Health Care Staffing Services Measures (v2023A)
Posted: 08/22/2022
Home » Do Not Return

Release Notes:
Data Element
Version 2023A

Name:Do Not Return
Collected For: HCSS-4, HCSS-5
Definition:A customer request for an individual not to come back/return to complete the current assignment or be assigned in the future to a specific unit/ward of the facility, any unit/ward of the facility, or the entire health system.
Question:Did the site receive a customer request for an individual not to return?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes)   Do Not Return (DNR) was requested by the customer.

N (No)   Do Not Return was not requested by the customer, or unable to determine (UTD).
Notes for Abstraction:

  • DNR requests are collected per clinical placement (i.e., employee).
    EXAMPLES:
    • Nurse A works 5 per diem shifts during the reporting month and receives 1 DNR, select “Yes.”
    • Nurse B works 5 per diem shifts during the reporting month and receives 5 DNRs, e.g., one DNR each time he/she works, select “Yes.”
    • Nurse C works 5 per diem shifts during the reporting month and receives 0 DNRs, select “No.”
  • If the firm received a DNR request for ANY reason, select “Yes.”
  • Verbal or written requests for DNR may be used, select “Yes.”
  • For clinical placements met without a DNR request, select “No.”
  • Clinical placements ineligible for hire, rehire, or placement, or designated Do Not Use (DNU), select “No.”
  • Cancellations initiated by the customer due to customer circumstances unrelated to the individual selected for assignment or his/her clinical skills, professional attitude, or work-related behavior, select “No”.
    • Customers may cancel the assignment due to variations in permanent staffing patterns at the healthcare facility or other customer reasons that may result in cancellation of the customer request for temporary staff.
      EXAMPLE:
      • Nurse A is placed at Hospital XYZ for an 8 week assignment on the cardiology unit to cover a permanent nurse employee out on medical leave. The permanent nurse employee is medically cleared for return to work on week 6. Hospital XYZ cancels the remaining 2 weeks of Nurse A’s assignment because they no longer need her help.
  • If there is both a DNR request AND also a customer initiated request for cancellation involving the same individual during the reporting month, select “Yes”.
  • Documentation for DNR requests includes all forms of tracking reports/systems used by the firm.

Suggested Data Sources:

  • Client files
  • Client satisfaction records/surveys
  • Complaint forms
  • E-mail or electronic communications
  • Incident report forms
  • Logs or electronic software applications
  • Personnel files
  • Records / notes of telephone conversations and verbal discussion with clients
  • Staff evaluation forms
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Do Not Return (DNR)
  • Do Not Use (DNU)
  • Employees who are ineligible for hire or rehire
  • Cancellations due to customer need for temporary staff

Do Not Return
Health Care Staffing Services Measures (v2023A)
Discharges 01-01-2023 (1Q23) through 06-30-2023 (2Q23)

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