June 2018
Spotlight: Workforce Optimization
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Though there is marginal productivity improvements in May, the heating up of the labor market potentially poses challenges to hospitals. Most hospitals and health systems take a traditional approach to budgeting and composing the nursing workforce. This approach relies on two key metrics: the Average Daily Census (ADC) and Hours per Patient Day (HPPD). The ADC—the number of patients on the nursing units—typically is taken at midnight and applied as the “average” for an entire work day. This measure then is lined up against a nursing unit’s target HPPD to determine the number of FTEs the unit needs to provide adequate patient coverage.

Conceptually, it is easy to see where the logic of this approach is flawed. Applying the patient census at one hour of the day as an average does not account for the other 23 hours in the day. It doesn’t account for fluctuations in the patient census that may impact staffing, nor does it capture the potential seasonality or day of week variation on the nursing unit.
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Workforce Optimization Models
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Workforce Optimization Models
Case Study
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National Hospital Flash Report
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