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scha update / tri-state conference

today’s discussion

▪ New resources for SCHHRA

▪ Developing a Healthy Workforce▪ Be Something Amazing

▪ Clinical Capacity

▪ Workplace Safety

▪ Retaining Nurses

▪ CompData Surveys & Consulting

▪ SCHA legislative priorities

▪ Healthcare Staffing Services

workforce as key focus area

evolution of personal membership groups

(PMGs)

▪ Organized for different reason:

▪ Around a group with strong voices

▪ Around a significant statewide issue

▪ Around a group with a national designation

▪ Currently, SCHA has 13groups with more than 600 members

▪ But think about how many more hospital employees there are…

new resources

▪ SCHA PMG Specialist (Kim Wooten) dedicated to PMGs

▪ Tasked with creating improvements in:

▪ Consistency

▪ Communication

▪ Coordination

▪ Growth of membership

▪ Better connect PMGs with SCHA’s priority issues

▪ Opportunities to streamline:

▪ Board terms/offices

▪ Sponsorships

▪ Event/meeting planning

▪ Dues/invoicing

▪ Recruitment campaigns

▪ Opportunities to collaborate:

▪ With other PMGs

be something amazing

▪ New career spotlights!

▪ Occupational therapist

▪ Pharmacy technician

▪ Social worker/case worker

▪ Physician assistant

▪ Health information

▪ Nurse practitioner

▪ Ultrasound technician

▪ New filming locations!

▪ AnMed Health Rehab

▪ Palmetto Health Tuomey

▪ GHS Laurens County

▪ McLeod Health

expanding clinical capacity

▪ Clinical sites

▪ Centralized orientation

▪ Technology for pre-clinical credentials

▪ Background checks

▪ Drug screens

▪ Immunizations

▪ Specific recommendations ~ see handout!

▪ We need you! Help us get additional support!

workplace violence

▪ Healthcare workers are more likely to be injured through

violence than other workers

▪ Results in lost time at work for the employee

causes of injury▪ Most lost days from injury are patient-caused

▪ High injury rates for nursing, psych, and home health aides;

nearly half are “unintentional”

high level messaging

▪ Talking points and support materials

▪ Points for C-suite, HR directors, managers, and communications staff on the hospital’s commitment to workplace safety

▪ Messaging campaign around hospitals as safe zones

training and education

▪ Identify leading practices and top performers▪ Toolkit to include de-escalation training, plain

language focus, active shooter training, etc.

▪ Goal: Best practices, not a compliance-based view

▪ Place workplace violence in the context of

working toward high-reliability▪ Harmonize approach to tracking and reporting

▪ Engage personal membership groups and other relevant partners

resources from scha solutions

▪ Survey the marketplace and identify best-in-

class partners to provide key services▪ Enterprise-wide security strategies

▪ Site-based vulnerability assessments

▪ Uniformed security services

▪ Training: Leading practices, active shooter, de-escalation, etc.

retaining nurses

▪ Exploring nurse residency programs▪ Transition to practice for new grad nurses

▪ Vizient, Aiken, other hospitals, etc.?▪ Statewide pilot?

▪ We need you? A good strategy?

comp data surveys & consulting

▪ Current provider of compensation survey▪ We need you! More participation!

▪ October 11 webinar, in advance of 2018 survey

▪ Workforce survey of vacancy & turnover▪ Track 40 professions

▪ Info on future demand

▪ Distributed in January with comp survey

▪ We need you! Is this valuable?

legislative and administrative

▪ Pursue legislation to treat hospitals as safe

zones▪ Heightened penalties for acts of violence against

healthcare workers

▪ Pursue the hospital-based equivalent of a

School Resource Officer▪ Durable relationships with and potentially new

public funding for specialized officers

legislative and administrative

▪ Get clarity on role of hospital security staff▪ Work with SLED to understand their roles, authority

▪ Prepare a common reference guide, follow-up with administrative/statutory changes if necessary

▪ Collaborate with law enforcement associations on defining and sharing leading practices

▪ Establish continuing education requirements

on behavioral health for judges/magistrates▪ Through legislation and/or Supreme Court rule

▪ Goal: Reduce inappropriate orders for ER screening

other legislative issues

▪ Federal level: continued focus on repeal

▪ State level:▪ H. 3483 – increased penalties for violence against

healthcare workers

▪ Scope of Practice issues: S. 345 independent practice for APRNs

▪ Expansion of telemedicine to practitioners in addition to physicians

▪ Maintenance of certification – H. 4116

▪ Sign language interpreters

join LEAD

contact us:

▪ Edward Bender / General Counsel / 803.744.3503 / ebender@scha.org

▪ Lara Hewitt / Vice President / 803.609.0037 / lhewitt@scha.org

South Carolina Hospital Association

healthcare staffing services

2017 Tri-State Healthcare Human Resources Conference

September 1, 2017

workforce shortages: how did we get here?

▪ Operating outside of the traditional “four walls” of a hospital

▪ Reimbursement model change –

▪ Volume/Service based now Quality

▪ Affordable Care Act

▪ Multi-generational workforce – What does this mean:

▪ Silver Tsunami

▪ Work life balance

▪ Education levels

▪ Reduction of nurses at the bedside

▪ Increased patient census and patient acuity

▪ Staff burnouts and increase in overtime

▪ Technology barriers

demand far outpacing supply of talent

consequences for inadequate staffing

▪ Staff burn-out and turn-over

▪ Increased medication errors

▪ Increased infection rates

▪ Increased patient falls

▪ Possible increase of readmissions

▪ Decreased patient satisfaction rates

nursing jobs vs. qualified nurses

▪ Nursing jobs are increasing at an accelerated rate. The number of nursing jobs (RN and LPN) in the U.S. grew 6 percent from 2012 to 2016 to 3.5 million, and is expected to grow another 7 percent from 3.6 million in 2017 to 3.9 million in 2021.

▪ At the same time, employers are struggling to find qualified labor to fill job vacancies, leaving nurses currently on staff with larger workloads and longer hours.

▪ Day-to-day demands and high pressure situations have 7 in 10 nurses (70 percent) saying they feel burnt out in their current job, and 54 percent of nurses rating their stress level at work as high.

As of 5/5/17, Published by CareerBuilder

travel nurse forecast

what is healthcare staffing services?

▪ Healthcare Staffing Services is a member service offered through state hospital associations designed to deliver:

▪ A higher quality temporary workforce

▪ Increase market competition in the areas of billing rates, contract terms, performance standards, etc

▪ Efficiencies to the negotiation & management processes - thus reducing administrative time and costs

▪ Flexibility to customize workforce solutions

program summary

32State

Associations

12 355 102Healthcare

Locations

Travel

Agencies

Per Diem

Agencies

Traveler Count % of Increase from 2016 to 2017

138%

exponential program growth

▪ 2015

▪ Total Filled Assignments: 3,610

▪ Average Travel Assignments Per Month: 1,214

▪ 2016

▪ Total Filled Assignments: 5,926

▪ Average Travel Assignments Per Month: 2,057

▪ 2017 YTD (January – May)

▪ Total Filled Assignments: 4,749

▪ Average Travel Assignments Per Month: 2,616

sc traveler count 2016 vs 2017 ytd

1700

1750

1800

1850

1900

1950

2000

2050

2100

2150

2016 2017 YTD

Traveler Count

key components for hospitals

▪ Vendor neutral to create more opportunities to identify and select staff

▪ All clinical staffing agencies are certified by Joint Commission

▪ Ongoing performance evaluation of partnering agencies for agreement compliance

▪ Covers almost all specialties; Nursing, Allied Health, Advanced Practice, Dietary, Pharmacy, HIT, HIM, Coders

nursing positions filled in 2017 ytd

ICU19%

ED19%

Med/Surg14%

PCU8%

Telemetry7%

OR6%

L&D4%

CCU3%

Cardiac Cath Lab2%

Rehab2%

All Other16%

2014-2017 ytd nc, va and sc travel hours

-

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

2014 2015 2016 2017

NC VA SC

exploring new services

▪ Temp to Perm

▪ Per Diem

▪ Permanent Placement

▪ International nursing

▪ Rapid Response

▪ Consolidated Billing – One Invoice

our partnering state

associations

Questions?

Sherry A. Kolb, RN

President

skolb@scha.org

(803) 744-3515