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Human Resources

This area deals with assessing the need for and the supply of professional and other personnel. Functions include recruitment, selection, training, compensation, and evaluation of such personnel and examining ways to evaluate productivity and monitor accountability for results.

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Nurse Staffing Ratios

Posted by: Timothy Szott on February 3, 2009 at 10:04PM EST

In the Human Resources section part one, slide 20 refers to the much debated subject of legislation for nurse staffing ratios. Is it correct that at this point only the State of California has legislated minimum nurse staffing ratios?

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(5) Comments

Posted by: Marie Vienneau on February 9, 2009 3:21PM EST

I thought that Massachusetts had some sort of staffing ratio law as well? I could be wrong. In Maine, it has surfaced every legislative session for the last several years. (The CNA is active here.)
So far, it has not passed. We are mandated to report staffing to the State, but no ratios as yet.

Posted by: Elaine Charest on February 26, 2009 11:20AM EST

Massachusetts does NOT have a staffing ratio law. It was defeated.

Posted by: Cheryl Hoying on February 27, 2009 3:58PM EST

In the Health Care Advisory Board's "Daily Briefing" of 2/24 they relayed that researchers conducted a review of nurse-centric quality meausres from 410 acute care facilities in California. The review showed that California nurse-patient ratios have not improved care as reported in patient satisfaction, average length of stay or rates of pressure ulcers, etc.

Posted by: Terrence Korupp on March 8, 2009 9:06PM EST

Several states have set minimum staffing levels for nursing homes. While it is debated in several different legislatures, I don't think any states other than California have mandated ratios for acute care.

Congress did limit the number of hours that a VA RN can perform direct patient care in a work week (12 hrs/day, 60 hrs/wk).

Several organizations are studying hours per patient day (hppd) to determine what is appropriate staffing for their HCO.

Posted by: Juan Aragon on April 29, 2009 12:47AM EST

HI, I agree with Terrence, I am seeing more data and orgnaizations using hours per patient days FTES per patient days.- Advocates suggest that it allows adjustment for qucik turonver beds that may have 2 or 3 patients in a day, but require more direct care.