Welcome!Welcome to the Monitoring Staff Turnover Calculator v1.1 September 2012 This easy-to-use template is a mechanism for tracking and monitoring monthly turnover for CNAs, RNs, and LPN/LVNs. This workbook will also help assisted living staff to use this tool. This workbook contains ten [10] worksheets to assist you in your turnover calculations and monitoring. Each worksheet can be accessed by clicking on the Tab at the bottom of each worksheet. 1 2 3 4 Worksheet Welcome! Instructions Common Qs & As CNA Calc Description A table of contents to aid workbook navigation. A navigation guide to task completion. Print for easy access. Answers to commonly asked questions. Print for easy access. The CNA Turnover Calculator. Enter data on this worksheet. 5 6 7 8 9 10 CNA Trending RN Calc RN Trending LPN/LVN Calc LPN/LVN Trending Sample Data A trending graph to see your impact on Turnover Rates. The RN Turnover Calculator. Enter data on this worksheet. A trending graph to see your impact on Turnover Rates. The LPN/ LVN Turnover Calculator. Enter data on this worksheet. A trending graph to see your impact on Turnover Rates. A completed Calculator sample. This Turnover Calculator is a modified version of the Advancing Excellence Turnover Calculator which was prepared by CFMC, the Medicare Quality Improvement Organization for Colorado, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. PM-4020-036 CO 2012 9% Cumulative Terminations Year-to-Date 2 5 9 Step : Print 10 worksheet or make note 10 of the MONTH.9% 1.Instructions Please print this worksheet for easy-to-follow instructions.0% 2.0% 0. Monthly and annualized turnover rates will calculate automatically.2% 1. Turnover Rate Per Month 1 1 1 1 1 1 1 1 0 0 0 0 2. Monitoring CNA Staff Turnover [SAMPLE] Achieving Excellence in America's Nursing Home Step 1: Type in Living Na Assisted Living Name: Month & Year January 2014 February 2014 March 2014 April 2014 May 2014 June 2014 July 2014 August 2014 September 2014 October 2014 November 2014 December 2014 Number of CNA Number of CNA Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month [Enter this number [Enter this number on the website] on the website] Step 100 2 103 3 95 4 97 1 102 0 103 2 99 1 : Enter Number of 103 3 Staff 2 and Number of Terminations in yellow columns . NUMBER 12 OF STAFF & NUMBER OF 13 TERMINATIONS.0% 1.0% 2. 16 3 .9% 4. 2014 Total # of Data Collection Months Total # of CNA Staff Terminations During the 8 Months Average # of CNA Staff During the 8 Months Annualized Turnover Rate . Monthly and annualized turnover rates will calculate automatically.Step 2 : Enter Number of Staff and Number of Terminations in yellow columns . 0% 7.4 note of the MONTH.5% 23.2% 15.0% 19. 100.5 99.4% 13.9% .9 TERMINATIONS.3 3 Turnover Rate Year-to-Date 3.6% 15.0 OF STAFF & NUMBER OF 99.3 Step : Print98.structions ksheet for easy-to-follow instructions.1% 18. NUMBER 100.0 101. CNA Staff Turnover [SAMPLE] nce in America's Nursing Homes Step 1: Type in the Assisted Living Name Average Number of CNA Staff Employed Year-to-Date 100.8 worksheet or make 99. Total # of Data Collection Months Total # of CNA Staff Terminations During the 8 Months Average # of CNA Staff During the 8 Months Annualized Turnover Rate 8 16 100.9% .3 23. Q: Why does a part-time or per diem Staff termination count equally as a full-time Staff termination? A: The calculation is measuring turnover of all Nursing Staff regardless of individual employment status. Q: What if a Nursing Staff employee cuts his/her hours from full-time to per diem? Does that count as a termination? A: No. Q: What about a member of the Nursing Staff who changes his/her job title and stays in the organization. The periodic payroll reports also may list terminations. Q: Where can I find the data to fill out this Calculator? A: Often. does this count as a termination if the employee is still a member of the Nursing Staff? A: No. Q: What if a Nursing Staff member works at two communities owned by the same corporation and leaves one of the facilities. the organization has a separate form that must be completed for each termination. whereby the employee receives a final paycheck. Do not count this individual as a termination. Do not count this individual as a termination. but stays at the other? A: The Staff member would be coded as a termination by thecommunity from which he/she departed. Q: What about a member of the Nursing Staff who changes his/her job title and stays in the organization. either due to firing or quitting. He/She is still employed by the community.Frequently Asked Questions Q: What is a termination? A: An employee departure. Q: What about a Nursing Staff employee who goes on unpaid leave? . does this count as a termination if the employee leaves the Nursing Staff? A: No. and other similar front-line staff A: Include these in the calculations with the CNAs . Q: Where do I include: personal caregivers. but then is re-hired 3 weeks later? A: He/She would count as a termination. CMAs. Q: What about Agency Staff? Do they count in any of the calculations? A: No.' where do I enter data? A: Data are entered in yellow cells only. Q: Does the turnover period need to be a calendar year? Must the year start in January? A: Turnover periods are based on a calendar year.Frequently Asked Questions A: He/She is still employed and would continue to be included in the denominator. Q: What if a Nursing Staff employee leaves via a termination. Q: On the 'CNA Calc' or 'RN Calc' or 'LPN LVN Calc. Q: If a home has 30 budgeted Staff positions. Agency Staff are not employed by the assisted living community and therefore are not included. Q: Why is the Trending Graph not showing any trends? A: Be sure data values have been entered in the yellow columns. is the number of Staff 30 or 25? A: The number of positions is 25. but only 25 of the positions are filled. personal caregivers.Monitoring CNA For CNA we are including CNA. CMAs. and other similar f of residents Assisted Living Name: Month & Year Number of CNA Number of CNA Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013 0 0 0 0 0 0 0 0 0 0 0 0 Total # of C A 2013 Month & Year January 2014 February 2014 March 2014 April 2014 May 2014 Number of CNA Number of CNA Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month 0 0 0 0 0 . June 2014 July 2014 August 2014 September 2014 October 2014 November 2014 December 2014 0 0 0 0 0 0 0 Total # of C A 2014 Month & Year January 2015 February 2015 March 2015 April 2015 May 2015 June 2015 July 2015 August 2015 September 2015 October 2015 November 2015 December 2015 2015 Number of CNA Number of CNA Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month 0 0 0 0 0 0 0 0 0 0 0 0 Total # of C A . and other similar front-line staff directly responsible for the daily care of residents Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of CNA Staff Employed Year-to-Date Turnover Rate Year-to-Date Total # of Data Collection Months Total # of CNA Staff Terminations During the Months Average # of CNA Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of CNA Staff Employed Year-to-Date Turnover Rate Year-to-Date .oring CNA Staff Turnover CMAs. Total # of Data Collection Months Total # of CNA Staff Terminations During the Months Average # of CNA Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of CNA Staff Employed Year-to-Date Total # of Data Collection Months Total # of CNA Staff Terminations During the Months Average # of CNA Staff During the Months Annualized Turnover Rate Turnover Rate Year-to-Date . CNA Year-To-Date Turnover Trends 1200% 1000% 800% Percent Turnover 2013 2014 600% 2015 400% 200% 0% J F M A M J Month J A S O N D . Monitoring RN Assisted Living Name: Month & Year Number of RN Number of RN Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013 0 0 0 0 0 0 0 0 0 0 0 0 Total # of 2013 Month & Year January 2014 February 2014 March 2014 April 2014 May 2014 Number of RN Number of RN Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month 0 0 0 0 0 . June 2014 July 2014 August 2014 September 2014 October 2014 November 2014 December 2014 0 0 0 0 0 0 0 Total # of 2014 Month & Year January 2015 February 2015 March 2015 April 2015 May 2015 June 2015 July 2015 August 2015 September 2015 October 2015 November 2015 December 2015 2015 Number of RN Number of RN Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month 0 0 0 0 0 0 0 0 0 0 0 0 Total # of . oring RN Staff Turnover Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of RN Staff Employed Year-to-Date Turnover Rate Year-to-Date Total # of Data Collection Months Total # of RN Staff Terminations During the Months Average # of RN Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of RN Staff Employed Year-to-Date Turnover Rate Year-to-Date . Total # of Data Collection Months Total # of RN Staff Terminations During the Months Average # of RN Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of RN Staff Employed Year-to-Date Total # of Data Collection Months Total # of RN Staff Terminations During the Months Average # of RN Staff During the Months Annualized Turnover Rate Turnover Rate Year-to-Date . RN Year-To-Date Turnover Trends 1200% 1000% 800% Percent Turnover 2013 600% 2014 2015 400% 200% 0% J F M A M J Month J A S O N D . Monitoring LPN/LVN Assisted Living Name: Month & Year Number of LPN/LVN Staff Employed on the First Day of Each Month Number of LPN/LVN Staff Terminated by the Last Day of Each Month January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013 0 0 0 0 0 0 0 0 0 0 0 0 Total # of LPN/ Avera 2013 Month & Year January 2014 February 2014 March 2014 Number of LPN/LVN Staff Employed on the First Day of Each Month Number of LPN/LVN Staff Terminated by the Last Day of Each Month 0 0 0 . April 2014 May 2014 June 2014 July 2014 August 2014 September 2014 October 2014 November 2014 December 2014 0 0 0 0 0 0 0 0 0 Total # of LPN/ Avera 2014 Month & Year January 2015 February 2015 March 2015 April 2015 May 2015 June 2015 July 2015 August 2015 September 2015 October 2015 November 2015 December 2015 2015 Number of LPN/LVN Staff Employed on the First Day of Each Month Number of LPN/LVN Staff Terminated by the Last Day of Each Month 0 0 0 0 0 0 0 0 0 0 0 0 Total # of LPN/ Avera . ng LPN/LVN Staff Turnover Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of LPN/LVN Staff Employed Year-to-Date Turnover Rate Year-to-Date Total # of Data Collection Months Total # of LPN/LVN Staff Terminations During the Months Average # of LPN/LVN Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of LPN/LVN Staff Employed Year-to-Date Turnover Rate Year-to-Date . Total # of Data Collection Months Total # of LPN/LVN Staff Terminations During the Months Average # of LPN/LVN Staff During the Months Annualized Turnover Rate Turnover Rate Per Month Cumulative Terminations Year-to-Date Average Number of LPN/LVN Staff Employed Year-to-Date Total # of Data Collection Months Total # of LPN/LVN Staff Terminations During the Months Average # of LPN/LVN Staff During the Months Annualized Turnover Rate Turnover Rate Year-to-Date . LPN / LVN Year-To-Date Turnover Trends 1200% 1000% 800% Percent Turnover 2013 600% 2014 2015 400% 200% 0% J F M A M J Month J A S O N D . Assisted Living Name: Month & Year January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013 2013 Number of CNA Number of CNA Staff Employed on Staff Terminated the First Day of by the Last Day of Each Month Each Month 100 103 95 97 102 103 99 103 100 100 101 102 2 3 4 6 0 2 1 3 4 2 3 0 1 1 1 1 1 1 1 1 1 1 1 1 M A S L P Total # of CNA Ave . 9% .00% 2.00% Cumulative Terminations Year-to-Date Average Number of CNA Staff Employed Year-to-Date Turnover Rate Year-to-Date 2 5 9 15 15 17 18 21 25 27 30 30 100 102 99 99 99 100 100 100 100 100 100 100 2% 5% 9% 15% 15% 17% 18% 21% 25% 27% 30% 30% Total # of Data Collection Months Total # of CNA Staff Terminations During the 12 Months Average # of CNA Staff During the 12 Months Annualized Turnover Rate 12 30 100.00% 2.91% 4.00% 2.00% 1.E L Turnover Rate Per Month M A P 2.19% 0.91% 4.21% 6.01% 2.94% 1.4 29.97% 0.