Review the data presented in Exhibit 19.2. Based on this information, consider the following questions and provide an action plan that is aligned to the hospital’s core purpose, vision, and values.

a. Which units are running a high rate of overtime?

b. What considerations, other than census, are driving the costs in overtime utilization?

c. Based on your previously articulated mi ssion, vision, and values, what innovations can be implored to ensure patient and staff safety?

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EXHIBIT 19.2 Detailed Cost Drivers YTD Staffed Patient OT% of Prod Capacity (Exc. FTE Holiday) (YTD) Census (Hired + Contingent) 12.33 14.00 20.21 16.00 11.20 9.68 4.3 10.50 3.0 16.52 5.6 16.51 2.1 19.00 11.14 28.55 0.90 24.82 30.00 19.00 21.00 2.7 5.00 4.88 6.00 9.25 1.6 10.00 11.14 12.00 16.80 0.00 11.94 1.5 2.00 2.01 4.00 12.00 0.00 10.88 20.8 79.53 94.39 103.00 187.90 9.90 FTE, full-time equivalent; L&D, labor & delivery; LOA, leave of absence; NICU, neonatal intensive care unit; NOU, neurosurgical observation unit; PP, postpartum; YTD, year to date. Yes Level of Care ICU Tele Medsurg NOU L&D OB NICU Planned Annual Total 18.52 5.65 Avg Total Census Last 3 PP Current Contingent Actual RN Hired FTE (Non-LOA) 36.55 5.40 22.60 0.00 31.80 2.70 39.60 0.90 Productive FTE (YTD) Nonprod) 46.63 36.76 38.34 48.73 38.40 30.57 30.02 37.84 Actual Total FIE (YTD) (Prod + 24.10 17.11 32.54 21.72 16.28 12.80 190.84 241.00 More Under Patients Hired Than to the Plan? Plan? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Need Need Is Sick Temp Temp to Leave to Cover an Cover Open Issue? LOA? Postings? Yes Yes Yes Yes Yes Yes Need more Hour Utilization from PerDiem? Yes Yes Yes Yes Yes Yes Yes