2007 OPEN FORUM Abstracts
MEASURING MISSED TREATMENTS IN RELATION TO PRODUCTIVITY
G. Giles-Oas1, R. Ford1, T. Morris1
OBJECTIVE: In prior years Joint Commission mandated that Respiratory Care Department develop indicators of effectiveness with regard to staffing and clinical performance. In 2003, we selected “staff productivity” as our staffing indicator, and “missed treatments” as our clinical indicator. In addition to meeting a Joint Commission requirement, our objective was to determine the relationship between missed treatments and productivity and utilize this information in making decisions about the RC staffing program.
Method: Our staff recorded on a computerized charting system all instances when treatments were performed or missed. The number of missed treatments (as a percentage of the total number of ordered treatments) as calculated monthly. Productivity was defined as the sum of the procedure time standards appropriate for the ordered treatments (per the 2004 AARC Uniform Reporting Manual), divided by the actual hours worked by the clinical staff. Linear regression was used to determine whether there was a positive relationship between monthly productivity and the percentage of missed treatments.
Results: Productivity between January 2003 and December of 2006 was 99.3% (range 88% to 113%) and monthly missed treatments were 3.3% (range 0.5% to 5.0%) of the ordered treatments. There was no positive relationship demonstrated between productivity and missed treatments (slope - 0.02, 95% CI -0.06 to 0.02) and the slight negative correlation was not statistically significant (p = 0.39).
Conclusions: Our results disclosed no significant increase in missed treatments when productivity was high. This may also be secondary that productivity did not reach levels that would result in missing treatments; we therefore have decided to continue to monitor these metrics.