Great experience today...CVA Patient from 4 days ago walked into my office to tell me how ER RNs saved his life with "Brain Attack" TPA he is a retired Army Officer. We went to ER so he could give the RN who took care of him flowers in front of her peers.
Financial review summary
1) Productivity-MTD March 99% YTD March 100%. Sounds good well sort of..developed graphs of actual daily visits to budget daily visits compare to Flex hours. Graphs should trend together, they donot. Time to Flex staff to better match actual work load. Will go slow get ER Leaders to figure low risk easy wins
2) Salary -Over budget for FTEs. Wait productivity is 99-100%. Agency RN invoices not being processed quickly and/or billing by agency is slow.
3) Non-Salary-First step determined who spends money. Updated list of who can spend money, reduced it by at least 50%. Develop approval process for future requests
4) 2012 Budget-Finally got access to the 10 different programs all ER Director functions. Reviewing every expense class. Discovered Fixed FTE that Budget Director, Decision Support Administrator, nor VP/CNE knows what they are. I think it is Case Management & Treatment Center because when I got access there were expense reports for those two areas.
5) Benchmarking-Met with corporate Benchmarking. Normalized out many FTEs for ER lab draws by PCTs and RNs, ER Stat Lab staffing-ER provides coverage 16 of 24 hours daily and vacation coverage, EKG-ER staff do 15,000 EKG annually at 24 minutes each (uploading time included) and last one FTE for ER RN who works in IT role 100% of time. Results ER looks good.
6) Process Improvements-Streamlined Agency RN invoice approval so it is touched once, when ER Manager approves electronic time card every two weeks. Also develop proactive process to submitt requests for replacement FTE ASAP -when written notice is given.
7) Projects-Determing the busiest days and hours must include ER LOS...