Issue #2: Are Your ER Staffing Decisions Data-driven?


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Are your ER staffing decisions
data-driven?
A Newsletter by Cara Cook Consulting

Our team of Healthcare Industrial Engineers created this newsletter to share the industry’s best practices with leaders who can apply operational efficiencies in their daily work. 

Across the country, Emergency Departments are actively working to manage both revenue and cost by reducing patients who leave without being seen, managing labor spend, and improving core measure performance.  Aligning staff with volume by hour of day is challenging, but necessary to address these critical issues. 
Above, Bernadette Spong, the system CFO of our 7-hospital pilot shares with HFMA that her hospitals saved $2.3M and reduced admitted LOS by 30% using the FlexSmart staffing tool that we developed. 
TOP TIP
Compare ED staff schedules to historical volumes by season of year, day of week, and hour of day.  Make thoughtful adjustments.
Psst... Don't forget to extend the analysis to ancillary departments
We are proud to announce the establishment of our product company, FlexSmart Solutions! FlexSmart's tools improve daily operations and profitability for healthcare organizations.
Cara Cook Consulting advises development of FlexSmart tools with our best business practices, and we leverage the technology to make an impact for our clients.  In the ER space, FlexSmart helps us provide leaders and hospital executives clear staffing guidance for their unique patient volume and arrival patterns, ensuring the right staff is in the right place at the right time. 
Introduction to FlexSmart Solutions
FlexSmart Solutions has been selected as a finalist for Denver Start Up week! We will be pitching our idea to a panel of judges on Wednesday and a popular vote will represent 20% of their decision. Please vote today!

To vote: 
1. Go to Denver Start Up Week
2. Click “Sign Up/Sign In” and create an account
3. Go to the voting page
4. Vote for FlexSmart Solutions
BEST PRACTICE GUIDE
1) Learn Finance and Nursing Guidelines 
  • Understand budgeted productivity target 
  • Discuss ideal nurse to patient ratios
2) Review Current Staffing Mode
  • Obtain current staff schedules by shift
  • Learn about ER zones or pods (triage, low acuity, acute, etc.) 
  • Discuss nursing ratios by area
3) Perform Operational Assessment 
  • Observe daily operations 
  • Interview front-line team members
4) Create Future Staffing Model
  • Create new shifts to align with census patterns 
  • Determine # of team members by shift and zone
  • Implement new team member schedules 
WE ARE HIRING
We are searching for our newest team member! The demand for self-starters with proven results optimizing healthcare operations is growing. If you have experience developing compelling data-driven analyses to design solutions, are an engaging communicator, and believe in empowering front line leaders through education, we would love to meet you.  

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