Nurse Acuity Systems: CASH vs. GRASP (A Determination of Nurse Staff Requirements)

Schroeder, Richard.; Rhodes, Arvin M.; Shields, Robert E.

doi:10.1111/j.1744-6198.1984.tb01136.x

Cited by 4 publications

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“…2005). Papers often referred to nursing intensity in terms of the amount of time required to provide patient care (Dale & Mable 1983, Schroeder et al. 1984, Adams & Duchene 1985, Adams & Johnson 1986, McNeal et al.…”

Section: Resultsmentioning

confidence: 99%

Patient acuity: a concept analysis

Brennan

Daly

2009

Journal of Advanced Nursing

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Section: Resultsmentioning

confidence: 99%

Patient acuity: a concept analysis

Brennan

Daly

2009

Journal of Advanced Nursing

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“…Contributing to the debate concerning the use of patient acuity and task-oriented methods to evaluate nurse requirements, a comparative case study was carried out in three medical units examining the CASH method (developed by the Commission for Administration Services in Hospital) and the GRASP method (designed by the Grace Hospital in Morgantown), which showed that load forecasts can range from 5 to 20 % (Schroeder et al 1984). The authors concluded that the category system is preferable to the task-based method, which requires much more detailed information concerning patient activities.…”

Section: Timed-task/activity Methodsmentioning

confidence: 99%

Daily nurse requirements planning based on simulation of patient flows

Sarno

Nenni

2015

Flex Serv Manuf J

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Nurses account for approximately 50 % of total hospital budgets and their allocation to medical units and shifts can significantly affect the quality of care provided to patients. The adoption of flexible shift schedules and the assessment of actual nursing time can enable sensible resource planning, balancing the quality of care with efficiency in resource use. Starting from the concept that nurse requirements are triggered by patient needs, which are stochastic in nature both for clinical activities and their duration, this paper proposes an innovative Nurse Requirement Planning model grounded on the concept of the clinical pathway (the “standard” sequence of diagnostic, therapeutic and care activities a patient with certain pathology should undertake over time) with its inner routing probability and patient dependence on nurses, which can be correlated to the time needed to perform nursing tasks. In merging and modelling these two aspects, the method summarizes the best features of acuity-quality and timed-task/activity techniques, well known although not usually applied for reasons of demands on clinicians’ time. Instead, in this paper, for each shift of the day, hospital management is enabled to choose the optimal number of nurses to meet actual requirements according to a desired service level and personnel saturation by means of a tool that simulates the patient flow in a medical unit based on automatic data retrieval from hospital databases. The validation and verification of the proposal were undertaken in a stroke unit. © 2015, Springer Science+Business Media New York

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Alternatives to drgs: Research issues

1985

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Legislative mandates for the development of prospective payment methodologies for reimbursing inpatient care have spurred the psychiatric community into its own independent effort, applying both clinical and service research, to develop schemes which are fair to psychiatric patients, their providers and payers. Many of the issues involved in the development of an equitable prospective payment system (PPS) for psychiatric care are not new to the field, namely, problems of limited diagnostic accuracy, a limited knowledge of the outcomes of clearly defined treatment protocols, and a lack of integration, efficiency and efficacy in a highly differentiated service system. The research community needs to respond to these problems in the context of cost containment with an awareness that its response will influence care for psychiatric patients for the remainder of this century. In this paper, we will describe the background issues that have brought the psychiatric community to the present point in its response to PPS, and discuss some of the research problems posed by the need for a PPS with the right incentives for clinical effectiveness and efficiency.

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Nurse Acuity Systems: CASH vs. GRASP (A Determination of Nurse Staff Requirements)

Cited by 4 publications

References 0 publications

Patient acuity: a concept analysis

Patient acuity: a concept analysis

Daily nurse requirements planning based on simulation of patient flows

Alternatives to drgs: Research issues

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