The following information details the methodology of the CACC, description of data points, in-direct multiplier calculations and FAQ's. If there are further questions please contact Chris Craigmile at [email protected] or (315) 955-5422.
WORKERS COMPENSATION DATA-
As with any calculation, the outcome is only as accurate as the information provided.
PLEASE PROVIDE BOTH INCURRRED AND RESERVE WORKERS COMPENSATION COSTS.
When identifying SPHM (Safe Patient Handling and Mobility) workers' compensation (W/C)–specific injuries, include the following types of incidents:
SPHM-Inclusive Injury Criteria:
Injuries not considered SPHM-related:
As with any calculation, the outcome is only as accurate as the information provided.
PLEASE PROVIDE BOTH INCURRRED AND RESERVE WORKERS COMPENSATION COSTS.
When identifying SPHM (Safe Patient Handling and Mobility) workers' compensation (W/C)–specific injuries, include the following types of incidents:
SPHM-Inclusive Injury Criteria:
- Any injury sustained while moving a patient, including:
- In-bed repositioning (e.g., boosting, turning, peri-care)
- Ambulation
- Toileting
- Lateral transfers
- Sit-to-stand transfers
- Transportation-related tasks, such as:
- Pushing or pulling stretchers or beds
- Moving SPHM equipment
- Car extractions
- Fall and fall recovery incidents
- Extended periods of limb support (e.g., during Labor & Delivery or in the Operating Room)
- Injuries caused by physically aggressive patients if the injury occurred during any of the above tasks
Injuries not considered SPHM-related:
- Injuries from physically abusive or aggressive patients not engaged in SPHM tasks
- Needle sticks
- Slips, trips, and falls
- Non–patient care injuries
In Direct Costs Multiplier
Calculating an exact "indirect multiplier" for workers' compensation specifically for nursing can be challenging due to several factors:
Acuity Insurance: Highlights that hidden or indirect costs (like lost productivity, training replacement employees, increased premiums, legal fees, and diminished morale) can be even more detrimental than direct costs.
Factors Affecting Indirect Costs in Nursing:
Based on the forementioned studies, OSHA Database, Nationally Recognized Workers Comp Standards and recommendations from experts in the field of Workers Compensation in HealthCare the Indirect Multiple should be between 3 and 10 times that of the direct cost.
We have incorporated the lowest recognized indirect multiplier to be as conservative as possible. The equation uses a multiplier of 3.
Calculating an exact "indirect multiplier" for workers' compensation specifically for nursing can be challenging due to several factors:
- Variability of Indirect Costs: Indirect costs associated with workplace injuries (like lost productivity, training new staff, decreased morale, etc.) are highly variable and difficult to quantify precisely.
- Industry-Wide Estimates: Studies and estimates on indirect costs often focus on broader industry contexts or provide wide ranges (e.g., 2-20 times the direct costs).
- Specific Challenges in Healthcare: The healthcare setting, including nursing, presents unique challenges, such as the high potential for patient-related injuries, exposure to bodily fluids, and the possibility of workplace violence. These factors can further complicate the calculation of indirect costs.
Acuity Insurance: Highlights that hidden or indirect costs (like lost productivity, training replacement employees, increased premiums, legal fees, and diminished morale) can be even more detrimental than direct costs.
Factors Affecting Indirect Costs in Nursing:
- Loss of productivity: When a nurse is injured, it disrupts patient care and may require other staff to take on additional tasks, potentially affecting patient outcomes and staff workload.
- Training costs: Hiring and training a replacement nurse can be expensive and time-consuming.
- Reputation damage: Workplace injuries, particularly if they become public, could negatively affect a healthcare facility's reputation and ability to attract and retain staff and patients.
- Increased turnover: Nurses feeling unsafe or undervalued might leave, contributing to higher turnover rates and associated recruitment costs.
Based on the forementioned studies, OSHA Database, Nationally Recognized Workers Comp Standards and recommendations from experts in the field of Workers Compensation in HealthCare the Indirect Multiple should be between 3 and 10 times that of the direct cost.
We have incorporated the lowest recognized indirect multiplier to be as conservative as possible. The equation uses a multiplier of 3.
Average Daily Census
The average daily census is calculated using the CMS data provided by the facility based on prior 12 months of information. That data is collected through the American Hospital Directory (www.AHD.com) and is updated monthly. IF you facility does not show any data or there is an error please contact [email protected]. Some facility data is combined as a health network and is accessible only as a system through the website.
The average daily census is calculated using the CMS data provided by the facility based on prior 12 months of information. That data is collected through the American Hospital Directory (www.AHD.com) and is updated monthly. IF you facility does not show any data or there is an error please contact [email protected]. Some facility data is combined as a health network and is accessible only as a system through the website.
The Craigmile Cost Avoidance Calculation (CCAC)
Workers Compensation Data (2-4 yrs) X Indirect Multiplier= Total SPHM W/C Cost (TWC)
TWC / Number of Years of Data (2-4 yrs) = Annual W/C Cost (AWC)
AWC / Average Daily Census = Cost Per Bed Annually or CCAC figure
Workers Compensation Data (2-4 yrs) X Indirect Multiplier= Total SPHM W/C Cost (TWC)
TWC / Number of Years of Data (2-4 yrs) = Annual W/C Cost (AWC)
AWC / Average Daily Census = Cost Per Bed Annually or CCAC figure