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Care Point - Care Capacity Demand Management

CCDM Connect - Learning from each other!

What is the Care Point campaign?

Care Point is the NZNO campaign which promotes the implementation of the Care Capacity Demand Management (CCDM) Programme in District Health Boards. The CCDM programme matches patient demand with staff capacity to ensure the right number of staff with the right mix of skills are available.

Getting CCDM? Get involved!

Over the next few months we'll be highlighting each component of the care capacity demand management (CCDM) programme. The main components are

  • Staffing Methodology, which includes Work Analysis and FTE calculation, 
  • Variance Response Management, which has six tools and processes
  • Core Data Set, which is used to audit how well CCDM is working

Work Analysis

Work Analysis is a detailed picture of the actual work carried out in a ward or unit during a snap shot in time. It involves a concentrated period of recording staff activities at half-hourly intervals for a minimum of two weeks. Staff also complete an end-of-shift survey on care rationing, missed breaks and staff satisfaction. Results are then collated, analysed and compiled into a report.

Work Analysis provides an opportunity to change the way things are done, by highlighting what is actually happening. The information collected helps identify where workload, staffing or processes could be changed. This, in turn, will help ensure patients get the right care, staff are satisfied and can take breaks. 

The Work Analysis is completed by nurses, health care assistants and has recently been piloted with allied health staff. It is important to provide participants with training and support during this intense process. Accurate data collection is essential to get the most out of the results. This is where ward or unit staff can really make a difference and also get involved in the focus groups and/or local data council.

Determining when to conduct a Work Analysis occurs through a process of expressions of interest and decision making by the CCDM Council. The exact timing of the data collection is usually up to the ward or unit. Once completed the work analysis report is reviewed by the local data council and the CCDM Council.

Where to next depends on the findings of the work analysis. The local data council identifies opportunities for improvements,  which could include skill mix, shift start and finish times, or processes. Agreed recommendations are documented in a 30-, 60- or 90-day plan that is monitored by the local data council and reported to the CCDM Council. 

How does the Safe Staffing Healthy Workplaces Unit fit in?

A partnership between the District Health Boards and NZNO and the other health unions is key to the successful implementation of the CCDM programme. The work is facilitated and lead by the Safe Staffing Healthy Workplaces Unit.

Health unions and DHBs - a partnership approach

The Safe Staffing Healthy Workplaces Unit was established in 2007, and tasked to develop a programme to implement the recommendations from the 2006 Report of the Committee of Inquiry on Safe Staffing Healthy Workplaces.

The Report represented a shared commitment by the District Health Boards and NZNO to work together to agree on:

  • a mechanism for nurses, midwives and employers to respond immediately if workloads exceed the determined levels, and
  • a sustainable solution to safe staffing issues, developed in a way that has the confidence of nurses and midwives.

This commitment has led to the development of the CCDM programme, using the TrendCare software tool.

Introductory video to the Care Capacity Demand Management programme