John Nelson --- nurse researcher, president of Healthcare Environments and CHCM adjunct faculty ---frequently shares data with us about the outcomes of our work with our clients. One hospital implementing Relationship-Based Care found that a richer skill mix decreased the dollars per Adjusted Patient Day, decreased ventilator-associated pneumonia and decreased patient falls with injury. John would hasten to add that this is a statistical correlation that does not indicate causality, but only a relationship between variables. I think the more we learn how to interpret and correctly discuss this kind of statistic, the better able we are to explain the importance of adequate staffing.
After the "reengineering" of nursing in the nineties (which had nothing to do with nursing, and everything to do with changing skill mix to save money), we lost sight of simple truths and replaced our authentic experience with "grids" which supposedly save money but which in reality wreak havoc with common sense.
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