Newyork safe staffing act will it affect your hospital?

Aug 3, 2023Reading Time: 3 mins read
Quality and SafetyHuman Resources

The Safe Staffing Act, which was passed in 2021 under Governor Andrew Cuomo. This act requires a nurse-to-patient staffing ratio of one nurse for every two critical care patients in hospital units. The Public Health and Health Planning Council recently approved this component of the act


The Safe Staffing Act was passed in response to the strain on healthcare capacity caused by COVID-19 and concerns over nurses’ workloads. According to Nancy Hagans, President of the New York State Nurses Association, the act is a step in the right direction. She believes that the law will improve safety and working conditions for nurses at the bedside and help to recruit and retain enough nurses for quality care everywhere.


However, the law falls short of what many healthcare professionals were hoping for. Linda Aiken, founding director of the Center for Health Outcomes and Policy Research and professor at the University of Pennsylvania School of Nursing, testified in favor of a broader approach in February 2021. She showed peer-reviewed research that found New York nurses could be responsible for between 4.3 to 10.5 patients prior to COVID-19.


Aiken’s research suggested standardizing nurse-to-patient ratios to the recommended 1:4 could prevent 4,370 deaths of elderly New York Medicare patients, save hospitals $720 million over two years due to shorter lengths of stay and fewer readmissions, and boost patient satisfaction.


The original bill stipulated such ratios for all units. But, according to reporting from New York Focus, requiring set ratios fell apart after negotiations between labor unions and the Hospital Association of New York State. The final regulation requires hospitals only to adhere to the 1:2 staffing ratio in critical care and intensive care units. Instead, hospitals must use staffing committees to determine the appropriate ratios for other care units. Committees are made up of half nurses and half hospital administrators.


While the Safe Staffing Act is a positive step, it is clear that more needs to be done to ensure that hospitals are properly staffed to provide quality care. The ratio of nurses to patients is a critical factor in patient outcomes. Studies have shown that understaffed hospitals have higher rates of patient mortality and complications. Patients in understaffed hospitals are also more likely to experience falls, infections, and medication errors.


The Safe Staffing Act will undoubtedly have an impact on New York hospitals, but the extent of that impact will depend on a variety of factors, including the hospital’s size, patient population, and current staffing levels. Healthcare managers should take a data-driven approach to determine how the law will affect their hospital and plan accordingly.


One key factor to consider is the current staffing levels in critical care and intensive care units. Hospitals that are already meeting the 1:2 staffing ratio will likely not see a significant impact from the law. However, hospitals that are understaffed may need to hire additional nurses or restructure their staffing patterns to comply with the law.


Another important factor is the hospital’s patient population. Hospitals that serve a high number of elderly patients or patients with complex medical needs may require higher staffing levels to provide quality care.


Finally, healthcare managers should consider the financial impact of the law. While hiring additional nurses may increase staffing costs, it may also lead to cost savings in other areas, such as reduced lengths of stay and fewer readmissions. Healthcare managers should analyze their hospital’s data to determine the potential financial impact of the law and make informed decisions about staffing levels.


In conclusion, the New York Safe Staffing Act is a positive step towards ensuring that hospitals are properly staffed to provide quality care. However, healthcare managers should take a data-driven approach to determine how the law will affect their hospital and plan accordingly. By analyzing their hospital’s current staffing levels, patient population, and financial data, healthcare managers can make informed decisions about staffing levels and ensure that their hospital is providing the best possible care to patients.

Article Written by
Riley Carter