comparing measured RVU’s to the national time standards published by the AARC in the. Uniform Reporting Manual (URM). Methods: We retrospectively. The AARC needs the assistance of the state societies to help make sure the time standards reported in the AARC Uniform Reporting Manual are rock solid. This AARC Uniform Reporting Manual for Respiratory Care, 5 th edition update includes new activities, revised definitions, and time standards for both.
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Because human resources are the most expensive component of hospital costs, they are carefully scrutinized and are often the first area to be reviewed when cost cuts are required. This manual provides repogting information to assist managers in determining and justifying their staffing levels using relative value units RVUs to reflect workload intensity.
Uniform Reporting Manual, 4th Edition.
This AARC Uniform Reporting Manual for Respiratory Care, 5 th edition update includes new activities, revised definitions, and time standards for both established and emerging services and technology. It can help managers quantify the FTEs required to deliver services and assist managers in establishing a credible productivity system that can guide short- and long-term staffing decisions based on service demand.
Using statistically valid time standards, supervisors can develop systems to address shift-byshift staff adjustments to meet short-term rises and falls in service demand.
Systems developed with this Manual can also assist in making long-term staffing adjustments for expansion and contraction of services based on the addition rporting new services and transfer of new programs. It will also assist in identifying trends eeporting the utilization of services and in forecasting demand for equipment and supplies.
Further, this Manual can serve as an important resource to promote standardization in both terminology and processes of care to facilitate inter-facility comparisons. The Manual also examines differences in time standards reported from different types of hospitals e.
As in the previous edition, statistical data for procedures provided to adult, neonatal, and pediatric patients is provided. Where appropriate, suggestions are made rdporting the assignment of CPT and revenue codes.
AARC resources for time standards –
There are several appendices to provide educational resources relevant to efficiency measurement, to assist in data interpretation and to document how data for the Manual was collected. This Manual would not exist without the extraordinary commitment of the managers who gave unselfishly of their time to complete the extensive surveys required to collect time standards.
These individuals and the facilities they represent are recognized in Appendix D. There is another group of exceptionally talented experts who must also be recognized. They drafted the initial activities, recruited other experts to assist them when needed, and provided constant guidance in the development of this Manual.
Staffing the Respiratory Care Department: New Considerations
Finally, I wish to recognize two individuals in the AARC office repogting made significant contributions to the development of this Manual Susan Gill, whose suggestions substantially improved its organization and readability, and Steve Nelson, who provided excellent advice on survey methodology reportiny statistical analysis.
Initial Patient Assessment Activity: Tracheostomy Tube Change Activity: Tracheostomy Tube Care Activity: Tracheostomy Home Care Instructions Activity: Endotracheal Intubation or Assist Activity: Endotracheal Tube Restabilization and Positioning Activity: Extubation of Airway Manul Placement of Nasal Airway Activity: Initial Placement of Tracheostomy Button Activity: Autogenic Drainage – Initial Activity: Autogenic Drainage mqnual Subsequent Activity: Expiratory Pressure Valve Therapy – Initial Small Volume Nebulizer Treatment Activity: Metered Dose Inhaler Treatment Activity: Ultrasonic Nebulizer Treatment Activity: Arterial Catheter Insertion Activity: Indirect Calorimetry Setup and Calibration Activity: Pulse Oximetry Stand-alone Oximeter-Setup Bedside Pulmonary Mechanics Activity: Patient Screening for Sleep Apnea Manusl Capillary Blood Gas Testing Activity: Mini Bronchoalveolar Lavage Test Activity: Apnea Testing for Brain Death Activity: Monitoring During Intra-hospital Transport Activity: Monitoring During Laryngoscopy Assistance Activity: Monitoring During Therapeutic Bronchoscopy Activity: Participation in Multi-disciplinary Rounds Activity: Intra-aortic Balloon Pump Monitoring Activity: Inpatient Sleep Apnea Monitoring Activity: Spontaneous Breathing Trial Screen Activity: Spontaneous Breathing Trial Reportinv Continuous Aerosol System-Setup Activity: Supplemental Oxygen System-Setup Activity: Supplemental Oxygen Equipment Change Activity: Initiation of n-emergent NIV Activity: Esophageal Balloon Catheter Placement Activity: Nitric Oxide Delivery – Setup Activity: Subambient Gas Administration Activity: Echocardiogram – Complete Activity: Exercise Stress Echocardiogram Activity: Pharmacological Stress Echocardiogram Activity: Congenital 2D Echocardiogram Activity: Congenital Cardiac Doppler Activity: Congenital Transesophageal Echocardiogram Activity: Fetal Echocardiogram – Initial Activity: Fetal Doppler – Initial Activity: Ultrasound Guided Thoracentesis Activity: Ultrasound Chest Vascular Procedures Activity: Carotid Duplex Scan Activity: Venous Duplex Scan Activity: Cardiac Stress Test Activity: Adenosine Stress Test Activity: Pulse Oximetry Single Evaluation Activity: Pulse Oximetry During Exercise Testing.
reportint Six-Minute Walk Test Activity: Shuttle Walk Test Activity: Arterial Line Setup and Insertion Activity: Spirometry Mechanical Device Activity: Lung Volume Mechanical Device Activity: Lung Volume Biologic Activity: Exercise Biologic Spirometry Activity: Methacholine and Histamine Challenge Activity: Exercise-Induced Bronchospasm Challenge Activity: Maximal Inspiratory and Expiratory Pressure Activity: Work of Breathing Activity: Occlusion Pressures P or P 0.
Pulmonary Mechanics Infant Activity: Assisting with Lung Biopsy Activity: Assisting with Lung Lavage.
Assisting with Laser Bronchoscopy Activity: Thoracentesis Setup and Cleanup Activity: Multiple Sleep Latency Testing Activity: Maintenance of Wakefulness Test Activity: Supplemental Oxygen During Sleep Activity: Medicated Aerosol Administration Activity: Transcutaneous Oxygen Monitoring Activity: Artificial Airway Suctioning Activity: Physical Conditioning and Exercise Activity: Maintenance Disease Management Program Activity: Adverse Events Documentation Activity: Expiratory Pressure Valve Therapy Activity: Managers can use time standards to determine efficiency productivity by using the worksheets in this Manual to calculate the number of standard predicted hours required to deliver the service output unfiorm number of procedures performed multiplied by procedure time standards and compare those hours to the total number of hours actually worked by the staff who deliver those procedures.