Patient Acuity Scoring for Staffing Prediction

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Solution Overview

Problem

Healthcare organizations face challenges in predicting and responding to fluctuations in patient acuity, leading to inadequate staffing and potential delays in patient care due to unpredictable staffing needs and lack of real-time data support.

Innovation Solution

A system that collects and processes data from multiple sources to assign weighted values for patient acuity, calculating a single acuity score to predict healthcare worker workload, providing real-time notification and resource allocation to ensure adequate staffing based on objective data.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Quantity of substance

If reserve temporary staff and management staff are allocated to support staffing situations, then staffing capacity is increased, but response time is delayed and staff are available after capacity saturation

Engineering Contradiction:
Improvestaffing capacityVSAvoidresponse time
Core Design Contradiction:
Quantity of substanceVSLoss of time

Solution Approach 1:

The system performs preliminary assessment of patient acuity and predicts future staffing needs before capacity saturation occurs. By continuously monitoring patient conditions and calculating acuity scores, the system anticipates when additional staff will be needed and triggers notifications in advance, allowing reserve staff to be deployed proactively rather than reactively after saturation has already occurred.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If nursing staff are allocated to provide patient care, then patient care capacity is increased, but ability to assess care needs and notify management is reduced

Engineering Contradiction:
Improvepatient care capacityVSAvoidcare needs assessment
Core Design Contradiction:
ProductivityVSLoss of information

Solution Approach 1:

The system enables self-service by automatically collecting patient data from clinical information systems, calculating acuity scores, and generating staffing notifications without requiring nursing staff to manually assess and report care needs. The automated system continuously monitors patient conditions and performs assessments in the background, freeing nursing staff to focus entirely on direct patient care while the system handles the administrative burden of acuity assessment and staffing coordination.

Inventive Principle:
Principle #25Self-service

3Ease of operation

If resource allocation managers respond to staffing requests, then staffing support is provided, but lack of quantitative data prevents objective decision-making

Engineering Contradiction:
Improvestaffing supportVSAvoidquantitative data
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The system implements continuous feedback by automatically collecting and analyzing patient acuity data, calculating objective acuity scores, and providing real-time staffing recommendations to managers. This closed-loop feedback system replaces subjective manager perception with quantifiable data-driven insights, showing exactly how patient conditions are changing and what staffing levels are objectively needed based on current acuity scores and historical patterns.

Inventive Principle:
Principle #23Feedback

4Adaptability or versatility

If patient acuity fluctuates substantially throughout a work shift, then patient care complexity increases, but predictability of staffing needs decreases

Engineering Contradiction:
Improvepatient care complexityVSAvoidpredictability of staffing needs
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The system embraces the dynamic nature of patient acuity by continuously monitoring and recalculating acuity scores throughout work shifts rather than using static assessments. The system adapts to changing patient conditions in real-time, updating staffing recommendations as acuity scores fluctuate. This dynamic approach transforms the unpredictability of patient conditions into actionable insights by continuously tracking trends and predicting future staffing needs based on current trajectories.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS8392232B2Healthcare resource management system
Publication Date: 2013.03.05 CERNER INNOVATION INC
  • US8392232B2 patent drawing
  • US8392232B2 patent drawing
  • US8392232B2 patent drawing

AI summary

A system determines patient acuity information to identify required staff competencies to meet a workload and supports role based reporting, notification, and escalation when acuity nears or reaches a predetermined saturation threshold. A system predicts healthcare worker workload using an acquisition processor to acquire multiple data items associated with care requirements of a particular patient from multiple different sources. A data processor determines an acuity score of the particular patient by determining a single score comprising a combination of weighted individual score values derived from corresponding individual items of the multiple data items. A translation processor interprets determined acuity score to provide an estimated healthcare worker workload for meeting the care requirements of the particular patient by using predetermined translation data associating acuity score with corresponding healthcare worker workload.