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Good Samritan Hospital, Los Angeles Recieves National Quality Award for Labor Excellence

Posted on: November 29th, 2010 at 1:32 pm EST
HUDSON, Fla., Nov. 26, 2010 /PRNewswire/ -- The Paradigm Award Committee (www.paradigmaward.org) announced that Good Samaritan Hospital of Los Angeles (www.goodsam.org), a leading hospital based in Southern California, was recently selected to receive the prestigious Paradigm Award.

The Paradigm Award was created to honor hospitals that have gone above and beyond in their efforts to foster efficient labor practices without resorting to workforce reductions or dramatic top-down mandates. Knowing how difficult this is, The Paradigm Award was commissioned to encourage the recognition and celebration of institutions who have managed to reach and sustain consistent levels of labor efficiency while illustrating their ability to balance the often contradictory needs of their three main constituencies: their patients, their staff and their need to remain financially viable.

The Paradigm Award is presented to hospitals that have made the greatest measurable strides in improving labor efficiency and done so in a manner that promotes the measurement, governance and sustainability of their results.

"Winning the Paradigm award is no easy feat," claims Charlie Dawson, President of Workforce Prescriptions (a labor utilization consulting firm).  "As a member of the Paradigm Award Committee, I can tell you that of more than 100 hospitals that have applied for the award in the past 36 months, only Good Samaritan reached the level of sustainable change necessary to achieve it."

Good Samaritan began its journey to labor excellence with the October 2008 decision to engage Workforce Prescriptions (www.workforcerx.org) in performing a Labor Utilization Audit.  The Labor Utilization Audit™ is a service offering designed to allow an acute hospital to identify areas of labor waste/redundancy that can be eliminated without creating a derogatory impact on staff.

"The goal of the audit was to move the organization away from examining how many people were being paid in favor of how they were being paid and for what work," states Dan McLaughlin, VP of Professional Services at Good Samaritan and chair of the initiative.  "Our successful outcomes derived from first measuring what mattered then reducing the cost-per-hour of labor and overall labor dependence rather than from attacking people or programs."

Andrew Leeka, Good Samaritan's President & CEO goes on to state, "The creation of sustainable change required the organization to first take a step back and evaluate our current understanding of the processes (and their corresponding measures) that drive labor utilization.  It then became easier to address labor waste at the root cause rather than at the visible symptom level. Both the Labor Utilization Audit and the 84 labor competencies of the Paradigm Award Evaluation Process provided us with the ability to focus our efforts on waste reduction and put us in control of driving the results we desired."

Such results of Good Samaritan's efforts are unequivocal.  In a deeply challenged payor environment, with a significant level of organized workforce, state mandated staffing ratios and an abundance of uncompensated care, Good Samaritan has managed to create a change in operational bottom line performance of over $7M annually and the emergence of the first true sustainable operational profitability in over a decade.  They have done so without layoffs, pay cuts or radical policy changes that mandated program elimination.

"This is exactly what the Paradigm Award is intended to recognize," claims Dean Kristiniak, Paradigm Award Committee member, "finding an organization that has transcended the standard measures of productivity, waste measurement and labor management to arrive at that meaningful destination on the far side of change . . . controllability.  We can't wait to write the $10,000 Award Check to Good Samaritan and celebrate their amazing achievement with them!"

About Good Samaritan

Today, Good Samaritan Hospital is more than a community hospital. A world-class academic medical center affiliated with both USC and UCLA Schools of Medicine, Good Samaritan has 408 licensed beds.  Recognized as One of America's 50 Best Hospitals 4 years in a row in 2007, 2008, 2009 and 2010 by HealthGrades, Inc. Good Samaritan supports eight Centers of Excellence that focus on advancing the science of medicine while providing outstanding patient care.

For more information about Good Samaritan, go to:  http://goodsam.org/about/index.php

About the Paradigm Award

The Paradigm Award was created to honor hospitals that have gone above and beyond in their efforts to foster efficient labor practices without resorting to workforce reductions or dramatic top-down mandates. Knowing how difficult this is, The Paradigm Award was commissioned to encourage the recognition and celebration of institutions who consistently try to balance the often contradictory needs of their three main constituencies:

  • Their patients
  • Their staff
  • Their need to remain financially viable


The Paradigm Award is presented to hospitals that have made the greatest measurable strides in improving labor efficiency.  For more information about the Paradigm Award, go to:  http://www.paradigmaward.org/

About Workforce Prescriptions

Workforce Prescriptions is an "evidence based" consulting firm headquartered in Hudson, FL that provides assistance to hospitals desiring to: enhance revenues, reduce their cost of labor & length of stay or to improve their work practices/processes. Workforce Prescriptions focuses primarily in the not-for-profit sector of healthcare in order to "assist those organizations whose own mission requires them to take extraordinary risks in order to ensure access to quality healthcare for the neediest of American's."

The Labor Utilization Audit™ is a service offering designed to allow an adult acute hospital to identify areas of labor waste/redundancy that can be eliminated without creating a derogatory impact on staff. The audit comes with a $1,000,000.00 annual recapture guarantee (to the bottom line) and the average return is nearly $6,400,000.00 without downsizing.

The goal of the audit is to move away from examining, "how many people are being paid" in favor of, "how they are being paid and for what work". Successful outcomes derive from lowering the cost-per-hour of labor and overall labor need rather than from attacking people or programs.

For more information about WRX please visit us at:  http://www.workforcerx.org

 

SOURCE The Paradigm Award Committee

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WRX Launches Hospital Labor Waste Calculator

Posted on: April 16th, 2009 at 2:00 pm EST

(Hospitals target the disease, not the symptoms)

 HUDSON, Fla., April 16 /PRNewswire/ -- Workforce Prescriptions ("WRX") announced on Friday the launch of a no-cost online tool developed to allow hospitals to estimate their unique labor waste derived from 7 sources:

  • Overtime utilization
  • Agency utilization
  • Other "Premium Pay" utilization
  • Excessive length of stay driven by avoidable days
  • Process labor waste
  • Productivity labor waste
  • General labor waste

 "The tool was developed by analyzing data provided by over 140 adult acute hospitals who have participated in detailed labor efficiency audits over the last 3 years," states Dean Kristiniak, Vice President of Key Service Lines. He goes on to state, "It took some work to clarify linkages in order to distinguish between root causes and correlating factors in order to produce reasonably accurate estimates based on just a few key data points."

 "Our goal in providing this tool to the marketplace is to elevate the discussion of alternatives to traditional methods of reducing labor expense. We'd like to move the industry past conversations of FTE (full time employee) or workforce reductions into conversations about the practices and processes that are at the root of unnecessary labor dependence and ultimately labor waste," states Charlie Dawson, President. He continues, "While we know that this tool produces only a remedial analysis of cause & effect, we've discovered it provides a valuable touch-point for senior leadership teams wanting to explore alternatives to optimizing labor without reducing staff."

 WRX speaks and writes frequently about a single paradigm, "To assume that the most effective manner of reducing labor expense is to reduce the availability of labor" is to consciously choose to jeopardize:

  • employee engagement
  • workforce flexibility
  • & physician willingness to refer

 "When you lower employee engagement, lower access to labor, reduce workforce flexibility and risk the revenue that physician referrals represent, you have just created the perfect storm for yourself," states Keith Bush, CIO/Vice President of Analytics.

 WRX audits illustrate that any financial benefit derived from a reduction in staff is nearly always lost over the following 30 months. Data further validates that RIF's (reduction in force) can engender circumstances where higher paid staff are required to assume the duties of downsized lower paid staff resulting in a raised cost-per-hour of labor within the organization. "Over time, this creates the opposite result of what was intended," states Mr. Dawson. "We now see hospitals paying a $25-40/hr RN to complete the tasks that were previously provided by an $8-12/hr unit secretary. Not only does this take the RN out of direct patient care for a larger amount of time, but it requires that the organization find a way to back-fill the clinical expertise the RN can no longer provide."

  John Delaney, Sr. VP of Client services comments, "We have all heard the mantra: No money - no mission, but we'd like healthcare to begin embracing some of the core productivity, process and business competencies that have become the cornerstone of bottom line performance in other industries. In a market rife with staff shortages, access to labor (having enough of the right kind of staff at the right time) must be preserved."

 "In the final tally, healthcare isn't like a manufacturing business and patients can't be managed like an assembly line. The only product involved is the productive labor of staff (and staffing benchmarks don't tell that part of the story). What our industry struggles with is identifying the work processes, automation levels or unique operational pressures that drive human behavior and force labor waste," states Mr. Kristiniak. "We are hoping this tool is able to provide a low-touch/high impact insight into some of these mitigating factors to enable more robust decision making, so that as an industry, we can target the disease and not just the symptoms."

 The tool can be found at: http://www.workforcerx.org/recaptureCalculator.php

  

About Workforce Prescriptions

Workforce Prescriptions is an "evidence based" consulting firm headquartered in Hudson, FL that provides assistance to hospitals desiring to: enhance revenues, reduce their cost of labor & length of stay or to improve their work practices/processes. Workforce Prescriptions focuses primarily in the not-for-profit sector of healthcare in order to "assist those organizations whose own mission requires them to take extraordinary risks in order to ensure access to quality healthcare for the neediest of American's."

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WRX Expands Nationally to Provide Help & Hope to Nation's Hospitals

Posted on: March 5th, 2009 at 2:00 pm EST

HUDSON, Fla., March 6 /PRNewswire/ -- Workforce Prescriptions ("WRX") announced on Friday that it would be expanding its services nationwide in a move targeted to bring relief to thousands of hospitals previously not served.

 WRX, a mission driven firm headquartered in Hudson, FL has spent the last 3 years working primarily with faith-based hospitals, assisting them in reducing labor costs without having to resort to reductions in staff or services.

 Through the auspices of their "Pay Practice Audit(TM)," Workforce Prescriptions analyzes hospital labor waste derived from a variety of sources such as; agency and premium pay use, challenges in staffing/scheduling, avoidable delays in care/discharge that drive up length-of-stay, workforce productivity and the governance of key workplace policies/processes. WRX then makes specific recommendations designed to reduce expense without reducing people. "Since labor expense represents as much as 50% of all the costs of operating a hospital, becoming more efficient with labor can have nearly a dollar-for-dollar impact on profitability," states John Delaney, Senior Vice-President of Client Services.

 "Unique to our firm is an evidence based approach that seeks not just correlation but the 'root causes' of labor waste and then stays in the game with customers through implementation to guarantee a return to the bottom line," says company President Charlie Dawson. He goes on to state, "This is why we offer a $1,000,000.00 annual recapture guarantee. We get to know the people, processes and pressures that foster waste and work with the organization to solve problems in a non-judgmental, results focused manner that returns millions of dollars to the bottom line."

 WRX's phone rings steadily with requests for assistance from traditional not-for-profit and for-profit hospitals all of whom are bearing an increased burden from diminishing reimbursements/uncompensated care compounded by rising labor costs. Company leaders reached the decision to make their services available to non faith-based hospitals during a planning meeting held in 2008. "It was just getting too difficult to keep saying NO to all the hospitals that were seeking our help. So we made our expansion plans and automated some key aspects of our services to allow us to help any organization who reached out to us," stated Dean Kristiniak, Vice President of Key Service lines. "It was time our mission expanded to encompass all of healthcare and not just the faith-based segments. With the changes we have made, we are now able to successfully help hundreds rather than dozens of hospitals each year."

 Workforce prescriptions charges a nominal fee for their audit, guarantees results and then provides onsite implementation support that includes facilitation, change management and even software (when needed) to drive the results required to reach and sustain profitability. In 2008, WRX identified an average of $6.38M in annual bottom-line returns for each customer (at a cost of less than 1% of the return).

 About Workforce Prescriptions

Workforce Prescriptions is an "evidence based" consulting firm headquartered in Hudson, FL that provides assistance to hospitals desiring to: enhance their revenue opportunities, reduce their cost of labor & length of stay or to improve their human capital practices. Workforce Prescriptions focuses primarily in the not-for-profit sector of healthcare in order to "assist those organizations whose own mission requires them to take extraordinary risks in order to ensure access to quality healthcare for the neediest of American's."

 Workforce Prescriptions can be contacted at (888) 343-8403 or online at http://www.workforcerx.org

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Latest News

Good Samritan Hospital… [Nov 29th '10]
HUDSON, Fla., Nov. 26, 2010 /PRNewswire/ -- The Paradigm Award Committee (www.paradigmaward.org… More…

WRX Launches Hospital … [Apr 16th '09]
(Hospitals target the disease, not the symptoms)  HUDSON, Fla., April 16 /PRNewswire/ -- Wo… More…

WRX Expands Nationally… [Mar 5th '09]
HUDSON, Fla., March 6 /PRNewswire/ -- Workforce Prescriptions ("WRX") announced on Frid… More…

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