Changes in regulations, rules, and guidelines have been constant in healthcare over the past two years. One topic that has impacted healthcare organization is mandatory staffing ratios. New York State implemented nurse to patient staffing ratios effective January 1, 2022, and it has had the impact of a net reduction of available nursing home beds for placement of patients related to lack of available nursing staff to meet the ratio. This has also been impacted hospital systems with a regional hospital in my area having nurses going on an extended strike not over pay but rather staff to patient ratios. Please take some time to watch a round table discussion with nursing home administrators from across the United States as they discuss leadership and strategies they have employed related to staffing shortage challenges as well as a proposed requirement in the Build Back Better bill that would have established nurse to staff ratios nationwide. https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/Unfunded-Nursing-Home-Mandates-in-%E2%80%9CBuild-Back-Better-Act%E2%80% In full disclosure my facility utilizes nurse to staff ratios to identify needed staffing levels but there is no ‘public law’ requirement to meet this staffing ratio every shift every day for every patient with large monetary fines if this is not achieved with a hot line for staff and unions to report facilities if they feel there is a violation. What strategies facilities will use to meet these binding requirements established by politicians and macro healthcare system level impact remains to be seen but the short term impact in New York state has been a reduction in nursing home beds and clogging up of acute care hospitals with patients cleared for discharge but unable to be placed. Now that you have read your professors post/rant feel free to post on a current issue in healthcare strategy of your choice.
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