HRST-PSR - Health Risk Screening Tool - Physical Status Review
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Presents Acuity-Based Staffing |
The Health Risk Screening Tool -- HRST Acuity - Based Staffing -- ABS -- add-on allows for administrators to predict staffing levels in nursing, direct care, and case management based on the HRST-PSR database: number of clients and their level of health risk (low, moderate, or high). The HRST staffing module will allow an administrator to determine the staffing levels with the click of a mouse. This HRST package has been in development for four years and has been fine-tuned to a high degree of accuracy.
The HRST staffing add-on allows a manager to accurately predict staffing and budgetary requirements for LPNs, RNs, Direct Care personnel, and Case Managers via the HRST-PSR database. HRST allows further refinement through a drop down whereby "ALL" sub-units may be selected, or just one sub-unit. Sub-units can be input, and can represent buildings or wards for a facility, or residence addresses for the Community. This HRST database contains the health risk levels that have been calculated and the hours per employee per client by HRST-PSR level and by employee type, that are needed to adequately care for a large, or small group, of clients. The hours needed were determined empirically over a period of two years and involved two state DD departments. This HRST model allows the input of different designated relief factors for each type of employee. The caseload and weighting can be based on acuity for Case Managers. The HRST staffing module will allow an administrator to determine the staffing levels, based on the HRST-PSR scoring, with the click of a mouse, as well as, perform budgetary estimations via HRST acuity-based staffing projections.
This HRST ABS module is a predictor of staffing needs. When used properly, a manager can see when the number of clients or health risk levels have risen or fallen, and can accurately determine the staffing levels needed at that precise moment in time. This is not only a great time and money saver, but it also allows for the best possible care to be provided, by the most appropriate staff.
In the standard HRST package, we do not allow the user to change the hours per client, or the Case Manager weighting. This is an effort to establish a standard. However, we can supply HRST versions with the input screens available, allowing the user to change the hours that have been empirically determined. Of course, in the standard HRST version the user can also make changes to the overall outcome by varying the Designated Relief Factors.
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The following examples of input and output screens will serve to illustrate the process of compiling an HRST Staffing report detailing staffing levels needed to staff a thirteen-client facility.
The following menu, in the third layer of menus, illustrates the choice that one would pick to perform the HRST-PSR Staffing Report Calculation. On this HRST Executive Function Menu Screen, which is password-protected (one has to enter a password before getting access to this menu), the third choice will bring up the HRST-PSR Acuity-Based Staffing Report screen, as follows.
The following HRST graphic shows the input screen, allowing Designated Relief Factors to be input, along with caseloads, sub-unit choices, and average hourly salaries. One may also choose the setting: Group Home versus Institutional setting. These will present different HPPD for the small versus large aggregate setting. Note that the caseload weighting for Case Managers for Moderate-Risk clients is defined as "1"; i.e., average. Higher and lower risks will result in appropriate weighting. Any sub-unit may be chosen with the drop-down menu, or <ALL> may be chosen, as is the case in this example. This allows for HRST reports on HRST staffing levels for a total facility and/or any sub-unit (which may designate a ward with HRST-PSR Level 5 and 6 clients only, or a particular group home, etc.)
The following HRST graphics show the output screens and/or paper reports for the staffing and wage costs requirements for a facility with thirteen clients of various levels of acuity. ABS produces a Summary, a Caseworker Detail for a single shift, and the RN, LPN, and DCS staff detail Requirements for all three shifts. The Nominal staff levels and actual staff levels, as well as, the actual hours and the Full-Time Equivalency (FTE) hours are displayed along with salary costing. The number of clients is virtually unlimited, excepting only for the software licensing limitations.
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