. (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing

Patient Days

*Patient Days

20 January 2013

Nursing unit(s) in non-CAH facilities where medical, surgical, OB/GYN and all pediatric patients are treated. Acute Care Units Broken Out - Nursing unit(s) in non-CAH hospitals where care and treatment is specific to a population of patients. Medical Surgical OB/GYN Pediatrics

OBGYN/ Pediatric aggregate data AND any combination of breakouts. 3) If Acute Care Units Broken Out is selected, mark the checkbox(es) next to the number of unit(s) of each category desired. An ADD capability allows users to enter even more units that match that definition.

physician orders and preparing requisitions for ancillary department requests. Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Behavioral Health - Distinct nursing unit(s) responsible for the care and treatment of Behavioral Health patients. Psychiatric - Chemical Dependency

Mark checkbox next to Behavioral Health. Report just Behavioral Health aggregate information OR just Psychiatric and/or Chemical Dependency breakouts OR report both Behavioral Health aggregate data AND Psychiatric and/or Chemical Dependency breakouts.

(RN/LPN) - Performing duties like patient evaluations, facilitating social and emotional needs to patients, collaborating with other mental health professionals, administering medications, taking vitals, providing general patient comfort cares and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Patient Days

*Patient Days

Dialysis – Hospital unit responsible for the care and treatment of End-Stage Renal Disease patients and hemodialysis.

Mark checkbox next to Dialysis. Performing duties including assessing, planning and evaluating ESRD patients, readying dialysis equipment, overseeing dialysis from start to finish, cleaning and dressing catheters, teaching patients how to manage their illness, documenting patient’s medical record information and vital signs,

Total Billable Dialysis Treatments

Total number of hemodialysis sessions (inpatient and/or outpatient)

UNIT DEFINITIONS REPORTING INSTRUCTIONS STAT STAT DEF

21 January 2013

securing blood work. Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

rendered

Emergency Department/Ambulance - Nursing unit responsible for the care and treatment of trauma and/or emergency patients. Emergency Department- Ambulance -

Mark checkbox next to Emergency Department. Report just Emergency Department aggregate information OR just Emergency Department and/or Ambulance breakouts OR report both Emergency Department aggregate data AND Emergency Department and/or Ambulance breakouts.

(RN/LPN) - Providing triage and treatment for trauma and emergency patients, administering medications, performing IV placement, taking vitals, providing general comfort cares and documenting in the patient's medical record. (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests. Providing day-to-day administrative operational functions like managing reports of ambulance calls and answering the phone; driving the ambulance, assessing and treating patients in the field and passenger compartment, applying splints and wound dressings, monitoring patients using high-tech equipment, dealing with members of the public and family, answering and responding to 911 calls, cleaning, decontaminating and checking ambulance equipment, stocking supplies and documenting care plan actions. Hours and salary expenses should NOT include Environmental Services duties or students, urgent care and fast track areas that are distinct and separate locations, ED security service functions, ED registration functions, employee health staff time, helicopter services, medical record coding, patient billing, maintenance of

Total ED Visits

Total number of billable ED visits. Include patients admitted through ED and those transferred out.

Total Number of Ambulance Runs

Total number of ambulance runs


22 January 2013

equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomist, social workers or student nurses. Do NOT include info on ER physicians, nurse practitioners or physician assistants.

Endoscopy - Nursing unit responsible for the support of physicians administering endoscopic examination(s) and care of patients pre- and post-procedure.

Mark checkbox next to Endoscopy.

(RN/LPN) - Providing support to physicians performing procedures(e.g. bronchoscopies, colonoscopies, endoscopies, gastroscopies, ERCP), assessing patients, monitoring vital signs, performing pre-procedure activities and post-procedure recovery responsibilities and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include medical record transcription, registration/scheduling activities and repair/maintenance of equipment/rooms or Environmental Services duties.

Total Endoscopy Encounters

Total number of billable endoscopy patient encounters.

Inpatient Hospice - Nursing unit responsible for the care and treatment of end-of life patients and their families.

Mark checkbox next to Inpatient Hospice.

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, providing general comfort cares and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work,

Patient Days

*Patient Days


23 January 2013

performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Inpatient Rehabilitation - Hospital distinct nursing unit responsible for the care and treatment of Inpatient Rehab patients.

Mark checkbox next to Inpatient Rehabilitation.

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, performing IV placement, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, administering enemas, providing general comfort cares and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Patient Days

*Patient Days

Intensive Care Units - Nursing unit(s) responsible for the care and treatment of critically ill patients and those requiring highly specialized surveillance. Medical - Surgical - Neonatal ICU - Pediatric ICU -

Mark checkbox next to Intensive Care Units. Report just Intensive Care Units aggregate information OR just Medical, Surgical, Neonatal ICU, Pediatric ICU and/or CCU breakouts OR report both Intensive Care Units aggregate data AND any

(RN/LPN) - Monitoring life support equipment, attending to wounds, responding to changing patient conditions, providing advanced life support, performing IV placement, administering medications and documenting in the patient's medical record(Other, e.g. aides, ward secretary) - handling clerical tasks and paper work,

Patient Days

*Patient Days


24 January 2013

CCU combination of breakouts. performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Intermediate Care Facility (ICF) - Hospital nursing distinct unit responsible for the care and treatment of patients requiring extended rehabilitation in the facility setting.

Mark checkbox next to Intermediate Care Facility (ICF).

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, performing IV placement, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, administering enemas, providing general comfort cares and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Patient Days

*Patient Days

Long Term Care (LTC) - Nursing unit responsible for extended stay care of chronically ill patients.

Mark checkbox next to Long Term Care (LTC).

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, administering enemas, providing general comfort cares and documenting in the patient's medical record

Patient Days

*Patient Days


25 January 2013

(Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Nursery - Nursing unit responsible for the care of newborns and/or infants.

Mark checkbox next to Nursery. (RN/LPN) - Caring for infants transitioning to extra-uterine life, assessing newborn's vitals and condition, educating families on nutrition and newborns cares, preparing newborn and family for post-hospital planning, administering medications and documenting in the patient's medical record (Other, e.g. aides, ward secretary) -handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

Patient Days

*Patient Days

Nursing Administration - Nursing department including mid- to upper-level director(s) and manager(s), support staff for day-to-day operations of the nursing unit(s) within the hospital. Include 1st line/front line supervisor or manager

Mark checkbox next to Nursing Administration.

Scheduling and/or realignment of staff on a day-to-day and/or shift-to-shift basis, shift supervision for the entire house, clerical support for managers and directors and nursing managers and directors above the unit level. Hours and salary expenses should

Adjusted Discharges

**Adjusted Discharges


26 January 2013

information in the unit that they work in. not include transplant coordinators, operations for a nursing school, case management, IV therapy teams, clinical specialists, nursing recruitment and retention activities and unit-specific employee orientation. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Skilled Nursing Facility (SNF) - Hospital distinct nursing unit responsible for the care and treatment of Skilled Nursing Facility patients.

Mark checkbox next to Skilled Nursing Facility (SNF).

(RN/LPN) - Performing patient evaluations including monitoring and tracking vital signs, administering medications, taking vital signs, monitoring in-and-out volumes, performing dressing changes, bathing and dressing, administering enemas, providing general comfort cares and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

*Patient Days

*Patient Days

Surgery (non-CAH) - Nursing unit(s) that administer functions of surgery. Preop - Nursing unit responsible for the care and treatment of patients prior to surgery. OR - Nursing unit responsible for the care and treatment of surgical patients during

Mark checkbox next to Surgery. Report just Surgery aggregate information OR just Preop, OR and/or PACU breakouts OR report both Surgery aggregate data AND Preop, OR and/or PACU breakouts.

(RN/LPN) - Monitoring patient care in the OR, ensuring proper techniques and practices are observed, performing scrub duties as necessary, maintaining sponge/instrument counts, positioning of patients and operative area, assisting physicians during surgery, administering

OR Hours Total elapsed time in hours: minutes (hh:mm) from the time a


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surgery. PACU - Nursing unit responsible for the care and treatment of patients after surgery.

medications and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include Central Sterile, maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

patient enters and leaves the operating room. Exclude PACU time

Surgery (CAH) - Nursing unit(s) that administers functions of surgery. Preop - Nursing unit responsible for the care and treatment of patients prior to surgery. OR - Nursing unit responsible for the care and treatment of surgical patients during surgery. PACU - Nursing unit responsible for the care and treatment of patients after surgery.

Mark checkbox next to Surgery. Report just Surgery aggregate information OR just Preop, OR and/or PACU breakouts OR report both Surgery aggregate data AND Preop, OR and/or PACU breakouts.

(RN/LPN) - Monitoring patient care in the OR, ensuring proper techniques and practices are observed, performing scrub duties as necessary, maintaining sponge/instrument counts, positioning of patients and operative area, assisting physicians during surgery, administering medications and documenting in the patient's medical record (Other, e.g. aides, ward secretary) - handling clerical tasks and paper work, performing reception duties, transcribing physician orders and preparing requisitions for ancillary department requests Hours and salary expenses should NOT include Central Sterile, maintenance of equipment/beds, non-nursing personnel (e.g. Environmental Services), phlebotomists, social workers or student nurses.

OR Hours Total elapsed time in hours: minutes (hh:mm) from the time a patient enters and leaves the operating room. Exclude PACU time


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DEPARTMENTS UNIT DEFINITIONS REPORTING INSTRUCTIONS STAT STAT DEF On the Select/Edit Departments

page... On the Enter/Edit Departmental Productivity Data page enter required information for duties including but not limited to:

Business Operations - Hospital department responsible for billing, switchboard and registration of patients Business Office - Registration (Admitting)/ Switchboard Finance

Mark checkbox next to Business Operations. Report just Business Operations aggregate information OR just Business Office and/or Registration (Admitting)/Switchboard /Finance breakouts OR report both Business Operations aggregate data AND Business Office and/or Registration (Admitting)/Switchboard /Finance breakouts.

(Business Office/ Finance/Payroll) - Managing general accounts systems, preparing financial statements, posting to patient accounts, submitting claims to payers, arranging credit, coordinating third-party payers, performing payroll duties and planning and budgeting (Registration) - gathering accurate information from patients, inputting patient information into computer systems, verifying/authorizing insurances, assigning bed placement and arranging for transfers/admissions (Switchboard) - attending to incoming phone calls

Adjusted Discharges


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(Finance) - accounts payable, financial statements, accounting, budgeting/planning and payroll. Hours and salary expenses should NOT include CFO, maintenance of equipment, Environmental Services duties or students

Cardiac Rehab - Hospital department responsible for providing direct patient care to cardiac rehab patients including teaching and discharge planning.

Mark checkbox next to Cardiac Rehab.

Providing direct patient care in the cardiac rehab setting, monitoring patients during exercise sessions, assessing patient needs for initial plan of care, responding to changes in patient's condition, teaching patients and family about treatments, diagnosis, care, medications and discharge plans and documenting in the patient's medical record. Hours and salary expenses should NOT include maintenance of equipment, Environmental Service duties or students.

Total Cardiac Rehab Encounters

Total number of cardiac rehabilitation patient encounters.

Environmental Services/Laundry - Hospital department responsible for general cleaning of facility and laundry functions. Environmental Services - Laundry

Mark checkbox next to Environmental Services/Laundry. Report just Environmental Services/Laundry aggregate information OR just Environmental Services and/or Laundry breakouts OR report both Environmental Services/Laundry aggregate data AND Environmental Services and/or Laundry breakouts.

(Environmental Services) - Maintaining a clean, aseptic, safe and orderly facility, maintaining appearance of all areas of the hospital, emptying and disposing of waste from receptacles and scheduling routine maintenance and repairs (Laundry) - providing an adequate, clean and constant supply of linens to include sorting, washing, extracting, drying, ironing, folding, mending and delivery Do NOT report expenses with outside laundry services.

Total Internal Square Feet Cleaned

Total internal square footage cleaned. Includes all inpatient, outpatient, office and support space used for or in support of healthcare activities.

Total Pounds Processed

Total pounds (rounded) of laundry processed by departmental staff

HIM/Transcription - Hospital department responsible for

Mark checkbox next to HIM (Medical Records). Report just

(HIM) - Assembling, scanning, indexing, analyzing, filing, retrieving, copying, archiving, storing and

Adjusted Discharges



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medical record practices including coding, transcription, storing records, etc. HIM - Transcription

HIM (Medical Records) aggregate information OR just HIM and/or Transcription breakouts OR report both HIM (Medical Records) AND HIM and/or Transcription breakouts.

coding patient medical records, improving clinical documentation, managing release of information and maintaining the integrity of the MPI (Transcription) - transcribing dictated patient reports, maintaining references for terminology and distributing finalized reports

Total Transcript Lines

Total number of internal lines of transcription produced by transcription staff. If keystrokes are used, divide by 65 to convert to lines of transcription.

Home Health - Hospital department responsible for care and treatment of patients in their homes.

Mark checkbox next to Home Health.

Providing in-home nursing care, providing in-home therapies (infusion, physical, occupational, respiratory, speech), providing personal cares and providing nutritional guidance or social services. Include duties related to unit secretary functions and scheduling (patient and staff). Include hours and salary expense associated with travel to and from homes. Hours and salary expenses should NOT include hospital discharge planning and provision of home medical equipment (DME). Hours and salary expenses should NOT include maintenance of equipment, medical transcription or students.

Total Home Health Visits

Total number of face-to-face patient encounters in the home setting. Exclude visits only for the purpose of pharm. delivery and visits made in the inpt setting to assess patient eligibility. Every patient visit counts once regardless of the number of staff members involved.

Human Resources/Education/Employee Health - Hospital department responsible for work force management functions,

Mark checkbox next to Human Resources. Report just Human Resources aggregate information OR just Human Resources, Education and/or Employee Health breakouts OR report both

(Human Resources)Hiring/firing/recruiting/ retaining work force, managing personnel disciplinary actions, monitoring labor mediation, and managing benefits and compensation (Education) - planning and scheduling employee orientation, providing training sessions and

Total Facility FTEs Supported by HR

Total Full Time Equivalents Supported by HR for quarter. Calculate using: Total paid hours


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orientation/education of all staff and meeting required work force regulatory duties. Human Resources - Education - Employee Health

Human Resources aggregate data AND Human Resources, Education and/or Employee Health breakouts.

monitoring professional development functions (Employee Health) - coordinating employee medical screenings and health assessments including pre-employment tests, managing wellness programs, managing worker's compensation programs, following up on employee exposures to hazards or communicable diseases, referring employees for interventions when necessary Hours and salary expenses should NOT include maintenance of equip., Environmental Services duties or students.

(quarter) / 520

IT/Data Processing - Hospital department responsible for upkeep, storage, security and stability of computer hardware and software.

Mark checkbox next to IT/Data Processing.

Maintaining all communication equipment, maintaining software and hardware performance, performing computer maintenance, monitoring network maintenance and activity, ensuring information system security, developing and maintaining interfaces when necessary and investigating new technologies as they become available. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Adjusted Discharges


Laboratory/Pathology - Hospital department responsible for all laboratory (clinical and pathology) functions.

Mark checkbox next to Laboratory/Pathology.

Collecting specimens (e.g. blood, tissue), performing diagnostic tests on fluids and tissue specimens, examining and analyzing specimens, preparing specimens for examination, performing complex chemical, biological, hematological, immunologic, microscopic and bacterial tests, handling clerical tasks and paper work and performing reception duties. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Total Lab/Path Tests

Total number of billable laboratory/pathology tests performed. Include tests performed on units of blood and billed tests sent to reference labs. Automated multichannel test panels should be


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given a count of 1.

Marketing/Public Relations - Hospital department responsible for promoting facility services, maintaining organizational brand and managing internal and external contacts.

Mark checkbox next to Marketing/ Public Relations

Developing marketing strategies and advertising/promotional campaigns, coordinating and facilitating internal and external communication, monitoring service lines activity find growth potential, recruiting of physicians/services, writing and reviewing patient and public written communication materials. Hours and salary expenses should NOT include maintenance of equip., Environmental Services duties or students.

Adjusted Discharges


Materials Management - Hospital department responsible for purchasing, storing and distributing materials, supplies and equipment for all hospital areas

Mark checkbox next to Materials Management.

Managing purchase of supplies and equipment, distributing supplies and equipment to all hospital units/ departments, receiving and storing supplies, managing inventories and maintaining storage areas. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Adjusted Discharges


Medical Social Work - Hospital department responsible for casework services to patients to solve social, environmental and emotional problems.

Mark checkbox next to Medical Social Work.

Providing supportive services/counseling to patients and families, assisting patients in dealing with chronic or terminal illnesses and evaluating patients for placement. Hours and salary expenses should NOT include

Adjusted Discharges



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maintenance of equipment, medical transcription, Environmental Services duties or students.

Nutritional Services - Hospital department responsible for preparation and distribution of all food services.

Mark checkbox next to Nutritional Services.

Preparing food for patients, staff and visitors, serving meals, cleaning kitchen and dining room areas, passing and picking up trays, educating patients on types of food they should eat and planning menus. Clinical dietitian, dietetic technician functions (i.e. screening, education, calculating calorie counts and providing direct patient care). Hours and salary expenses should NOT include expenses associated with community service nutrition programs (i.e. Meals-on-Wheels) and purchasing agents. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Total Meal Equivalent

Total Meal Equivalent (See definition below)

[Total Meal Equivalent] = (Total meals/trays delivered to patients + Total meal equivalent (Food costs for cafeteria, floor stock, catering to outside groups, staff meals and nourishments)/Average price for typical cafeteria meal).

Outpatient Clinic - Hospital-owned clinic(s) responsible for care and treatment of patients being seen in clinic setting. Physicians (employed) - Nurses (all) - Office/Clerical

Mark checkbox next to Outpatient Clinic(s). Up to 4 Outpatient Clinics may be included. Report just Outpatient Clinic aggregate information OR just Physicians (Employed), Nurses (all) and/or Office/Clerical breakouts OR report both Outpatient Clinic

All clinic providers including physicians, nurse practitioners, physician assistants for employed providers, all types of nurses (RN, LPN, etc.) and support staff responsibilities including registration, reception and scheduling for Office/Clerical. Hours and salary expenses should NOT include maintenance of equipment, Environmental

Total Clinic Visits

Total number of billable clinic visits.


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aggregate data AND Physicians (Employed), Nurses (all) and/or Office/Clerical breakouts.

Services duties or students.

Pharmacy - Hospital department responsible for all drug distribution and pharmaceutical services provided to both inpatient and outpatients. Do not include retail pharmacy information.

Mark checkbox next to Pharmacy. Supporting drug therapy of hospitalized patients, providing prescription services to patients, preparing prescribed medications, maintaining inventory of medicines, delivering medications to units and supporting department services. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Total Unit Doses TABLE UNTIL WE GET MORE INFO

Total number of individual doses of medications prepared by Pharmacy (or equivalent i.e. Bags for IV’s & chemo)

Plant Ops/Biomed/Security - Hospital department responsible for maintenance of buildings and grounds, repairing equipment, meeting safety requirements and providing security. Plant Operations Biomed Security

Mark checkbox next to Plant Ops/Biomed/Security. Report just Plant Ops/Biomed/Security aggregate information OR just Plant Operations, Biomed and/or Security breakouts OR report both Plant Ops/Biomed/ Security AND combination of breakouts.

(Plant Ops) - Maintaining and repairing power plant/related equipment/the physical facility/grounds, disposing of all waste materials, picking up exterior trash, painting, operating hospital incinerator, controlling pests, performing fire safety functions and cleaning sideways/parking lots. (Biomed) - performing equipment safety evaluations, repairing equipment such as hospital beds, wheelchairs, blood-gas analyzers, spectrophotometers, electrocardiographic devices and IV pumps (Security) - providing security and protection services for patients/visitors/staff/facilities and performing workplace violence interventions Hours and salary expenses should NOT include clinical engineering or facility modification functions, collection of waste throughout the hospital, moving and rearranging office equipment, operation of hospital parking garage, valet services, waxing/buffing floors, stripping/refinishing furniture and wall/ceiling cleaning.

Total Square Feet

Total square footage. Includes all inpatient, outpatient, office and support space used for or in support of healthcare activities.


35 January 2013

Quality Improvement/ Utilization Review - Hospital department responsible for organization-wide quality improvement programs, educating staff on resources for improvement, medical necessity review, case management, discharge planning, physician communication regarding care plan, abstraction of clinical data. Quality Improvement Utilization Review

Mark checkbox next to Quality Improvement/Utilization Review. Report just Quality Improvement/ Utilization Review aggregate information OR just Quality Improvement and/or Utilization Review OR report both Quality Improvement/Utilization Review AND combination of breakouts.

Recruiting and assisting in hospital QI activities, performing assessments involving clinical quality initiatives, planning/coordinating organizational priorities related to quality performance, providing objective evaluation of patient care aspects, reviewing patient charts and identifying variations in care to correct potential problems and meet requirements of regulatory agencies, relating to all clinical staff (physician/nurses/etc.) to effect change. Hours and salary expenses should NOT include Environmental Service duties or students.

Total Patient Days

Sum of all nursing unit patient days

Radiology - Hospital department responsible for diagnostic imaging and image-guided therapies. CT - Computed tomography Diagnostic - Diagnostic imaging Mammograms - MRI - Magnetic Resonance Imaging Nuclear Med - Nuclear Medicine Imaging PET - Positron emission tomography Ultrasound

Mark checkbox next to Radiology. Report just Radiology aggregate information OR just CT, Diagnostic, Mammograms, MRI, Nuclear Med, PET and/or Ultrasound breakouts OR report both Radiology aggregate data AND any combination of breakouts.

Preparing and positioning patients for tests, explaining tests to patients, administering diagnostic imaging services and/or imaged-guided therapies, assisting physicians with administering tests, performing pre-test activities and post-test assessments, transcribing dictated reports, handling clerical tasks and paper work and performing reception duties. Hours and salary expenses should NOT include maintenance of equipment, Environmental Services duties or students.

Total Radiology Tests OR

Total number of billable radiology tests performed OR Total number of billable department-specific radiology tests performed.

Total CTs Total Diagnostic Radiology Tests Total Mammograms Total MRIs Total Nuclear Med Tests Total PET Scans Total US


36 January 2013

Rehabilitation Therapies - Hospital department responsible for evaluation and treatment to patients requiring physical, occupational or speech therapy. Occupational Therapy - Physical Therapy - Speech/Language Pathology Therapy

Mark checkbox next to Rehabilitation Therapies. Report just Rehabilitation Therapies aggregate information OR just Occupational Therapy, Physical Therapy and/or Speech/Language Pathology Therapy breakouts OR report both Rehabilitation Therapies aggregate data AND Occupational Therapy, Physical Therapy and/or Speech/Language Pathology Therapy breakouts.

Evaluating and treating inpatients and outpatients with neurological, muscular and skeletal trauma or dysfunction, treating disorders with physical agents and methods such as massage, manipulation, therapeutic exercise, cold, heat, hydrotherapy, electrical stimulation and light, handling clerical tasks and paper work and performing reception duties. Hours and salary expenses should NOT include maintenance of equipment, medical transcription, Environmental Services duties or students.

Total Rehab Units Charged OR

Total number of billable Rehab Therapy units for inpatient and outpatient OR Total number of billable department specific therapy units charged if applicable.

Total OT Units Charged Total PT Units Charged Total SLP Units Charged

Respiratory Therapy - Hospital department responsible for evaluation and care of patients requiring cardiopulmonary services.

Mark checkbox next to Respiratory Therapy.

Delivering oxygen therapy, administering aerosolized drugs, interpreting arterial blood gas result, applying and monitoring ventilators/life supports, initiating and assessing patient respiratory status for making recommendations for care, performing pulmonary diagnostic studies and treating pulmonary function of patients. Hours and salary expenses should NOT include sleep study hours and/or salaries, maintenance of equipment, Environmental Services duties or students.

Total Respiratory Therapy Treatments

Total number of billable respiratory therapy procedures for inpatient and outpatient excluding oxygen hour rates.

Volunteer Services - Hospital department responsible for coordination of volunteer activities.

Mark checkbox next to Volunteer Services.

Developing and maintaining volunteer training programs, recruiting volunteers, establishing a need for volunteer services, supervising and evaluating volunteers, maintaining statistics and reports, coordinating educational programs for volunteers, providing information to community groups and preparing budget for volunteer services.

Adjusted Discharges



37 January 2013

Reports

Quarterly Comparative Reports are available. Nursing units and departments with checkboxes marked from the selection screens will return comparative information for reporting facilities against the Medicare Classes (CAH/Rural or RR/Urban) that matches your facility and Statewide results. Where fewer than 3 hospitals are in a group, *** is displayed. DATA DEADLINES Quarterly data are due 45 days after the end of calendar quarter:

• 1Q due May 15 • 2Q due August 15 • 3Q due November 15 • 4Q due February 15

A week-long Preview Period for data validation is offered making Final Reports available by 60 days following the end of a quarter.

38 January 2013

Comparative Reports include sections on Summary Data and Productivity Ratios. Reports feature: • Summary Data: Compares reporting facility’s statistics for each nursing unit/department against Medicare class and statewide

results. • Productivity Ratios: Displays information on Worked Hours per Statistic, Paid Hours per Statistic, Contract Hours per

Statistic, Overtime Hours per Statistic and Salary Expense per Statistic against Medicare class and statewide results. GENERATING COMPARATIVE REPORTS

1) Select bullet point next to Comparative. 2) Select Nursing or Departments. 3) Select the Quarter – Year. 4) Run Report.

UNDERSTANDING COMPARATIVE REPORTS Each nursing unit and/or department selected from Select Nursing Units/Departments web page has a two-page section in their respective report. Summary Data is displayed on Page 1 with Productivity Ratios on Page 2. Your facility results are graphically compared to the Medicare class that matches your facility (CAH/Rural or Rural Referral/Urban) and statewide results for: SUMMARY DATA

• Worked Hours • Paid Hours • OT Hours • Salary Expenses • Contract Work/Paid Hours • Contract Salary Expenses • Total statistic for that department

PRODUCTIVITY RATIOS

• Worked Hours per Statistic • Paid Hours per Statistic • OT Hour per Statistic • Salary Expense per Statistic • Contract Work/Paid Hours per Statistic • Contract Salary Expense per Statistic

Footnotes explain how averages are calculated and how data is screened from showing:

39 January 2013

*Average for RN/LPN/Other Worked Hours, RN/LPN/Other Paid Hours, Contract Hours, Contract Salary and Salary Expenses do not include facilities that report 0. **Average for OT Hours includes facilities that report 0. ***Fewer than 3 hospitals reporting. (Results will be screened from the report is fewer than three hospitals submit data for that nursing unit and/or department.) In the future watch for Trending Reports that will include four rolling quarter’s results for Summary and Productivity Ratio information. Current quarter quartiles/ percentiles, hospital percent rank, number of hospitals participating in the group and peer group average are displayed. Reports feature:

• Summary Data: Compares reporting facility’s worked hours, paid hours, contract hours, overtime hours, salary expenses and statistic for each nursing unit/department against peer groups and statewide results.

• Productivity Ratios: Displays information on Worked Hours per Statistic, Paid Hours per Statistic, Contract Hours per Statistic, Overtime Hours per Statistic and Salary Expense per Statistic.

We anticipate that custom peer group building will be an enhancement in the future as numbers of hospitals reporting grows. Initial reports may limit comparatives where necessary due to smaller number of facilities reporting at the very granular levels.

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