Posts tagged Productivity Performance
Issue #27: How to Set a Productivity Target

Have you ever wondered how finance sets a department's budget each year? While most explanations we've heard sound quite complex, the truth is quite simple.

There are only 3 ways to set a productivity target: Run Rate, Benchmark, and Zero-Base

Leaders struggling with their target often ask this question and most are unable to get a straight answer - perhaps because the person they are asking isn't sure.  This common complaint inspired us to share this newsletter and we hope it helps!

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Is On-Call Burden Driving Chronic Turnover in Your Department?

While procedural departments are significant contributors to hospital revenue, ensuring staff are available to perform emergent cases 24/7/365 is a constant challenge. On-call programs are a common staffing solution for off-hours needs, but they can drive significant recruitment and retention challenges. Particularly in small departments, on-call and call-back requirements can be a key driver of the “fatigue factor” for staff.

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Issue #10: Pandemic Staffing: Our "New Normal"

Across the country, hospitals have been forced to close their doors due to revenue headwinds and increasing costs due to the COVID 19 pandemic. All are working to closely manage costs to keep their doors open for the communities they serve.

Perhaps the most approachable and impactful strategy to reduce cost while improving care is demand matching – the process of reviewing staff schedules and patient workload volumes to align staff with volume by hour of day. Even if you’ve done this in the past, it’s important to reevaluate as patient volume patterns have shifted in hospitals across the country.

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Issue #8: Zero Based Staffing Models

Productivity targets help hospitals balance resource requirements with financial goals by budgeting specific hours for the workload in each department. The process of setting productivity targets can present a challenge to both nursing and finance leaders as they work together to identify the ideal goal. By using zero based staffing models, industry leaders ensure that the right staff are in the right place at the right time.

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Is Your Department’s Productivity Target Reasonable?

Hospitals establish and manage to productivity targets to ensure that the right number of staff are available to care for patients. Balancing financial, clinical, and operational goals, thoughtful productivity targets ensure the department is not overstaffed or understaffed, supporting operations, quality care, and patient satisfaction with efficiency.

When hospital finance sets productivity budgets, it is very common for department leaders to ask questions like, “Why is this my target?”, “Where did this number come from?”, or “This can’t be right.” “Is this really how my peers are operating?”.

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Issue #7: Do You Manage Productivity Daily?

Top performing hospital leaders are always searching for innovative ways to reduce the cost of healthcare without adversely impacting care and services provided. Labor spend constitutes over half of total hospital expenses and is widely considered the most controllable expense. Daily productivity management can help hospitals reduce expenses without having to furlough or lay off staff members. A successful strategy includes two primary components: increased performance visibility through daily reporting and managing improvement through department action plans to remedy missed targets.

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Daily Productivity Management: Reducing Labor Spend without Reducing Workforce

Top performing hospital leaders are always searching for innovative ways to reduce the cost of healthcare without adversely impacting care and services provided. Labor spend constitutes over half of total hospital expenses and is widely considered the most controllable expense, leading to employee furloughs and layoffs in the current environment. However, there are alternatives.

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Issue #5: Are Your Expenses Outpacing Your Revenue Due to COVID-19?

Revenue degradation experienced due to the COVID-19 pandemic is impacting hospital finances across the country. Suspension of elective surgeries and procedures threatens the viability of many healthcare organizations. After decades of experience in the for-profit sector, our team has summarized some of the top impact expense management strategies. Continue reading for a high level view and check out our article for more details.

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Issue #3: How Effective Are Your Staffing Grids?

Staffing grids are planning tools that assign the appropriate amount of staff to care for the number of patients on the unit. Effective staffing grids support care guidelines and productivity by integrating with budget, hiring plans, and scheduling systems. Annual approval by the CFO and CNO is important, as the types of patients cared for on the unit can vary over time. 

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