Saturday, May 10, 2008

Acuity Based Staffing

Sometimes staffing is based on resident acuity levels. This is usually calculated by averaging the RUG scores. However, this causes a big problem: Higher acuity levels don't necessarily mean that more CNA care is required, just more skilled nursing and/or rehab. CNA staffing should be based on average ADL scores. Doing so will eliminate complaints that you are being unfair about making assignments (ie, "on the ICF wing we've got 12 patients each that are all total care and Susie on skilled only has 8 patients that don't need a mother flipping thing").

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