This presentation discusses the best strategies for delivering value-based care through efficient workforce management. Topics covered include:
-Value-based care delivery focused on costs, quality, and outcomes
-Using automation to more efficiently manage your workforce
-Increasing organizational visibility to see problem areas and opportunities
-Maximizing the potential of your workforce to produce more positive outcomes
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Using Workforce Management to Provide Higher Quality Care
1. USING WORKFORCE
MANAGEMENT TO PROVIDE
HIGHER QUALITY CARE
A webinar discussing how health and human
services agencies can harness the power of
effective workforce management to provide
higher quality care and achieve better
outcomes.
2. SPEAKERS
In his leadership role with DATIS, Erik's focus has been
delivering value, productivity and efficiencies for organizations
through Human Capital Management software. Erik graduated
from Indiana University, Bloomington with a B.S. in Finance
and Minor in German. After graduation, Erik worked 5 years in
various financial roles before joining Oracle, where he worked
for 15 years. With over 20 years of experience with finance
and software, Erik combines this knowledge to help
organizations become leading Talent Management
organizations.
Erik Marsh, DATIS
3. AGENDA
Terminology
Rising Challenges in Human Services Industry
Evaluating and Improving Quality of Care
Key Benefits and the Future of WFM for Human
Services
4. LEARNING OBJECTIVES
Understanding value based care delivery focused on costs,
quality, and outcomes
Using automation to more efficiently manage your workforce
Increasing organizational visibility to see problem areas and
opportunities
Maximizing the potential of your workforce
5. SOURCES
Healthcare 2015 and Care Delivery Report by IBM Institute for Business Value
http://www-
03.ibm.com/industries/ca/fr/healthcare/files/Healthcare_2015_and_Care_Delivery_final.pdf
Agenda Overview for Healthcare by Gartner (2014)
https://www.gartner.com/doc/2644019?srcId=1-3132930171
Building a Leadership Team for the Health Organization of the Future by
American Hospital Association (2014)
http://www.hpoe.org/resources/hpoehretaha-guides/1613
Hospital and Healthcare Systems of the Future by the American Hospital
Association (2011)
http://www.hpoe.org/resources/hpoehretaha-guides/812
Quality of Care Report by World Health Organization
http://www.who.int/management/quality/assurance/QualityCare_B.Def.pdf
Healthcare 2015 and Care Delivery Report by IBM Institute for Business Value
http://www-
03.ibm.com/industries/ca/fr/healthcare/files/Healthcare_2015_and_Care_Delivery_final.pdf
6. WORKFORCE MANAGEMENT
Workforce management (WFM) in today’s health and human
services organizations means managing employee productivity in
a multi-dimensional environment including:
Programs
Cost Centers / RU
Funding Sources
Locations
Line of Businesses
7. HUMAN SERVICES INDUSTRY
• Acute Care
• Addiction and Recovery
• Alcohol
• Methadone
• Adoption
• Adults
• Case Management
• Child & Family
• Domestic Violence
• Education
• Employment
• Extended Care
• Foster Care
• FQHC
• Group home
• HIV/Disease prevention
• Homeless
• Housing
• Juvenile Justice / Diversion
• Mental Health
• Mobile Crisis Unit
• Outpatient Services
• Outreach and Intervention
• Residential Housing / Treatment
programs
• Senior Care
• Social Services
• Specialty Hospital / Inpatient Services
• Crisis Stabilization Unit
• Detoxification Unit
• Suicide Prevention
• Transitional Housing
• Veterans Services
8. STATE OF HUMAN SERVICES INDUSTRY
Shifting landscape
Healthcare reform presenting new challenges and
opportunities (Employer, Employee, Consumer, Provider)
Transition from traditional fee-for-service toward value based
reimbursement and outcome based reimbursement
Increased focus on improving the quality, safety, and
efficiency of patient care
Demographic Shifts: Aging population and aging workforce
Constant recruiting for diverse candidates needed to meet
new demands
Employee retention
9. STATE OF HUMAN SERVICES INDUSTRY
SOURCE: GARTNER JANUARY 2014
12. WFM RELATED ISSUES AFFECTING THE
QUALITY OF CARE
Inefficient planning and staffing
Balancing organizational staffing needs with
costs
Lack of visibility into labor costing and
analysis
Programs with highest overtime costs
Employees near or approaching overtime
Most productive programs vs. least productive
Risk of non-compliance
Negligence of essential credentials and courses
Tech-savvy human service professionals lack the
opportunity to leverage modern software tools
Relying on time-consuming, error-prone manual
processes
13. IMPROVING QUALITY OF CARE
Examine and Revisit Policies and Procedures
(Hint: Less is More; Fewer are Better)
Questions to Ask:
Are we driving the right behavior?
Are our policies and procedures designed to handle
exceptions while driving 90% of the effort?
Are we staffing to meet consumers needs?
What does the parking lot look like at 3pm on Friday afternoon?
Do you use weekly supervisions?
Are you checking past, current and future productivity?
Can you measure productivity?
Do you have an automated system to track trends?
Can you match labor costs to revenue?
14. IMPROVING QUALITY OF CARE
Re-Examine Your Compensation Strategy
How can incent my people to do what I want?
Questions to Ask:
Are we paying for performance or tenure?
Are we paying for productivity or vacation?
Base (Performance based: Are my case notes turned on the
same day?)
+
Variable Component (productivity)
=
Total Compensation
Consider consumer satisfaction surveys
Link incentive programs across departments:
Scheduling+Therapists+Billing
Result: Higher Productivity + Higher Billing
15. Embark on a Technology Transformation
Is my infrastructure in-house? Do you have a server room and IT
personnel?
If you answered yes:
Go to the Cloud!
What is your disaster recovery strategy?
What if Bob gets sick? What about when he retires?
Accounting, Human Resources, Payroll, EHR, Email
Send them to the cloud!
IMPROVING QUALITY OF CARE
16. THE IMPORTANCE OF WFM IN HUMAN
SERVICES
“Your HCM strategy cannot run parallel to the business. Rather, a
well-defined HCM strategy distinguishes actions to guarantee
your workforce consists of the right people with the right skills
in the right roles at that right time and are supported with the
right tools to achieve your business priorities.”
- Nancy Heet, President of Workforce Management Strategies, LLC
17. THE IMPORTANCE OF WFM IN HUMAN SERVICES
• CEO’s revealed that “improving efficiency through productivity
and financial management” was the most common goal
among all leaders in AHA Survey.
18. THE ROLE OF WFM IN HUMAN SERVICES
Optimize operational efficiencies with process management
Create operational excellence by standardizing and streamlining end-to-end
administrative and clinical processes
Implement enabling information technology
Example: Deploy data enabled phones to field case managers to allow them to clock-in and
clock-out
Outcome: Increased compliance, increased productivity, decreased costs
Break down functional silos to improve collaboration and information sharing
Example: Implementation Teams: SLT/EMT, HR, Payroll, Accounting, Billing and
Clinical Operations
Drive implementation of best practices
Examples:
Supervision, recruiting, talent management
Hire smart people who can learn and develop them for culture fit
20. KEY BENEFITS OF WFM FOR HUMAN SERVICES
Find the right person with the right qualifications in the
right position at the right time quickly and easily
Credential Management
Time and Attendance
Recruiting and New Hire Onboarding
Talent Management / Talent Development
Control payroll costs without compromising quality of
care
Free staff from administrative tasks to focus on
improving Quality of Care
Automate complex labor distribution and allocations
Proactively monitor staffing levels
21. KEY BENEFITS OF WFM FOR HUMAN SERVICES
Analyze budget performance
Improve efficiency and productivity of workforce overall
Develop talent to deal with new, diverse challenges in the
industry
Mitigate risk
Ensure compliance with regulations and reforms
Streamline information and analytics
Facilitate flow of communication
Automate workflow processes
22. THE FUTURE OF HUMAN SERVICES AND
WFM
“… early conversations often include the CFO, where the
opportunity exists to begin ‘thinking like an economist’.“
SOURCE: Deloitte, Human Capital Trends 2013
23. THE FUTURE OF HUMAN SERVICES AND WFM
Transition to value-based model / outcome-based models
Invest in and deploy modern, cloud-based technologies
Integrated applications allow organizations to be more
agile and adapt more rapidly to the dynamic marketplace
Organizations will work more collaboratively to achieve
new milestones in defining, measuring, and delivering
value even with growing resource constraints and other
challenges
The ability to interpret data and apply it to the most
important issues will be a growing expectation for health
care executives
32% of healthcare CEOs say integrating information
systems will be a top strategic priority in the next three
years
Presentation is based off of extensive research with these publications as the main sources of information.
Healthcare organizations face unprecedented pressure to adapt to new business models while improving care quality and controlling costs.
There are many components of value (“value dimensions”) in care delivery, each of which needs to be balanced against the others and considered when making systemic decisions
Recall definition for quality of care: “Good quality health care means doing the right thing at the right time, in the right way, for the right person and getting the best possible results. “
-RWJ Foundation
Can see that they are Incredibly interconnected- potential of impact on quality of care is clear
Highlighted areas represent WFM factors
Real-time financial and clinical information can help organizations establish benchmarks and understand their performance against quality and efficiency targets.
----- Meeting Notes (6/3/14 18:56) -----
So what does all that get you? Bersin is an HR thought leader with Deloitte and frequently publishes articles on HR best practices. This slide shows how HR evolves from just the old back office function, merely running payroll and not much more ... all the way through being true BUSINESS DRIVEN HR, contributing to strategy and planning for the future. The Datis e3 solution and approach enable this transformation no matter where an organization is on this line.
With change on the horizon, many health care organizations have spent the past several years putting in place the infrastructure, processes and people to operate in a value-based model ahead of market demand. In the years ahead, these organizations will have to make difficult decisions about when to shift to the new value-based payment model.