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Understanding and Achieving Productivity Mary Kay Hamilton, RN, MHI Building your foundation for the evolution of kidney care

Understanding and Achieving Productivity in the Dialysis Clinic

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Page 1: Understanding and Achieving Productivity in the Dialysis Clinic

Understanding and Achieving Productivity

Mary Kay Hamilton, RN, MHI

Building your foundation for the evolution of kidney care

Page 2: Understanding and Achieving Productivity in the Dialysis Clinic

Different metrics for Productivity

$/Treatment

Salary & Wages

Overtime

Differential labor costs

(paying RN to do PCT job)

Cost of Agency staff

ProductivityNumber of hours worked per treatment

Page 3: Understanding and Achieving Productivity in the Dialysis Clinic

The Productivity Formula used in Outpatient Hemodialysis Clinics

Productivity =Hours worked

Treatments provided

Page 4: Understanding and Achieving Productivity in the Dialysis Clinic

Calculating Productivity for an average 3.5 hr/tx

10.00 hours

8 tx= 1.25 hours/tx

Productivity =Hours worked

Treatments provided

Bob

Sue

Ann

Ted

3.5

3.5

3.5

3.5

HOUR

0600-0930

0615-0945

0630-1000

0645-1015

TIME INTERVALNAME

Carrie

James

Allison

William

1045-1415

1100-1430

1115-1445

1130-1500

3.5

3.5

3.5

3.5

HOUR TIME INTERVALNAME

To accomplish this, the staff would need to work from 0500-1530=10.5hours-a 30minutes lunch break=10.0hours

1-hour set up time:0500 arrival

30minutes clean up: 1530 depart

Page 5: Understanding and Achieving Productivity in the Dialysis Clinic

Average 3.5 hour treatment

(30.0 hr)

10.0 hr X 3 Pods( 24 tx)

8 tx X 3 Pods

(12 hr)

12 hr RN

(24 tx)

8 tx X 3 Pods = 0.5 hrs./tx

PCT: ÷

÷RN:

= 1.25hrs/tx

Sally, RN (0500-1730)

Page 6: Understanding and Achieving Productivity in the Dialysis Clinic

Pulling it all together

1.25 hr/tx + 0.5 hr/tx = 1.75 hr/tx

Total Productivity Number:

(30.00hr)

12.0 hr X 3 Pods( 24 tx)

8 tx X 3 Pods

(12 hr)

12 hr x 2RN

(24 tx)

8 tx X 3 Pods = 0.5 hr/tx

PCT: ÷

÷RN:

= 1.25hrs/tx

PCT RN PRODUCTIVITY NUMBER

Page 7: Understanding and Achieving Productivity in the Dialysis Clinic

A Rule of Thumb when Determining Productivity

= 1.75 hr/tx3.5

2

Average treatment duration of 3.5 hours

Take your average treatment duration and divide it in half. This is a productivity guideline allowing for enough time for safe and effective care.

= 2.0 hr/tx4.0

2

Average treatment duration of 4.0 hours

Page 8: Understanding and Achieving Productivity in the Dialysis Clinic

Three Reasons to be More Productive

Company viability

Allocation of funds

Controllable costs - Labor

01

02

03

Page 9: Understanding and Achieving Productivity in the Dialysis Clinic

Takeaways:• Potential for payment reduction – up to 2%• Outcomes to reporting ratio changing in 2018

• From 75%:25% 90%:10% • Adding in Blood Stream Infections in 2018

What this means to you:• Time to provide quality care is vital!

• Infection Control Practices• RN time to provide oversight• RN time for outcome management

Company ViabilityQIP and Productivity

Page 10: Understanding and Achieving Productivity in the Dialysis Clinic

Allocation of funds

Staffing large cost for a company

Support roles (outcome mgrs., survey readiness)

Education

New/updated equipment

Conferences

If we can decrease these dollars going to one area, the dollars could become available

for other areas like:

Page 11: Understanding and Achieving Productivity in the Dialysis Clinic

The Dollar and Cents Reason to understand Productivity (Using a $25.00 blended rate)

For every 0.1 hour/tx savings it saves $2.50/tx

No big deal right…..

WRONG!

If your current productivity number is 2.5 hrs./tx, getting to 2.2 hrs/tx would be a 0.3 savings

Page 12: Understanding and Achieving Productivity in the Dialysis Clinic

The Dollars and Cents Reason

Hours/treatment

Hours/treatment savings

$/treatment savings

0.1 $2.50 $750.00 $3,000.00 $36,000.00

Weekly savings(using a 300tx week)

Monthly savings Annual savings

0.5 $12.50 $3,750.00 $15,000.00 $180,000.00

Page 13: Understanding and Achieving Productivity in the Dialysis Clinic

Steps that can be taken to improve productivity

What is your current productivity?

What is your company goal for productivity?

How does it compare to your current?

Look at the factors that impact productivity

Missed treatments

Training hours

Extra RN hours – to get all the paperwork done!

Staff added to cover peaks

Workflow that does not allow for independents

1234

What is your current productivity?

What is your company goal for productivity

How does it compare to your current?

Look at the factors that impact productivity

Missed treatments

Page 14: Understanding and Achieving Productivity in the Dialysis Clinic

The patient treatment schedule is the scheduled workflow of the clinic

Patient Safety• Appropriate amount of time to complete tasks• Appropriate amount of staff for scheduled events• Unencumbered nurses available for emergencies

Quality of Care• Adequate time to initiate, terminate, and complete treatments• Nurses that are not required to be on the floor supporting

turnover have more time to manage clinical outcomes

Patient Satisfaction• Focused attention from staff• Reliable treatment start and stop times• Tone and pace of the treatment floor

Impact of Workflow

Staff Satisfaction• Manageable work assignments• Sense of a job well done and accomplishment• Professional satisfaction for nurses

Productivity and Costs• Effective use of human and financial resources

Page 15: Understanding and Achieving Productivity in the Dialysis Clinic

To hear more about how ScheduleWise can support your organizations productivity and workflow goals contact us at

[email protected] or via the information below

Mary Kay [email protected]

877-753-3947 Ext. 1877-753-3947 Ext. 1