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CASE STUDY: 
STANFORD HOSPITAL & CLINICS 
 
Client Overview: 
 
Stanford Hospital & Clinics is known worldwide for its advanced 
treatment of complex disorders including cardiovascular care, 
cancer, neurosciences, surgery, and organ transplants.  For the past 
several years, U.S. News & World Report has consistently ranked 
Stanford the number one hospital in the San Jose Metropolitan 
area, and in the top 10 – 20 hospitals in the United States.  A non‐ 
                                                                       Stanford Hospitals & Clinics 
profit organization, Stanford University Medical Center is             began its $3.5 billion renovation 
comprised of three world renowned institutions: Stanford               project during the summer of 2011. 
Hospital & Clinics, the Stanford University School of Medicine, 
and Lucile Packard Children's Hospital, a pediatric teaching hospital providing general 
acute and tertiary care.  
 
 
Client Challenge: 
 
Stanford Hospital & Clinics wanted a one‐stop solution, with ONE Managed Service 
Provider (MSP) and ONE Vendor Management System (VMS) to manage the contingent 
labor workforce, with the goal of centralizing process and reducing total spend by at least 
$500K annually.  In addition to savings, Stanford was looking to mitigate compliance risks, 
and to find a solution providing the following outcomes: 
 
1) Recruiting and retaining best‐in‐class talent, ensuring optimum patient outcomes  
2) The establishment and tracking of meaningful service delivery metrics 
3) The reduction of risk exposure by ensuring compliance of all vendors to regulations 
4) Centralized spend management 
5) Reduced cost of non‐employee engagement 
6) The use of single Managed Service Provider 
 
The hospital and clinics system had grown concerned that its extremely decentralized 
contingent workforce might expose the organization to the risk of non‐compliance with 
the Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare 
Organizations (JCAHO).   
 
In addition, Stanford was utilizing a multi‐vendor strategy which lacked a program 
process, exposing the hospital to further risk since it was difficult to ensure that all 
vendors were providing workers in compliance with hospital and industry regulations. 


  Adecco Group Confidential                        1
                                                                          At Adecco, we work for you.  
Prior to engaging with Adecco, Stanford was concerned that                 

                                                                          Your Business is our Business 
some of its vendors may not be ensuring that the contingent 
                                                                          We’re experts in adapting to 
workforce met the following standards required of its full‐time 
                                                                          the changing market and 
employees: 
                                                                          managing talent accordingly.   
 
         Medical certifications and accreditations                        We’re Leading the Way 
         Proper titers and immunizations                                  We adjusted quickly during the 
         Hepatitis B vaccinations                                         recession, connecting 70,000 
         Proper TB testing – per hospital guidelines                      talented workers to our clients 
         Appropriate background and drug screening                        everyday ‐‐ and now, we’re 
         Proper HIPAA and Healthstream training                           leading America back to work 
                                                                          in the recovery. 
The program also lacked a standard pricing model for all                  Staffing Solution Experts 
vendors to follow.  Each vendor worked with individual                    Adecco’s executive team is 
departments and hiring managers to determine needs and                    called upon to share its 
rates, which at times represented 80% ‐ 100% markups over the             expertise regularly, by major 
hourly payrates. Invoicing and payments also posed a huge                 media outlets including; CNBC, 
challenge for the internal Accounts Payable group. Each                   The Wall Street Journal and 
department and hiring manager was invoiced separately and                 CNN. 
held responsible for approvals of all invoices. Once an invoice 
                                                                          The Global Leader  
was approved by a department manager, the A/P department                  As part of Adecco Group – the 
would process the payment to the individual vendor.  As a result          world’s largest staffing firm – 
of this payment process, accounts became delinquent to almost             we provide companies and job 
120 days out.  In addition, because there was no order, job               seekers with access to more 
tracking, or budget system in place, no tracking or management            talent and jobs than anyone 
mechanisms were available to Stanford personnel.                          else.  
                                                                           
                                                                          A Comprehensive Network 
Adecco Solution/Impact:                                                   With offices in more than 60 
                                                                          countries and 5,000+ career 
Adecco had proved valuable to Stanford while serving as a supplier for    centers across the globe, we 
four years when the hospital system began its search for a master         are part of a network of 
vendor to manage its administrative, Allied Health, and                   companies that are able to 
non‐clinical contingent workforce in 2008.  Despite competing             deliver any and all 
against several other vendors through an aggressive RFP                   staffing/workforce solutions 
                                                                          including; recruitment process 
process, Adecco was awarded the MSP for Stanford’s Hospital & 
                                                                          outsourcing, managed services, 
Clinics and a VMS tool was chosen. 
                                                                          leadership consulting and 
                                                                          outplacement support.  
Once the contract was awarded, the implementation and 
project team was formed, and Adecco conducted an extensive                Delivering the Very Best 
discovery process for each department involved as part of Phase           We’re proud that we propel 
I, which included Administrative, Finance, Materials, Hospitality,        job seekers forward in their 
                                                                          career while helping America’s 
and Non‐clinical or Allied Health positions. The implementation 
                                                                          top employers attract, 
process was completed on time and within scope, and the 
                                                                          develop and manage the very 
Stanford team gave high marks to Adecco in a follow‐up survey. 
                                                                          best talent. 
 
  Adecco Group Confidential                      2
 
When the discovery process was completed, an onsite program team was 
identified and the Adecco MSP program was officially launched in June 2009. 
Under the Adecco MSP Program, the following safeguards are in place, providing risk 
management, cost savings and service delivery to key stakeholders for all non‐employee 
engagements: 
 
     • Adecco’s MSP program has provided more than $1.5 million in savings to Stanford since the 
       program’s inception in June of 2009. 
      
     • Adecco's MSP program team understands the unique needs of the life science space 
       providing a distinct advantage for its partners at Stanford Hospital & Clinics.  
 
     • The MSP program undergoes constant evaluation by Adecco and is consistently being 
       refined while moving toward the next generation of service. 
 
     •  Stanford is assured that all vendors are in compliance with government, industry and 
       hospital standards and specifications. 
 
     • Service delivery metrics are tracked and provided upon request. 
         
     • Adecco’s MSP program ensures consistent processes and service delivery. 
        
     • Stanford has greater access to talent since each department is now provided with multiple 
       suppliers to ensure immediate access to required talent pools. 
        
     • Fulfillment rates of 98% are being managed in key areas: 
       Administrative Assistant, Medical Assistant, 
       Clinical/Medical Assistant, Lab Technician, Sterile 
       Technicians, and Patient Admitting Rep.

     • Using a cutting‐edge VMS tool, Adecco’s MSP program is 
       managing work‐orders, spend, and worker information, as 
       well as centralized invoice and billing. 
        
     • Just one invoice per week is delivered to Stanford, and 
       receivables have been reduced from six months to just 60 
       days. 
        
     • Hundreds of contractors are being managed within the Adecco      Percentage of Stanford/Adecco 
       Medical & Science MSP program for Stanford.                      staffing placements by key areas.
         
Due to the success of the Adecco Medical & Science MSP program, Stanford is adding IT 
staff augmentation and plans to grow the overall engagement by 25% this year.  
 
By partnering with Adecco Medical & Science, Stanford Hospital & Clinics is saving 
hundreds of thousands of dollars annually, while ensuring compliance with all hospital, 
industry and government standards and regulations. 
  Adecco Group Confidential                     3

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Stanford Case Study October 2011

  • 1.     CASE STUDY:  STANFORD HOSPITAL & CLINICS    Client Overview:    Stanford Hospital & Clinics is known worldwide for its advanced  treatment of complex disorders including cardiovascular care,  cancer, neurosciences, surgery, and organ transplants.  For the past  several years, U.S. News & World Report has consistently ranked  Stanford the number one hospital in the San Jose Metropolitan  area, and in the top 10 – 20 hospitals in the United States.  A non‐  Stanford Hospitals & Clinics  profit organization, Stanford University Medical Center is  began its $3.5 billion renovation  comprised of three world renowned institutions: Stanford  project during the summer of 2011.  Hospital & Clinics, the Stanford University School of Medicine,  and Lucile Packard Children's Hospital, a pediatric teaching hospital providing general  acute and tertiary care.       Client Challenge:    Stanford Hospital & Clinics wanted a one‐stop solution, with ONE Managed Service  Provider (MSP) and ONE Vendor Management System (VMS) to manage the contingent  labor workforce, with the goal of centralizing process and reducing total spend by at least  $500K annually.  In addition to savings, Stanford was looking to mitigate compliance risks,  and to find a solution providing the following outcomes:    1) Recruiting and retaining best‐in‐class talent, ensuring optimum patient outcomes   2) The establishment and tracking of meaningful service delivery metrics  3) The reduction of risk exposure by ensuring compliance of all vendors to regulations  4) Centralized spend management  5) Reduced cost of non‐employee engagement  6) The use of single Managed Service Provider    The hospital and clinics system had grown concerned that its extremely decentralized  contingent workforce might expose the organization to the risk of non‐compliance with  the Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare  Organizations (JCAHO).      In addition, Stanford was utilizing a multi‐vendor strategy which lacked a program  process, exposing the hospital to further risk since it was difficult to ensure that all  vendors were providing workers in compliance with hospital and industry regulations.    Adecco Group Confidential  1
  • 2.   At Adecco, we work for you.   Prior to engaging with Adecco, Stanford was concerned that    Your Business is our Business  some of its vendors may not be ensuring that the contingent  We’re experts in adapting to  workforce met the following standards required of its full‐time  the changing market and  employees:  managing talent accordingly.      Medical certifications and accreditations  We’re Leading the Way  Proper titers and immunizations  We adjusted quickly during the  Hepatitis B vaccinations  recession, connecting 70,000  Proper TB testing – per hospital guidelines  talented workers to our clients  Appropriate background and drug screening  everyday ‐‐ and now, we’re  Proper HIPAA and Healthstream training  leading America back to work    in the recovery.  The program also lacked a standard pricing model for all  Staffing Solution Experts  vendors to follow.  Each vendor worked with individual  Adecco’s executive team is  departments and hiring managers to determine needs and  called upon to share its  rates, which at times represented 80% ‐ 100% markups over the  expertise regularly, by major  hourly payrates. Invoicing and payments also posed a huge  media outlets including; CNBC,  challenge for the internal Accounts Payable group. Each  The Wall Street Journal and  department and hiring manager was invoiced separately and  CNN.  held responsible for approvals of all invoices. Once an invoice  The Global Leader   was approved by a department manager, the A/P department  As part of Adecco Group – the  would process the payment to the individual vendor.  As a result  world’s largest staffing firm –  of this payment process, accounts became delinquent to almost  we provide companies and job  120 days out.  In addition, because there was no order, job  seekers with access to more  tracking, or budget system in place, no tracking or management  talent and jobs than anyone  mechanisms were available to Stanford personnel.  else.       A Comprehensive Network  Adecco Solution/Impact:  With offices in more than 60    countries and 5,000+ career  Adecco had proved valuable to Stanford while serving as a supplier for  centers across the globe, we  four years when the hospital system began its search for a master  are part of a network of  vendor to manage its administrative, Allied Health, and  companies that are able to  non‐clinical contingent workforce in 2008.  Despite competing  deliver any and all  against several other vendors through an aggressive RFP  staffing/workforce solutions  including; recruitment process  process, Adecco was awarded the MSP for Stanford’s Hospital &  outsourcing, managed services,  Clinics and a VMS tool was chosen.  leadership consulting and    outplacement support.   Once the contract was awarded, the implementation and  project team was formed, and Adecco conducted an extensive  Delivering the Very Best  discovery process for each department involved as part of Phase  We’re proud that we propel  I, which included Administrative, Finance, Materials, Hospitality,  job seekers forward in their  career while helping America’s  and Non‐clinical or Allied Health positions. The implementation  top employers attract,  process was completed on time and within scope, and the  develop and manage the very  Stanford team gave high marks to Adecco in a follow‐up survey.  best talent.      Adecco Group Confidential  2
  • 3.   When the discovery process was completed, an onsite program team was  identified and the Adecco MSP program was officially launched in June 2009.  Under the Adecco MSP Program, the following safeguards are in place, providing risk  management, cost savings and service delivery to key stakeholders for all non‐employee  engagements:    • Adecco’s MSP program has provided more than $1.5 million in savings to Stanford since the  program’s inception in June of 2009.    • Adecco's MSP program team understands the unique needs of the life science space  providing a distinct advantage for its partners at Stanford Hospital & Clinics.     • The MSP program undergoes constant evaluation by Adecco and is consistently being  refined while moving toward the next generation of service.    •  Stanford is assured that all vendors are in compliance with government, industry and  hospital standards and specifications.    • Service delivery metrics are tracked and provided upon request.     • Adecco’s MSP program ensures consistent processes and service delivery.    • Stanford has greater access to talent since each department is now provided with multiple  suppliers to ensure immediate access to required talent pools.    • Fulfillment rates of 98% are being managed in key areas:  Administrative Assistant, Medical Assistant,  Clinical/Medical Assistant, Lab Technician, Sterile  Technicians, and Patient Admitting Rep. • Using a cutting‐edge VMS tool, Adecco’s MSP program is  managing work‐orders, spend, and worker information, as  well as centralized invoice and billing.    • Just one invoice per week is delivered to Stanford, and  receivables have been reduced from six months to just 60  days.    • Hundreds of contractors are being managed within the Adecco  Percentage of Stanford/Adecco  Medical & Science MSP program for Stanford.  staffing placements by key areas.   Due to the success of the Adecco Medical & Science MSP program, Stanford is adding IT  staff augmentation and plans to grow the overall engagement by 25% this year.     By partnering with Adecco Medical & Science, Stanford Hospital & Clinics is saving  hundreds of thousands of dollars annually, while ensuring compliance with all hospital,  industry and government standards and regulations.    Adecco Group Confidential  3