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A System’s Success Story for Cost Effective Staffing

A Case Study from Health First, Inc.

register April 1, 2008 at 01:00 AM PST
Jan McCoy, MSN, MSHSA, RN, CNAA
CNO
Cape Canaveral Hospital

Bonnie Rudolph, RN, MS
VP Patient Care/CNO
Holmes Regional Medical Center

Karie Ryan, RN, BSN
MS Director of Clinical Nursing
Palm Bay Community Hospital


Health First, a three hospital system comprised of 724 beds, designed and implemented a winning effective staffing program enterprise-wide in just 7 weeks. Health First’s partnership with BidShift has placed the organization on track to realize a $3.12 Million reduction in contract labor, which represents an annual net savings of $1.32 Million within the first year of the program’s implementation.

Proactive vs. reactive scheduling to fill “holes”

Offer flexibility and choice for staff

Provide flexibility during seasonal census shifts

Retain RN’s “2nd jobs” within HF system

Reduce Agency and Traveler Labor costs by 20%

Improve recruitment and retention

Reduce Winter Bonus and Incentive Shifts

Reduce Manager’s scheduling time

*BidShift was implemented on June 24, 2007

RESULTS (July 07 – March  08)


User Adoption
Approved Profiles: 2204
# Staff Bidding: 1599
% Bidding: 73%

Use of Agency
83% decrease in Agency Nurse Usage
100% decrease MSS (0 shifts used)
24% decrease health First Private Duty

Adoption by Job Title
FT: 56%
PT: 49%
Unit based per diem: 89%
Pool per diems: 91%

Savings in Agency
Pre CAREshift cost: $1,950,000
Post CAREshift cost: $390,000
Labor cost reduction:
     $1,560,000

Shift Activity
Total shifts posted: 51,520
Awarded: 37,819
Health First Results: 73%

ROI After 9 Months
Goals exceeded
Reduced Agency and Travelers by 83%
Reduced Winter bonus and Incentive by 32%
ROI – 6.76 x our investment



Other Outcomes
  • Did not have to invoke Mandatory OT compared to last Jan-Mar 2007
  • Opened a 22 bed holding unit at HRMC without hiring
  • Staff able to re-direct themselves when census is low at home unit/campus
  • Started with just Nursing and Respiratory, no additional cost for expanded use
“As of March 1st, 2008, we have now no traveler nurses within the system at all. We have completed their contracts and we are able to fill all of the shifts that are posted internally and do not need outside agency.”
~Jan McCoy, CNO, Cape Canaveral Hospital