26
HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
RN Staffing Ratio Climbs by 18% at Hospitals in MHSs with HMOs
• In 2011, hospitals in MHSs that owned HMOs
staffed more full-time equivalent (FTE)
registered nurses (RNs) per occupied bed (2.62)
than did hospitals in MHSs without HMOs (2.42).
• Moreover, this staffing ratio increased at a
faster rate (18.0%) over these three years at
facilities in MHSs with HMOs than at those
hospitals in MHSs that did not own HMOs (8.0%).
Data source: IMS Health © 2013
DEMOGRAPHICS
HOSPITAL STAFFING RATIOS
1
Hospitals in MHSs Owning HMOs
Hospitals in MHSs Not Owning HMOs
FTEs PER OCCUPIED BED
2009
2010
2011
2009
2010
2011
Staff Physicians
0.23
0.24
0.25
0.26
0.27
0.29
Resident Physicians
0.29
0.35
0.36
0.34
0.35
0.36
Registered Nurses
2.22
2.50
2.62
2.24
2.34
2.42
Licensed Practical Nurses
0.38
0.42
0.48
0.47
0.46
0.45
Physician Assistants
0.13
0.13
0.15
0.13
0.13
0.13
Registered Pharmacists
0.10
0.11
0.12
0.10
0.10
0.11
Occupational Therapists
0.05
0.06
0.06
0.06
0.06
0.06
Inhalation Therapists
0.18
0.19
0.22
0.19
0.19
0.19
Physical Therapists
0.11
0.12
0.13
0.11
0.12
0.12
All Other Employees
5.80
6.32
6.70
5.61
5.74
5.85
TOTAL FTE STAFF
2
8.21
9.10
9.59
8.40
8.62
8.79
Key Takeaway
As more newly insured patients enter the health care system, and the number of Americans
afflicted with chronic disease (who therefore require coordinated, patient-centered medical care)
continues to grow, the demand for RNs is expected to intensify. Indeed, by 2020 the health care
industry as a whole is expected to employ 26.0% more RNs than in 2010.
4
1
Data are for all beds in nonfederal, short-term, acute-care hospitals only. Psychiatric, rehabilitation and children’s hospitals are excluded.
2
Column totals represent the average of each facility’s total full-time equivalent employees. Therefore, the totals cannot be derived by adding the
numbers in the columns.
3
Severity is approximated by the case mix index (CMI), which is a statistical measure of the average amount of resources consumed per Medicare
inpatient case at a hospital. Hospitals that tend to treat more resource-intensive (i.e., severe) cases will have a higher calculated CMI.
4
Bureau of Labor Statistics. (2012). The 30 Occupations with the Largest Projected Employment Growth, 2010–20. Retrieved from
http://www.bls.gov/news.release/ecopro.t06.htm
FTE REGISTERED NURSES PER OCCUPIED BED, BY HOSPITAL CASE MIX INDEX
1,3
• Between 2009 and 2011, the number of FTE
RNs per occupied bed increased at hospitals
of all case mix index (CMI) ratings. Overall, the
RN staffing ratio rose by 12.6% over this time.
• Hospitals with the lowest CMI (less than 1) had
the highest number of RNs per occupied bed in
2011 (3.45), while those with the highest CMI (1.5
or more) reported a much lower ratio, at 2.40.
Hospitals of All Case Severity Ratings Increase RN Count per Occupied Bed
1.6
2.1
2.6
3.1
3.6
FTE Registered Nurses per Occupied Bed
CMI <1
CMI 1 to <1.2
CMI 1.2 to <1.5
CMI 1.5+
Overall Average
2.93
3.26
3.45
2.74
3.08
3.25
2.05
2.23
2.33
2.22
2.33
2.40
2.46
2.66
2.77
2009
2010
2011
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