Kletzl Hills

Kletzl Hills Board

HOSPITAL QUALITY
& NURSE STAFFING
Group 7:
Mike Welton
Namit Lal
Matthew Gurreri
Lilianna Myers
 AGENDA
Goals of Investigation – (1 min)
Highlight business questions and answers, results and conclusions

Data – (2 min)
What data are we using? What are the limitations of the data?

Summary of Results – (2 min)

Robustness of results, result validation techniques implemented

Recommendations – (2 min)
Summarize findings, share recommendations

Question and Answer – All Presenters

Contoso
Pharmaceuticals

page 2
Goals of the Investigation

Mortality Nurse Count

Reduce mortality rate Determine optimal
at Kletzl Hills amount of nurse staff
to support lowest
mortality rate.

Goals
Reduce mortality rate through
optimizing quality and amount
Robust Economics of nursing staff. Solution must
Holistic solution Ensure costs of be economically viable
considering all factors;
patient demographics,
increasing nursing
captures economic through bonus program. Contoso
Pharmaceuticals
socioeconomics, and viability to ensure
hospital specific services. perpetuity. page 3
Data
We estimate the effect of a changing in nurse staffing ratio on mortality rate

Conceptual
Previous results:
• Controlling for Nurse Staffing Ratio (nsr),
and case weight proved statistically
significant in reducing mortality rate
• Controlling for residency programs at
hospitals was not proven statistically
significant in reducing mortality rate
Controlling for several x-variables
• nsr, case weight, surgeries, burn care,
high touch case weight (htcw)
Technical
Y = b0 + b1 *nsr + [other variables]
• Model estimates mortality rate based on
nsr, casweight, surgeries, burncare, htcw
• Composite variable (htcw) demonstrated
how high technical specialties
(transplants, heart surgeries, and NICU)
impacted mortality rate despite a low
case weight

Results Check and Validations Contoso

Pharmaceuticals
• Statistical significance and economic significance tested and validated within results
page 4
Summary of Results
We are 95% confident that hiring 10 additional nurses at Kletzl Hills is associated with a decrease in
mortality rate between 0.011% to 0.61%. Estimated average is 0.31%.
Additionally, yearly bonus change between $55,000 to $3,070,000. Estimated average is $1,550,000.

Dependent variable  Mortality

Nurse staff ratio (nsr) -5.62 -4.68

# of Observations: 42 42

Controls No Yes

• p-value of 0.021 at an alpha of 0.05

• Controls include nsr, case weight, surgeries, burn care, high touch case weight (htcw)

Contoso
Pharmaceuticals

page 5
Results – Validation and Robustness of results
We explored many other possibilities that proved statistically not significant.

• New regression is resembling the original regression

• Ran mortality rate against all patient demographics (black,
Hispanic, female, low education, unemployment). All these
proved not statistically significant.
• Ran regressions of high touch services (rehab, hospice, home
health) All these proved not statistically significant.
• Ran regressions with controlling Medicare. This also proved not
statistically significant.
• Ran regressions with controlling hospital age and length of stay.
This also proved not statistically significant.
Contoso
Pharmaceuticals

page 6
Recommendations

10 Additional Nurses should be hired

• Decrease in mortality rate between 0.011% to 0.61%.

Estimated average is 0.31%.

• Yearly bonus change between $55,000 to $3,070,000.

Estimated average is $1,550,000.

• Considering Kletzl Hills hospital has 150 beds, and in a

typical year admits 5,000 patients, a 0.31% reduction in
mortality translates into approximately 16 fewer lives lost Contoso
across those 5,000 patients. Pharmaceuticals

page 7