overtime: how it may be harming your business and your patients
TRANSCRIPT
Overtime
your business and your patients
How it may be harming
Overtime is pervasive
Overtime
50%of full time nurseswork OVERTIME
Source: Bae, Sung-Heui. "Nursing Overtime: Why, How Much, and Under What Working
Conditions?" Nursing Economics, 30, no 2 (March/April 2012): 60-71.
Overtime hours
Full time nurses
work an average
of 7 OVERTIME
hours each week
Source: Health Resources and Services Administration, "The Registered Nurse Population.
September 2010," Accessed July 28, 2014,
http://bhpr.hrsa.gov/healthworkforce/rnsurveys/rnsurveyfinal.pdf
Overtime is expensive
Total Cost of OVERTIME = $12M
Based on a 300 bed hospital
Cost implications
Source: Sage Growth Partners Analysis
Overtime
Potential Savings
Overtime SAVINGS = $1,154,828
Based on 300 bed hospital
Overtime puts patients at risk
Medical errorsNurses who work OVERTIME are
to make medical errors
3X
morelikely
Source: Bae, Sung-Heui. Presence of Nurse Mandatory Overtime Regulations and
Nurse And Patient Outcomes. Nursing Economics. March/April 2013; 31, no. 2: 59-
89.
Medical Errors Overtime
Potential Savings
Overtime SAVINGS = $1,154,828
Medical Error SAVINGS = $663,376
Based on 300 bed hospital
Overtime accelerates staff turnover
Turnover
Nurses working 12 hour shifts are
2Xmore likelyto intend to
leave their job within 1 year
Source: Stimpfl, Amy, et al. The Longer The Shifts for Hospital Nurses, The Higher
The Levels Of Burnout And Patient Dissatisfaction. Health Affairs, 31, no.11 (2012):
2501:2509.
TurnoverMedical Errors Overtime
Potential Savings
Overtime SAVINGS = $1,154,828
Medical Error SAVINGS = $663,376
Turnover SAVINGS = $761,405
Based on 300 bed hospital
Overtime decreases patient satisfaction
patients are more likely to rate hospital
6 or lower out of 10 on HCAHPS survey
Patient Satisfaction
Source: Stimpfl, Amy, et al. The Longer The Shifts for Hospital Nurses, The Higher
The Levels Of Burnout And Patient Dissatisfaction. Health Affairs, 31, no.11 (2012):
2501:2509.
when nurses work
13 hours
Value of Patient
Source: Wolf, Jason and Widmer, Thomas. "Return on Service The Financial Impact of the Patient
Experience." 2011
Lifetime Value of
Patient = $150,000
Lifetime Value of
Household = $404,000
TurnoverMedical Errors Overtime
Patient Satisfaction
Potential Savings
Overtime SAVINGS = $1,154,828
Medical Error SAVINGS = $663,376
Turnover SAVINGS = $761,405
Patient Satisfaction SAVINGS = $793,892
Based on 300 bed hospital
Overtime puts nurses’ safety at risk
Overtime Schedulesare associated with a
61% Increased Injury rate
Nurse injuries
Source: Bae, Sung-Heui. "Nursing Overtime: Why, How Much, and Under What Working
Conditions?" Nursing Economics, 30, no 2 (March/April 2012): 60-71.
TurnoverMedical Errors Overtime
Patient Satisfaction
EmployeeInjuries
Potential Savings
Overtime SAVINGS = $1,154,828
Medical Error SAVINGS = $663,376
Turnover SAVINGS = $761,405
Patient Satisfaction SAVINGS = $793,892
Employee Injuries SAVINGS = $100,841
Based on 300 bed hospital
TurnoverMedical Errors Overtime
Patient Satisfaction
EmployeeInjuries
Potential Savings
Overtime SAVINGS = $1,154,828
Medical Error SAVINGS = $663,376
Turnover SAVINGS = $761,405
Patient Satisfaction SAVINGS = $793,892
Employee Injuries SAVINGS = $100,841
Total SAVINGS = $3,474,342
Based on 300 bed hospital
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