U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Planning, Evaluation & Research

RRM Category: COMMUNITY HEALTH SERVICES

RRM Module: Public Health Nursing

Overview:
The RRM Public Health Nursing staffing module estimates the requirements for public health nurses which practice disease prevention and the promotion and preservation of the health of the Indian or Census Population. The nature of the practice is continuous and comprehensive, including all program areas and diagnostic groups. The workload parameter that is the key variable in the staffing estimation is service or Census Population. This module estimates the need for Public Health Nurses and Clerical Support for community health care. The staffing needs for interpreters and drivers for Public Health Nursing are included in separate modules as part of the Administration section.

Services Description:
Public health nursing is the integration of nursing practice and public health practice applied to the prevention of disease and the promotion and preservation of the health of the Indian or Census Population. The nature of the practice is continuous and comprehensive, including all program areas and diagnostic groups. Public health nursing is directed to individuals, families and groups and intrinsically relates and contributes to the health of the total community. Public health nursing services are based on the assessed needs of individuals, families, groups and communities.

Staffing Criteria:
Fixed Public Health Nurse Manager of 1.0 FTE for every facility with over 1,250 User or Census or Census Population.

1.58 FTEs Public Health Nurse for every 1,250 User or Census Population.

0.07 FTEs Public Health Nurse - School for every 1,250 User or Census Population.

0.10 FTEs Public Health Nurse - Discharge Planning - for every 1,250 User or Census Population. (Note: This is only for those locations that plan to use this service and have a user or Census Population of 1,250 or greater.)

0.03 FTEs Public Health Nurse - Specialty Clinic - for each hour of PHN managed clinics.

1.0 FTE Public Health Nurse - CHR Supervisor - for every 10 CHRS over 5 CHRs supervised at a facility

0.20 FTEs Clerical Support for every 1,250 User or Census Population .

STAFFING FORMULAE

Driving Variables:
User or Census Population, which ever is larger
Specialty Clinic Hours
CHRs Supervised

Personnel Categories:
Public Health Nurse Manager
Public Health Nurse
Public Health Nurse - School
Public Health Nurse - Discharge Planning
Public Health Nurse - Specialty Clinic
Public Health Nurse - CHR Supervisor
Clerical Support

MINIMUM STAFFING LEVELS (fixed):

Personal Category FTEs per Driving Variables Min. Max.
Public Health nurse Manager 1.0   User/Census Population 1,250  

VARIABLE STAFFING LEVELS:

Personal Category FTEs per Driving Variables Min. Max.
Public Health Nurse 1.58 1,250 User/Census Pop. 0 n/a
Public Health Nurse - School 0.07 1,250 User/Census Pop. 0 n/a
Public Health Nurse - Discharge Planning 0.1 1,250 User/Census Pop. 0 n/a
Public Health Nurse - Specialty Clinic 0.03 1 Specialty Clinic hours 0 n/a
Public Health Nurse - CHR Supervisor 1 10 CHS Staff Supervised 5 n/a
Clerical Support 0.20 1,250 User/Census Pop. 0 n/a


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