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HRD-81-59 1 (1981-02-18)

handle is hein.gao/gaobabbob0001 and id is 1 raw text is: GAO United States General Accounting Office Human Resources Washington, DC 20548 Division February 18, 1981 Mr. Paul Willging Acting Administrator Health Care Financing Administration Subject: Information on Health Facility Costs Related to Using Nurse Supplemental Staffing Services-I (HRD-81-59) Dear Mr. Willging: Over the last several years concerns have been expressed within the hospital and nursing home industries about the impact on costs and quality of care arising from the use by facilities of supplemental staffing services or nursing pools. / The extent of concern is demonstrated by efforts in at least two States (Connecticut and Minnesota) to enact legislation to regulate nursing pools. Because of the alleged substantial extra costs involved in using nursing pools and the impact this could have on Medicaid and Medicare, as well as the other concerns that had been expressed about pool use, we surveyed the impact nursing pools are having on health care facilities. At the i4 New England facilities we visited, which were selected because they were relatively high users of pools, we found that: ( (--The facilities in the main were not losing their permanent nursing staff to the pools, which had been a common complaint. --Although the cost of using pool nursing was often higher than the cost of permanent staff, facility nursing costs increased an average of only 1.6 percent because the facilities use of pool nurses averaged only 7 percent of total nursing hours. --The use of nursing pools had generally leveled off )or declined at the facilities visited and facility administrators expected this trend to continue. 1/Entities which provide nursing personnel, normally on an hourly rate basis, to health care facilities for temporary periods. (106187) Z7/& 114432

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