a. Focus on a quality campaign of aggressive early ambulation. How will you differently consider and articulate patient and family engagement?

2b. What is the value proposition of adding one unlicensed nursing assistive personnel (UAP)

for every eight patients planned in a 24-bed medical–surgical nursing unit?

Assumptions: average wage rate of the UAP is $31/hour; tax and benefit burden is 36.5%; nonproductive add of 21%; average hospital cost is $3,200/patient/day. This initiative was able to yield an average reduction in length of stay by 0.4 days.

24 patients × 365 days × 0.4 length of stay reduction × $3,200 cost/patient day represents an $11.2 million cost reduction for an expense of $1.3 million in labor costs, resulting in a net cost avoidance of $9.9 million.

2c. Consider the C-suite as your audience. How will you make the business case for this campaign?

2d. Now consider the nursing unit and patients as your audience. What elements of the delivery change? What stay the same and why?

AppendixLO1