Analyzing FTE Requirements for a Growing Medical Unit – A Budget Case Study

QUESTION

Budget Case Study

 

Laura has analyzed that four of the five medical units she oversees have remained steady over the past 2 years.  However, a fifth unit has had a steady increase in patients volume during  that time and is currently at 88% capacity.  It has been projected that within the next 12 months the volume of patients move through that unit will increase by 20%.  Laura needs to determine if the current FTEs for the unit will be sufficient to ensure quality and safe care continues to be provided.

 

You have determined the unit for which Laura must make FTE projections.

 

Additional info:

  • The budgeted hours of care per patient day (HPDD-budgeted) is 8.8%
  • Each employee receives 17% paid non-productive hours/years
  • Laura determines the allocation of the HPPD to nursing and non-nursing personnel.  Laura is not included in the HPPD calculation, but the unit secretary included.
  • Nurses will work 12 hours, techs will work 8 hours

1) Calculate the number of direct FTES needed for the unit  (Show the formulas used and all calculations)

 

2) Calculate TOTAL FTEs needed accounting for non-productive time.

ANSWER

Analyzing FTE Requirements for a Growing Medical Unit – A Budget Case Study

Introduction

In this budget case study, Laura, a healthcare manager, faces the challenge of determining the Full-Time Equivalent (FTE) requirements for a medical unit experiencing a steady increase in patient volume. This calculation is crucial to ensure that the unit can continue to provide quality and safe care as patient numbers rise. To achieve this, we will calculate both the direct FTEs needed for the unit and the total FTEs required, accounting for non-productive time.

Direct FTE Calculation

Calculate the number of direct FTES needed for the unit

To determine the direct FTEs needed for the unit, we first need to consider the current patient capacity and the projected increase in patient volume.

Current capacity utilization: 88%

Projected increase in patient volume: 20%

To calculate the number of patients the unit can accommodate currently, we use the formula:

Current Capacity = Current Number of Beds / Total Number of Beds

Current Number of Beds = (88 / 100) x Total Number of Beds

Next, we calculate the projected number of patients after the 20% increase:

Projected Number of Patients = Current Number of Beds x (1 + Projected Increase)

Now, to determine the direct FTEs required, we use the following formula:

Direct FTEs = (Projected Number of Patients x HPDD-budgeted) / Hours Worked by Each Employee

In this case, nurses work 12 hours, and techs work 8 hours. The HPDD-budgeted is 8.8%. So,

Direct FTEs = (Projected Number of Patients x 8.8%) / (12 hours for nurses + 8 hours for techs)

Calculate TOTAL FTEs needed accounting for non-productive time

Now that we have determined the direct FTEs needed for the unit, we need to account for non-productive hours. Each employee receives 17% paid non-productive hours per year. To calculate this for the total FTEs, we use the following formula:

Total FTEs = Direct FTEs / (1 – Percentage of Paid Non-Productive Hours)

Total FTEs = Direct FTEs / (1 – 0.17)

Conclusion

In this budget case study, we have calculated the direct FTEs needed for the medical unit experiencing a steady increase in patient volume and projected its FTE requirements accounting for non-productive time. Accurate FTE projections are crucial for maintaining the quality and safety of care in healthcare settings. Laura can now use these calculations to make informed decisions regarding staffing levels to ensure the continued excellence of the unit’s services.

 

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