Published by Labor Management Institute, Inc., the PSS™ Annual Survey of Hours Report© is the first national hospital workforce benchmark developed for nursing by nurses in 1989. Now in its 36th year.
The survey includes unit‑specific direct, indirect, and total worked hours of care, caregiver‑to‑patient ratios. Covering 95 unit types across 13 service lines, the report represents teaching, community, and rural hospitals nationwide.
The survey provides multi‑year comparisons of 170 workforce management metrics, including overtime, agency and traveler usage, staffing office and float pool utilization, time‑to‑fill RN positions, and key operational indicators such as average length of stay and cost per inpatient day.
The PSS™ Annual Survey of Hours Report© has been cited and/or quoted in national publications including:
- VHA DIRECTIVE 2010-034 Directive provides a nationally standardized method of determining appropriate direct care staffing for VA nursing personnel at all points of care. “Attachment A” (Published 07-19-2010) by the Veterans Health Administration (VHA). va.gov/oig.
- Independent Assessment of the Healthcare Delivery Systems & Management Processes of the Dept. of VA Affairs; Assessment G (Staffing/Productivity/Time Allocation); at the request of Veterans Access, Choice & Accountability Act of 2014 Section 201. Pg. 121, 153, 230; 09-15-2015; G. Thornton. va.gov/oig
- The 2004 Institute of Medicine Report on “Keeping Patients Safe; Transforming the Work Environment of Nurses”; 20, 82, 103, 171, 173, 218, 221; www.nationalacademies.org