The budget scenario used in Financial Exercise 2 is for Happy Valley Nursing Home, a 66 bed skilled nursing facility in Pennsylvania. Happy Valley provides short-term skilled nursing care and long-term care for adults with disabilities and older adults. The facility has one nursing unit, 4S, with a census of 56 patients in the month of June 2019.
Part 3: Nursing Sensitive Indicators Case Application
Using the labor and salary variance reports completed in Parts 1 and 2, evaluate the linkages between nursing staffing considerations and nursing sensitive indicators of quality and patient safety. Begin by downloading the Fall-Data-NSQI-Scenario (Excel file) and the presentation slides (PDF file) for Nurse Sensitive Outcome Indicators: What They Are and How They Are Measured and Benchmarked. Use these resources to complete the Nursing Sensitive Indicators Case Application. Please consider the fall data for 4S to be current for the purposes of the assignment.
Quality Case Scenario—Patient Falls
Brought up in a staff meeting by a concerned nurse: “We didn’t have any falls for six months last year and in the last five months it feels like we have had way too many. I think it is because we have been staffing tight.”
Consider the nursing leader’s approach to understanding the link between nursing-sensitive indicators and budgetary staffing decisions:
What questions do you need to ask?
What data do you need to begin exploring these issues?
Who do you need to include in the discussion
Who are the internal and external stakeholders who will influence or be influenced by this discussion?
In addition to staffing, what other factors could be influencing the patient fall rate on this unit?
Consider the nursing leader’s role in analyzing data for nursing sensitive indicators and financial performance as they draw conclusions and make financial decisions:
What data do you need?
What do you hope to learn from the data?
What trends would you expect to see?
What questions do you have?
What additional data or information do you need?
Summarize your responses to the question prompts. Document your response using the SBAR Tool template from the Institute for Health Improvement (IHI). You will need to login to your IHI account to access the template. Include two scholarly articles from professional peer-reviewed journals to support your responses to these questions. Be sure to review these PowerPoint slides for helpful tips when completing this assignment.