What formulas do you use to calculate B? Insert formulae into cells J125 and J126 to answer the questions below: Standard Adj. Acuity Patient Volume 12500 12500 NHPPD 6.62 6.62 Acuity Level (in RVU) 0 3 A. How many FTEs are needed to care for this patient volume (in column labeled Standard)? 39.78 B. What is the difference between the number of FTE needed for the actual volume, when acuity is taken into consideration? Total Points I am not sure what you are asking me. Here is the directions
Acuity and its Influence
Just knowing your average daily census (ADC) and NHPPD may not be enough to create an accurate staffing pattern because these elements do not take into account the actual severity of the patients. If you are currently using an acuity system that assigns a numerical score to the severity level of the patients on your unit, you can adjust your staffing pattern to take into account the influence of patient severity. Acuity = Average Acuity Score x Patient Volume for a Specified Time
The Specified Time Period
You have calculated 12.85 NHPPD for a unit that has 61 patient days in one week (ADC=8.7). Assume an acuity on that unit of 2 (on average, each patient requires 2 RVUs); calculate Adjusted Daily Census (reflects acuity):
Acuity = 2 x 3176 Annual Patient Days
Acuity = 6352 Adjusted Patient Days
Acuity = 17.4 Adjusted Daily Census
This value equals an adjusted average daily census that reflects the acuity of that patient population. The staffing pattern is then configured based on this adjusted average daily census. For example, with an ADC of 8.7 and NHPPD of 12.85, you would need 13.97 FTE. Factoring in the acuity value would indicate that you now need 27.9 FTE (17.4 patients * 12.85 NHPPD ÷ 8 hour shifts) to care for those 8.7 patients because of the acuity level.
To further see how FTEs change in relation to the addition of acuity, please follow this example: nursing unit has been told that they must maintain a worked NHPPD of 6.62 hours. The baseline workload unit volume is 12,500 patient days, requiring 39.78 worked FTEs. Remember how to calculate that? 6.62 NHPPD x 12,500 patient days = 82,750 hours/year. 82,750 ¸ 2080 (hours worked by 1 FTE) = 39.78 worked FTEs. The workload unit volume, with an acuity of 1.08 factored, is now 13,500 patient days. The worked FTEs that would be required to care for this adjusted patient day volume would be:
FTEs = NHPPD x Adjusted Workload Volume
FTEs = 6.62 x 13,500 = 42.97
An additional 3.19 FTEs are needed to account for the acuity of the patient population and to maintain a worked NHPPD of 6.62.
How many more FTEs would be needed with an acuity level of 3.0 for this same volume of patients and 6.62 NHPPD? Use formulas in Excel to calculate your answer.