KPMG Releases 2011 U.S. Hospital Labor Costs Study
/PRNewswire/ -- As the economy begins to show signs of recovery and pressure returns on nurse wages, attrition, and labor availability, hospital executives face the challenge of managing labor costs and scarce clinical personnel while managing patient care.KPMG LLP recently conducted a study that explores how hospital executives view their use of full-time and supplemental labor in the current economy. The study addresses hospitals' views on quality of patient care, direct employee labor costs, and temporary nurse usage. KPMG's 2011 U.S. Hospital Nursing Labor Costs Study, which is based on a survey of 120 senior hospital executives throughout , provides labor cost benchmarks useful in labor model analysis.
The National Association of Travel Healthcare Organizations (NATHO) believes this survey discusses important issues and will help hospitals better understand the all-in cost of their permanent RNs as well as the benefits of utilizing temporary travel RNs to augment their staff. NATHO is a non-profit association of travel healthcare staffing organizations founded in 2008 to create and enforce standards of practice, ethics, and dispute resolution.
"The study offers an unbiased view of the comprehensive costs associated with full-time, direct care nurses and the financial impact of utilizing direct care staff to manage a hospital's fluctuating demand for clinicians," said , NATHO President. "Findings are drawn from the responses of those at the heart of the industry, offering valuable insight on current trends and future opportunities. The study also seems to confirm what many of our members have said all along that the cost of a permanent RN isn't that different than the cost of a travel nurse."
Labor Cost for a Full-Time Registered Nurse
According to the survey, the all-in cost of a full-time direct care hospital registered nurse (RN) is on average /hour). Fully-loaded payroll, which includes base wages, employer taxes and paid time off represents 76-78% of the total cost of the RN labor force at facilities. The balance comes from non-productivity costs (12-13%), insurance costs (8-9%), recruiting costs (1-2%), and other costs (1%). In other words, the actual cost per hour for a full time nurse is on average 176% of their base hourly wage. These are important factors in evaluating whether to add staff, increase overtime or use contingent nurses to meet patient needs.
Nursing Non-productive Costs - News
There are also significant additional "hidden" nursing labor costs, which are mainly the result of non-productive labor hours and associated opportunity costs, as well as attrition and time required to fill a permanent direct care RN position,
Among the “hidden costs” of nursing labor, 93 percent of respondents believed that up to 20 hours of labor were “non-productive” hours for RNs. Time spent on training, education or personal internet use was considered to be “non-productive hours.
The report noted non-productivity costs include non-productive labor hours, attrition and time required to fill a permanent direct care RN position. Altogether, the actual cost per hour for a full-time RN is on average 176 percent of their base hourly
Total cost for nurses, in addition to base wages, includes: payroll taxes; overtime pay; holiday pay; pension contributions; training costs; recruiting costs; and costs for nonproductive hours such as training, education and personal Internet use.
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KPMG Releases 2011 U.S. Hospital Labor Costs Study -- LOS ...
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