Monday, June 2, 2014

Staff Stability Toolkit: Linking Stability to Your Bottom Line

Marguerite McLaughlin

Last week, AHCA talked about the great work of Susan Eaton, the late Harvard & Kennedy School of Government professor who identified the practices of high performing nursing centers that significantly decreased staff turnover. For fifty five homes (involved in a workforce pilot study) that adopted these practices, their results were impressive.

Over the course of 9 months the Nursing Departments (RN, LPN, CNA) turnover rates experienced a relative change of -10% which, when annualized, = 196 fewer terminations at a direct-cost savings = $490,000. Through the pilot, these 55 homes saw a pattern emerge that looked like this: staff stability practices put in place led to>better retention>led to individualized care>led to better quality>led to increased census>which led to a better bottom line. It was the first time that the link was made between staff stability to quality care to bottom line!

As a result, the Quality Improvement Support Center (QIOSC) for the nation on LTC issues that ran the national pilot, created a book featuring the stories, practices, worksheets and tips so that others could replicate the work of those in the pilot. Within the Toolkit are electronic worksheets (on a CD) that offer help in understanding how to calculate:


WORKSHEET 1: EMPLOYMENT STATUS – THE COMPOSITION OF YOUR CURRENT STAFF
WORKSHEET 2: CURRENT STAFF BY LENGTH OF SERVICE
WORKSHEET 3: VACANCIES
WORKSHEET 4: TURNOVER RATES
WORKSHEET 5: THE COST OF TURNOVER
WORKSHEET 6: TERMINATIONS (VOLUNTARY AND INVOLUNTARY) BY LENGTH OF SERVICE
WORKSHEET 7: ABSENTEEISM
WORKSHEET 8: MONTHLY CALL-IN LOG
WORKSHEET 9: FINANCIAL INCENTIVES

Another great tool is the Retention Committee Discovery Assignments which sends members of your Retention Team on a fact finding mission to learn from current staff important information about your organization.

This resource serves as the ultimate guide in helping to stabilize staff and gathering ideas from others. Even those who are not having staffing issues at the moment will find many great ideas to further supplement their retention program.

It can be found at: http://www.ahcapublications.org/ProductDetails.asp?ProductCode=8281

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