Topics
A to Z
Data &
 Statistics
Forms &
Publications
News &
Advisories
Licensing &
Certification
Rules &
Regulations
Public Health
Directory
charting2

Information on laws, rules and administration of hospital nurse staffing in Oregon

 

 

On this Page:

Nurse Staffing Open Houses

Get information about new nurse staffing laws and rules. Each session will include Q&A. These events will be live, webcast and available for later viewing.

Open House Schedule

​Date/Time Location Topic ​Link
Tuesday, May 17, 2016
4:30 PM - 6:00 PM​
​​800 NE Oregon Street
Room 1A
Portland, OR  97232
2015 Legislative Changes
Open House Agenda
Archived webcast
Open House PowerPoint
Thursday, Aug 25, 2016
9:00 AM - 11:00 AM​
​​​800 NE Oregon Street
Room 1D
Portland, OR  97232
2016 Administrative Rule Changes
Open House Agenda
Open House Handout
​​Archived webcast
Open House PowerPoint
Thursday, Dec 15, 2016
4:00 PM - 5:30 PM​
​​800 NE Oregon Street
Room 1D
Portland, OR  97232
Survey Tools ​​Webcast link will be available 24 hours before broadcast

 


New Administrative Rules

2015 Statutory changes necessitated changes to the nurse staffing administrative rules. OHA amended the rules and the new rules went into effect on July 1, 2016. 

 
 
  • Definitions
  • Nurse Staffing Posting and Record Requirements
  • Nurse Staffing Committee Requirement
  • Nurse Staffing Plan Requirements
  • Nurse Staffing Plan Review Requirement
  • Nurse Staffing Plan Mediation
  • Replacement Nurse Staffing Requirements
  • Nurse Staffing Member Overtime
  • Nurse Staffing Plan Waiver
  • Nurse Staffing Plan During an Emergency

As part of the recently completed rulemaking process the OHA accepted public comment on the draft rules. Summaries of the public comments and the OHA's responses to the comments are contained in the Hearing Officer Report.


SB 469

In 2015 the Oregon Legislature worked with a coalition of direct care nurses and hospitals to improve Oregon's nurse staffing laws and passed Senate Bill 469 (SB 469), which incorporate these changes.

The significant features of SB 469 are:

  • Establishes composition and activities of Hospital Nurse Staffing Committees (HNSC);
            • Provides factors for HNSCs to consider when formulating nurse staffing plans;
            • Requires mediation when HNSC cannot agree on nurse staffing plan;
            • Clarifies hospital record-keeping requirements;
            • Creates statewide Nurse Staffing Advisory Board (NSAB);
            • Implements timelines for OHA nurse staffing complaint investigations;
            • Increases frequency of OHA nurse staffing audits; and
            • Clarifies OHA posting requirements for public records.
 

HCRQI

Health Care Regulation and Quality Improvement (HCRQI) oversees the implementation of nurse staffing laws in Oregon.
 

HFLC

Health Facility Licensing and Certification (HFLC) licenses hospitals in Oregon. HFLC staff support the Nurse Staffing Advisory Board (NSAB) and HFLC's Surveyor and Certification is responsible for nurse staffing surveys and complaint investigations pursuant to Oregon statutes and administrative rules. HFLC staff work together to provide guidance to hospitals and nursing staff members throughout Oregon. HFLC also maintains a list of hospital nurse staffing committee cochairs in order to providence notice in advance of  nurse staffing audits. If hospitals should submit a change form if the hospital nurse staffing committee cochairs change. 

Join our Listservmessages100
The OHA Hospital Nurse Staffing Listserv is used to send announcements and information regarding hospital nurse staffing rules and related events put on by the Health Facility Licensing and Certification Program.
 
To be added to the Listserv: Please e-mail your request to mailbox.hclc@state.or.us, with "Add to Hospital Nurse Staffing Listserv" in the subject field.

NSAB

The Nurse Staffing Advisory Board (NSAB) is a 12-member board of hospital nurse managers, direct care registered nurses, and a direct care staff member.
 
NSAB Members are charged with
  • Providing advice to the Oregon Health Authority on the administration of Oregon's nurse staffing laws;
  • Identifying trends, opportunities and concerns related to nurse staffing;
  • Making recommendations to the Oregon Health Authority on the basis of those trends, opportunities and concerns;
  • Reviewing the enforcement powers and processes under Oregon's nurse staffing laws.

Meeting Schedule

​Date/Time Location​ Agenda​ Minutes​
Wednesday, February 24, 2016​
1:00 PM - 5:00 PM
​800 NE Oregon Street
Room 918
Portland, OR 97232
​February 2016 Agenda February 2016 Minutes
Wednesday, May 25, 2016
​1:00 PM - 5:00 PM
​800 NE Oregon Street
Room 1A
Portland, OR 97232
May 2016 Agenda
Wednesday, August 31, 2016
​1:00 PM - 5:00 PM
​800 NE Oregon Street
Room 1D
Portland, OR 97232
August 2016 Agenda
Wednesday, November 30, 2016
​1:00 PM - 5:00 PM
800 NE Oregon Street
Room 1D
Portland, OR 97232​
 For more information about NSAB meetings go to the Oregon transparency website

Nurse Staffing Survey Process

Beginning in 2017
HFLC staff will use a standardized survey process intended to evaluate hospital compliance with the rules related to nurse staffing. Hospitals will be randomly selected for survey from the list of hospitals licensed in the state of Oregon.
    • Each hospital will be audited once every three years to assess nurse staffing compliance;
    • Audits will include review of relevant records, interviews of both Hospital Nurse Staffing Committee (HNSC) co-chairs, and interviews of any other person(s) deemed necessary to determine compliance; 
    • Hospitals will keep and maintain records that demonstrate compliance; 
    • After an audit, OHA will send the hospital and the HNSC co-chairs a written report that explains any nurse staffing concerns found during the survey. A hospital will submit a plan of correction to address any concerns noted in the OHA’s report. Once a plan of correction is approved, OHA will revisit the hospital within 60 days to determine compliance; and 
    • OHA will maintain and post audit reports online. 

Nurse Staffing Complaint Investigation Process

Beginning in 2017
HFLC staff will use tools developed in the audit process to investigate specific nurse staffing complaints.

  • OHA will conduct an onsite investigation within 60 days of receiving a nurse staffing complaint; 
  • Investigations will include review of relevant records and interviews of any person(s) deemed necessary to determine compliance; 
  • After an investigation, OHA will send the hospital and the HNSC co-chairs a written report that explains any nurse staffing concerns found during the investigation. A hospital will submit a plan of correction to address any concerns noted in the OHA’s report. Once a plan of correction is approved, OHA will revisit the hospital within 60 days to determine compliance; and 
  • OHA will maintain and post complaint reports online. 

Nurse Staffing Survey Reports and Complaint Reports

 
2012