Outcomes and cost analysis of the impact of unit-level nurse staffing on post-discharg utilization. Nurs Econ 2011;29(2):69-78, 87
Date
06/15/2011Pubmed ID
21667673Scopus ID
2-s2.0-79960940341 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
Under a proposal from the Centers for Medicare and Medicaid Services, hospitals would no longer be reimbursed for 30-day re-admissions or emergency department (ED) visits. Increasing RN staffing to reduce post-discharge utilization is one possible solution, but one that is not financially attractive to hospitals. This study demonstrates the impact of fluctuating staffing levels on ED visits within 30 days of discharge. RN overtime and RN vacancies also affected subsequent ED visits. It is important for nurse managers, directors, and administrators to recognize the impact of RN staffing on patient outcomes. Reimbursement models will need to be realigned to benefit both hospitals and payers.
Author List
Bobay KL, Yakusheva O, Weiss MEAuthors
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMarianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University
MESH terms used to index this publication - Major topics in bold
Costs and Cost AnalysisEmergency Service, Hospital
Female
Hospital Costs
Humans
Male
Middle Aged
Nursing Staff, Hospital
Patient Readmission
Personnel Staffing and Scheduling
Reimbursement Mechanisms
Retrospective Studies
