Using Workforce Planning Tools to Support Safe Staffing. Healthcare Market, Allocate Software
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1 Using Workforce Planning Tools to Support Safe Staffing Simon Courage Liz Jones Product Director, Allocate Software Healthcare Market, Allocate Software
2
3 NICE Guidelines Staff Staffing Guidelines Decision Support Toolkit NICE Endorsement
4 Which areas will have guidelines?
5 NICE Extends the NQB Requirements NICE NQB
6 Patient Centred Care Assessing the nursing needs of individual patients is paramount when making decisions about safe nursing staff requirements
7 Compliments but Extends NQB Requirements Establishment Report Every 6 months Daily Reviews & Escalation Every shift
8 4 Main Recommendations 1. Factors that should be systematically assessed at ward level to determine the nursing staff establishment 2. On the day assessments of nursing staff requirements to ensure that the nursing needs of patients are met throughout a 24 hour period 3. Track Red Flag events that trigger staffing changes, and inform establishment reviews 4. Monitor adequacy of ward nursing staff establishments ensure that there are procedures for systematic monitoring of safe nursing indicators
9 Taking Action The guideline also makes recommendations for monitoring and taking action according to whether nursing staff requirements are being met and, most importantly, to ensure patients are receiving the nursing care and contact time they need on the day
10 Operational Task, not Historic Reporting Task Can we meet the reporting needs? What is safe? Are we safe now? How do I know?
11 It s just a guideline. Do Trusts have to implement it? Comply or explain
12 Observation CQC Inspection Data requests Commissioners? Safe Staffing Monitoring NICE Guidelines NQB Direction
13 Intelligent Monitoring Internal Assurance
14 The Concern
15 NICE Field Testing
16
17 Use a Tool! Use a decision support toolkit endorsed by NICE to facilitate the systematic approach to determining the nursing staff requirements
18 5 Ways to Tools can Help
19 1. Leverage what you have
20 What data is needed to answer Am I Safe Now? Roster & Staff Data Substantive staff bookings Bank staff bookings Agency staff bookings Granular duty time Non clinical time Planned staff requirement Skill requirements / skill actual Nursing Staff Requirements Red Flags Census times Patients by classification Nursing Staff Factors e.g. admissions/discharge Census notes NICE red flag types Custom red flag types
21 2. Simplicity
22 Simple Need to reduce admin overhead to bare minimum Reduce data entry required Simplify the data entry that is required
23 Reduce Data Entry needs Rosters can be very fluid especially with temporary staff changes A tool based on e rostering removes an entire category of data entry: E rostering has a large number of users nurses, bank office etc constantly updating the system Changes automatically impact safe staffing calculations now and in the future
24 Simplify Data Entry UI Approach
25
26 SafeCare Mobile Data Entry 1. Update roster Record attendance Record absence Redeploy 2. Entry Patient Census info Patients by classification, tasks, census notes 3. Record Red Flags Via phone too
27 3. Operationalise
28 Auto Notifications
29 Auto Notifications Red Flags
30
31 4. Powerful Analysis & Reporting
32 Scope of Data Roster & Staff Data Substantive staff bookings Bank staff bookings Agency staff bookings Granular duty time Non clinical time Planned staff requirement Skill requirements / skill actual Nursing Staff Requirements Red Flags Census times Patients by classification Nursing Staff Factors e.g. admissions/discharge Census notes NICE red flag types Custom red flag types
33 Powerful Reporting Toolset Detailed, flexible granular reports KPI reporting at all levels KPI notifications Internal & External Benchmarking Assurance
34 How Allocate can help
35 SafeCare All the Time Plan your staff rosters to effectively deliver safe care within budget, for all staff groups including temporary staff. Used by 160+ NHS organisations Understand how actual patient volume, acuity & dependency impacts your planned rosters and make alterations as needed. Flexibly apply any acuity/dependency model. Place live staffing information in the hands of staff through phones and tablets, and display staffing levels to patients on electronic white boards. Manage changes quickly including tracking attendance. Audit and drive improvement plans to assure continued safe care. Identify best practise and risk areas with benchmarking both inter ward and compared with other Trusts. HealthRoster Nursing HealthRoster BankStaff HealthRoster NHSP HealthRoster Skills Compliance SafeCare Ward SafeCare Community SafeCare Connect SafeCare Mobile SafeCare Wardboard SafeCare Attend SafeCare Benchmark SafeCare Policy SafeCare BoardAssure
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