Table 7. Determining Nursing Hours Using Qualification Tool for Case Study 4.

Table	Organ System	Clinical	Risk Level	Nursing Hours/Week
1	CNS	Seizures ≥3/week in past 45 to 60 days that require interventions, or grand mal drop or intractable seizure that affects daily function		21
Total (Table 1)				21
2		Skilled Nursing Treatments (Table 3)	n/a	0
		Medications: intervention to administer/change regimen with physician order	Medium	14
		Hospitalizations: posthospital care new complex diagnosis	High	10.5
		Organ systems/interventions (≥3)	High	5
		Feeding: Nasogastric or complex feeding regimen, history of aspiration, swallowing dysfunction	Medium	5
		Mobility (1-2 people for safe transfer/positioning)	High	5
Total (Table 2)				39.5
Total recommended (sum of Tables 1 & 2)				60.5
Recommendation: Nursing hours 60.5 hr/week. Hours are reevaluated every 60 days or significant change in medical status.