Safe staffing, healthy workplaces is a national priority. Matching the capacity to care with patient demand needs consistent, focused attention. Front line staff, managers, executives, health unions and professional leaders all have a role to play. CCDM is a whole of hospital approach for managing the capacity to care on a permanent basis.
The CCDM programme has a set of standards. In order to meet the standards programme implementation needs to be prioritised, appropriately resourced and sequenced. The Programme Consultants from the Safe Staffing Healthy Workplaces (SSHW) Unit are available to support you using the tools and processes. They are also experts in sequencing CCDM programme implementation.
The CCDM programme is built on a foundation of governance, patient acuity and partnership. The other components of the CCDM programme are core data set, staffing methodology and variance response management. The core data set is a set of measures for monitoring how you are doing. The staffing methodology has tools for establishing acuity based staffing. Variance response management assists DHBs to respond to variance in the moment and over time.
There are roadmaps for each of the programme components. They provide detailed directions and identify intersections between the components. Each component is dependent on the other to achieve the programme goals - quality patient care, quality work environment and best use of health resources. The journey starts with establishing CCDM governance.
CCDM PROGRAMME LOGIC
The programme logic diagram below describes how the CCDM programme is intended to work. The programme logic links where we have come from (situation) with where we would like to be (impact). The programme components (outputs) help hospitals transition to safe staffing healthy workplaces.
Poor visibility of patient demand for care
Mismatch between care capacity and patient demand
Concerns about patient and staff safety
Growing concerns about affordability
Variance response management
Core data set
Increased visibility and accountability
Right staffing every shift, every day
Quality patient care
Quality work environment
Best use of health resources
CCDM PROGRAMME HISTORY
In 2005 a Committee of Inquiry identified the aims and elements of safe staffing. The Committee was made up of District Health Boards, New Zealand Nurses Organisation, Ministry of Health and an independent chair. The Safe Staffing Healthy Workplace Unit was established to facilitate the implementation of the recommendations from the Inquiry. One of the key functions of the Unit was to develop the CCDM programme and support change. The CCDM programme has evolved from the ground up over the past 10 years.