Hospital Identifies 50% misallocation of RN time in order to improve care and address burnout

A major healthcare provider delivering complex care across multiple hospital units, with a commitment to excellent patient outcomes and frontline staff well-being.

50%
Reduction in misallocation of RN time

Context

A large hospital faced nursing staff shortages, high workloads, and rising patient care demands within strict budget limits. Nurses reported burnout and staffing policies, based on broad nurse-to-patient ratios, did not account for differences in patient needs and the actual complexity of daily nursing tasks. As a result, staff assignments didn’t reflect real workload, causing inefficiencies, low morale, and potential risks to patient care quality. Leadership identified the need for a precise, data-backed approach to staff allocation.

Discovery

Through nurse shadowing, time tracking, and data analysis, key challenges were found to contribute to the current state:

  • Staffing models ignored actual time and effort driven by patient acuity and task mix; staffing levels were static.
  • No reliable data on how long routine nursing tasks actually took.
  • Significant time was spent documenting and coordinating care which wasn’t factored into workloads
  • RNs were not always able to delegate tasks that could safely go to NAs, which reduced RN efficiency

Our Approach and Solution

A new, data-driven staffing model was built following analysis of workloads and patient needs.

  • Average times were established for 15+ key nursing tasks, providing real workload measures
  • Daily, acuity-based demand calculations replaced fixed ratios, aligning staff with real patient needs
  • Indirect care work (documentation, coordination, etc.) was fully integrated into workload estimates
  • Recommendations for optimal RN and NA staffing were made to enable better task delegation and skill mix

Expected Results

  • Improved staff retention and satisfaction by addressing and reducing burnout with balanced workloads
  • Improved quality of patient care and safety through responsive staffing capabilities
  • Up to 50% reduction in misallocated RN time, maximizing use of skilled resources
  • Reduced costs by addressing both over and understaffing practises
  • Shifting mindsets to actionable, transparent, data-driven staffing decisions to sustain operational improvements

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The Poirier Group | Hospital Identifies 50% misallocation of RN time in order to improve care and address burnout

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