One-page cheat sheet
A single dense, scannable page to keep at your desk.
The six measures (= 380)
- Total nurse HPRD100
- RN HPRD100
- Weekend total nurse HPRD50
- Total nurse turnover50
- RN turnover50
- Administrator departures30
Star bands
- < 155 → 1★
- 155–204 → 2★
- 205–254 → 3★
- 255–319 → 4★
- 320–380 → 5★
The 4-step diagnosis
- 1Score it — look up all six, sum, find the star and distance to next band.
- 2Find the cheapest crossing — price each lever to the next lane.
- 3Put dollars on it — quarter cost vs. protected volume + verified state add-on.
- 4Match the ask to ownership — lean vs. spend-heavy.
Cheapest levers, in order
- 1.Turnover retention save (cheapest)
- 2.Weekend coverage (cheap lane)
- 3.RN hours (double-counts: RN + total)
- 4.Aide / total hours (most expensive)
- Turnover rule
- Eligible 120h/90d; books on a 90-day no-work gap; same employee ID.
- Overall
- 1★ staffing = −1; only 5★ = +1.
- Timing
- PBJ due 45 days after quarter; CMS publishes ~4–6 months later; sustain changes a full quarter.
- Ownership read
- Lean = escape 1★ cheapest; spend-heavy = fund the tier.
- Always
- Verify state add-on rates live; never hardcode; agency hours must be in PBJ.