# SCF Measure of Productivity Analysis Paper

One measure of productivity is “nursing care hours per patient days”. Nursing care hours are the total hours for a specific time period worked by nursing personnel of a designated unit, including RNs, LPNs, and UAPs (unlicensed assistive personnel). The most common time period is one month, but hours/PPD (hours per patient day) may be calculated on a daily, weekly, or pay period basis.

Patient days is the sum total of days charged per patient within the same time period. Variance is the difference between actual and budgeted events such as dollars expended or a calculated productivity measure.

The table below provides a set of data for a high-acuity, medical-surgical unit for the previous year. Data included are the number of budgeted and actual patient days, total directed budgeted nursing care hours, and the actual hours of paid nursing care. Included are columns for the calculated productivity measure (actual nursing hours / actual patient days) and the variance ([budgeted nursing hours / budgeted patient days] – productivity) per month. A positive number indicates the number of hours you are over budget, while a negative number indicates the number of hours you are under budget.

Table: Productivity Data for 40-Bed Medical-Surgical Unit

 Month Actual Patient Days Budgeted Patient Days Actual Nursing Hours Budgeted Nursing Hours Productivity Measures Variance January 1,116 1,116 10,965 10,044 February 1,030 1,008 10,209 9,074 March 974 896 8,060 8,064 April 876 960 8,560 8,640 May 930 868 7,739 7,812 June 864 840 7,553 7,560 July 942 868 7,840 7,812 August 831 868 7,993 7,812 September 888 840 7,868 7,560 October 967 868 8,013 7,812 November 996 960 8,642 8,640 December 1,091 896 10,238 8,064 Total 11,505 10,988 103,680 98,894

#### Questions:

1. Given the information in the table, complete this table. Calculate the total hours of direct nursing care delivered per patient day for each month and for the total year. This indicates the unit’s productivity, and goes in the column marked “Productivity Measures”.
2. Assuming that the productivity standard for this unit is 9 hours per patient day, calculate the variance for each month.
3. Discuss the trends you see in this data from month to month, but also for each quarter and the overall year.
4. How can this information be used by the nurse manager to budget more efficiently for the upcoming year? What are your suggestions for change?
5. If you were the nursing manager, what other information might you request to better calculate productivity in your unit?

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