staff schedules

kelleywalrathkelleywalrath
in CDI Talk Archive
Does snyone work a 4 day/10 hr day work week? If so, how is it working out and does all or just some of the staff work that schedule?

Kelley Walrath
Munroe Regional Medical Center
Ocala,FL
352-671-2589

Comments

  • dbutlerdbutler
    edited May 2016
    Look in:
    ACDIS Journal July 1 2010, Case Study: Alternative staff schedules offer CDI opportunities

    and

    Forms & Tools library, ACDIS - Policies, Procedures, Regulations, and Job Descriptions, Sample CDI flexible schedule: http://www.hcpro.com/content/254985.xls

    Don't have experience personally, but found those interesting.

    Don
  • kelleywalrathkelleywalrath
    edited May 2016
    Read those but was curious to see if anyone implemented any of them. thanks
    Kelley
  • cynthia.a.goeweycynthia.a.goewey
    edited May 2016
    Hi Kelley,
    We worked 10 hour shifts for a while in our program. We worked M-F as a group. Wednesday was our usual day for meetings so everyone worked on Wed. I went to 8 hour shifts for personal reasons and one other nurse followed shortly after. Our other nurse resigned and our Director then made the available positions 8 hour shifts (she found it easier to have consistent staffing numbers when we all work 8 hour shifts). My weekly productivity numbers didn't change when I went to 8 hour shifts. I do miss the extra day off during the week but I know at times I would struggle to keep my attention focused during my last two hours of reading charts when I did 10 hour shifts.
    Cindy
  • kelleywalrathkelleywalrath
    edited May 2016
    thank you. I too fear the brain fatigue of the last two hours. did you see any benefits besides the one day off? my staff really want to do this but I have to weigh the pro's and con's.

    Kelley
  • cynthia.a.goeweycynthia.a.goewey
    edited May 2016
    I believe the 10 hour shifts to be more attractive for RN's looking for a non-patient care position. Most of our CDS have come from bedside nursing and I know of at least a couple who didn't apply as they did not want to work 5 days/week. I do believe the biggest pro is that it can be a staff satisfier. You are also available more hours/day to communicate with MD's. One of our downfalls with our staffing was that we weren't scheduled appropriately; there were two days a week when there was only 1 out of the 3 of us here. If scheduled appropriately I don't think it would have been an issue.

    Cindy
  • cmclose@saintfrancis.comcmclose@saintfrancis.com
    edited May 2016
    May I ask what is the staffing ratio?

    Claudine Hutchinson RN
    Clinical Documentation Improvement Specialist
    Children's Hospital at Saint Francis
    Email: chutchinson@saintfrancis.com
    Office: (918) 502-6603
    Pager: 98-1001
  • kelleywalrathkelleywalrath
    edited May 2016
    we have 5 cdi's - 4 on 40 hr , 1 on 32 for a 423 bed hospital which usually is at most at 410 but also can drop to 295 or so. Average is 375.
  • kelleywalrathkelleywalrath
    edited May 2016
    thank you Cindy. I agree with you about the 4 days appealing to more candidates. that is one reason I am asking about this. I finally have an open position. It is posted on this site.
  • cmclose@saintfrancis.comcmclose@saintfrancis.com
    edited May 2016
    What payors do the CDI staff look at?

    Claudine Hutchinson RN
    Clinical Documentation Improvement Specialist
    Children's Hospital at Saint Francis
    Email: chutchinson@saintfrancis.com
    Office: (918) 502-6603
    Pager: 98-1001
  • kelleywalrathkelleywalrath
    edited May 2016
    well the doc spec only portion of the job looks at all DRG Payors. The other aspects include review all possible payors with admitting diagnoses of chest pain, sob, etc. that could code to AMI or CHF for core measures and any with dizzy, weakness, and the like for medical necessity.
  • tpeytontpeyton
    edited May 2016
    we look at all payers that are admits

    Tracy M Peyton RN, CCDS
    Case Management
    Bradford Regional Medical Center
    Upper Allegany Health Systems
    116 Interstate Parkway
    Bradford, PA 16701
    814-558-0406
  • judithbatesjudithbates
    edited May 2016
    I have worked 4/10's for 2 years now. There are 2 other CDI's and they both have continued to work 8 hr shifts. I have not seen any real change in my stats and the satisfaction of having a 3 day weekend is very satisfying.
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