Hospital Nursing Staff Factors for the SCH/MDH Volume Decrease Adjustment for FY09

File contains two worksheets to determine the SCH/MDH Volume Decrease Payment Adjustment. The first worksheet contains nursing hours per patient day by region and bed size based on the FY2009 Occupational Mix Survey Data. This information can be applied to volume decrease adjustment calculations for decreases in discharges occurring during the FY2009, FY2010, & FY2011 cost reporting periods. The second worksheet contains nursing hours per patient day by region and bed size based on the American Hospital Association (AHA) Annual Hospital Survey data for FY 2009. This information can be applied to volume decrease adjustment calculations for decreases in discharges occurring during the FY 2009 cost reporting periods.