Transcript Advancing Excellence Initiative with the Illinois LANE

Telling Our Story:
From Nursing Home in Need to
Nursing Home in the Lead
Renaissance South Shore
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Reduced Volume of Call Offs from Direct Care
Staff by 75%
Reduced Overtime Rate 0%
Created & Implemented Consistent Staffing
Created a culture for our employees to be
heard and have a voice in change.
Improved Employee Morale and Patient Care
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As the new Administrator of the building I
analyzed and took over doing the schedule
for the CNA’s in an effort to identify the
contributing factors to the high volume of call
offs.
I wanted to identify if call offs were due to a
system problem or staff were not happy.
After meeting with staff over a 2 week period
Here’s what I found very quickly….
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It was not a System Problem. We had more
than enough staff to fill our shifts.
Several staff members were primary care
givers for parents or sick children.
Staff were frustrated with floating all over
the building
There was no accountability for call offs.
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As a symbolic measure we threw out the old
handwritten schedule and created a new
computerized schedule that would help us
track our progress.
We created a staffing schedule that met the
needs of the facility not the needs of the
staff.
We worked with the staff who were primary
caretakers for their loved ones to create “flex
schedules” to reduce their call offs
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We asked staff where they would like to work.
We felt it was important to hear where our
staff where most comfortable working and
create a schedule that would meet their
preference and offer consistency.
This gave the staff a voice and active
participation in a facility wide change.
We Empowered our Employees
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By working with the staff and creating a
Balanced and Consistent Schedule we were
able improve our call off rate which directly
impacted our OT Rate.
We also began keeping the staff accountable
for their call offs.
Since January costs associated with OT
dropped by 71.6% which was a $84,362
costs savings.
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We opened up the Administrative Doors that
were once closed and began to hear our
employees.
Here is what they had to say…
1. They were tired of their co-workers calling in
and having to shift or wait for a replacement
to come in.
2. They didn’t feel appreciated or had a voice in
facility changes.
We reestablished internal accountability for
call offs and set a clear system for all call
offs.
You Call Off…You Call Off to the Administrator!
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We made the staff hold each other
accountable as well.
We Need YOU!
Our Patients Need YOU!
The care of our patients rests in the hands of those
who care for them…YOU! Your missed presence
effects our patient care and your team members.
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When you’re here everyone WINS!
We will be tracking call-ins on all shifts
Attendance Log will be updated every Monday
The shift with the LOWEST % OF CALL-INS at
the end of the month WINS!
Incentive Prizes change every month
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Call Offs were cut by 80% since the beginning
of this project.
OT was reduced to 0 with a 71% cost savings
over 3 quarters
Employee Morale was improved with
continued participation in facility decision
making
The implementation of Consistent Staffing
has reduced re-hospitalizations, within 30
days, to less than 11%
The implementation of Consistent Staffing
has:
1. Created a staff force that is knowledgeable
of their patients
2. Increased Patient/Family satisfaction
3. Reduced re-hospitalizations to less than
11%
4. Reduced falls by 60% over the year
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Communication is Key!
A Comprehensive Orientation Program is a valuable
investment
Use challenges or mistakes as learning
experiences.
Address issues immediately, even if you don’t have
a solution.
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Corporate team was present from the
beginning and supportive of the changes and
“out of box” ideas that were brought to the
table.
Trusted the Administration Team to make the
changes independently.
Were always available with guidance and
resources when needed.
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We are very excited about our work and
success to this point. We have recently
reached a milestone within our facility with
0% OT, which was celebrated amongst all
staff.
We plan to use this momentum to continue
empowering our staff, helping them grow
professionally, and continue to strive for
clinical excellence!
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Advancing Excellence:
www.nhqualitycampaign.org
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LANE: [email protected]
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Renaissance Park South: Connie Ortega
[email protected]
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NuCare: Michelle Stuercke,
847-977-8590;
[email protected]