using workforce planning tools to support safe staffing/media/employers... · 1. factors that...
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Simon Courage Product Director, Allocate SoftwareLiz Jones Healthcare Market, Allocate Software
Using Workforce Planning Tools to Support Safe Staffing
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NICE Guidelines
Staff Staffing Guidelines Decision Support ToolkitNICE Endorsement
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Which areas will have guidelines?
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NICE Extends the NQB Requirements
NICE NQB
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Patient Centred Care
“Assessing the nursing needs of individual patients is paramount when making decisions aboutsafe nursing staff requirements”
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•Every 6 monthsEstablishment Report
•Every shiftDaily Reviews & Escalation
Compliments but Extends NQB Requirements
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1. Factors that should be systematically assessed at ward level to determine the nursing staff establishment
2. On‐the‐day assessments of nursing staff requirements to ensure that the nursing needs of patients are met throughout a 24‐hour period
3. Track Red Flag events that trigger staffing changes, and inform establishment reviews
4. Monitor adequacy of ward nursing staff establishments ensure that there are procedures for systematic monitoring of safe nursing indicators
4 Main Recommendations
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The guideline also makes recommendations for monitoring and taking action according to whether nursing staff requirements are being met and, most importantly, to ensure patients are receiving the nursing care and contact time they need on the day
Taking Action
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What is safe?Are we safe now?How do I know?
Can we meet the reporting needs?
Operational Task, not Historic Reporting Task
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It’s just a guideline. Do Trusts have to implement it?
Comply or explain
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SafeStaffing
CQC
NQBNICEGuidelines
Inspection
Direction
Commissioners?
Data requests
Monitoring
Observation
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Intelligent Monitoring – Internal Assurance
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The Concern
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NICE Field Testing
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1.2.2 Use a decision support toolkit endorsed by NICE to facilitate the systematic approach to determining the nursing staff requirements
Use a Tool!
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5 Ways to Tools can Help
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1. Leverage what you have
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Roster & Staff Data
Substantive staff bookings
Bank staff bookings
Agency staff bookings
Granular duty time
Non‐clinical time
Planned staff requirement
Skill requirements / skill actual
“Nursing Staff Requirements”
Census times
Patients by classification
Nursing Staff Factorse.g. admissions/discharge
Census notes
Red Flags
NICE red flag types
Custom red flag types
What data is needed to answer “Am I Safe Now?”
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2. Simplicity
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Need to reduce admin overhead to bare minimumReduce data entry requiredSimplify the data entry that is required
Simple
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Rosters can be very fluid especially with temporary staff changesA tool based on e‐rostering removes an entire category of data entry:
E‐rostering has a large number of users – nurses, bank office etc – constantly updating the systemChanges automatically impact safe staffing calculations – now and in the future
Reduce Data Entry needs
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Simplify Data Entry – UI Approach
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SafeCare Mobile – Data Entry
1. Update rosterRecord attendanceRecord absenceRedeploy
2. Entry Patient Census infoPatients by classification, tasks, census notes
3. Record Red FlagsVia phone too
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3. Operationalise
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Auto Email Notifications
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Auto Email Notifications – Red Flags
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4. Powerful Analysis & Reporting
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Roster & Staff Data
Substantive staff bookings
Bank staff bookings
Agency staff bookings
Granular duty time
Non‐clinical time
Planned staff requirement
Skill requirements / skill actual
“Nursing Staff Requirements”
Census times
Patients by classification
Nursing Staff Factorse.g. admissions/discharge
Census notes
Red Flags
NICE red flag types
Custom red flag types
Scope of Data
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Detailed, flexible granular reportsKPI reporting at all levelsKPI email notificationsInternal & External BenchmarkingAssurance
Powerful Reporting Toolset
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How Allocate can help
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SafeCare All the Time
Plan your staff rosters to effectively deliver safe care within budget, for all staff groups including temporary staff. Used by 160+ NHS organisations
HealthRoster‐NursingHealthRoster‐BankStaffHealthRoster‐NHSPHealthRoster‐Skills Compliance
Understand how actual patient volume , acuity & dependency impacts your planned rosters and make alterations as needed. Flexibly apply any acuity/dependency model.
SafeCare‐WardSafeCare‐CommunitySafeCare‐Connect
Place live staffing information in the hands of staff through phones and tablets, and display staffing levels to patients on electronic white boards. Manage changes quickly including tracking attendance.
SafeCare‐MobileSafeCare‐WardboardSafeCare‐Attend
Audit and drive improvement plans to assure continued safe care. Identify best practise and risk areas with benchmarking both inter‐ward and compared with other Trusts.
SafeCare‐BenchmarkSafeCare‐PolicySafeCare‐BoardAssure