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Rx For Sanity: Resuscitating a Passion for Healthcare !. Patricia L Raymond MD FACP FACG Rx for Sanity, Norfolk VA. “Does It Make Your Ears Wiggle?” -N.E. Raymond. Caught Between…. Frustrated administrators who want a full (and happy) staff at yesterday’s prices.
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Rx For Sanity:Resuscitating a Passion for Healthcare! Patricia L Raymond MD FACP FACG Rx for Sanity, Norfolk VA www.RxForSanity.com
“Does It Make Your Ears Wiggle?” -N.E. Raymond www.RxForSanity.com
Caught Between… • Frustrated administrators who want a full (and happy) staff at yesterday’s prices. • Angry caregivers who have to do more, faster with less staff and equipment, and are feeling squeezed like a grape! www.RxForSanity.com
Sometimes you have to take your brain and stomp on it a little. It just gets caked up. Mark Twain www.RxForSanity.com
Your Prescription for Sanity • Triage: your professional life • Love: Family, finances, & mental health • Laughter: Personal health And we’ve only a little over an hour to change your life! www.RxForSanity.com
Triage: Your Professional Life www.RxForSanity.com
Problems in Healthcare Human Resources today… • Hiring freeze of nurses given economic crunch • Need for 'out of the box' solutions to enhance retention, given limitations on new hires • Generational issues amongst staff • Wellness issues, or "Do as I say, not as I do" • Customer service and satisfaction scores www.RxForSanity.com
“Please back in for prompter service.” Sign on our endoscopy suite door www.RxForSanity.com
No time for Metrics, Metrics, Metrics • Benefits expenses per FTE • Vacancy rates as a percentage of all employees • Turnover rates as a percentage of all employees • Net revenue per FTE • Total salary expenses per FTE • HR employees per 100 FTEs • WHO has time to keep up! www.RxForSanity.com
“I thought of resigning in the last six months.” • 37% of YOUR current employees responded “Strongly agree” or “Agree” The reasons : Other – 38% Career Advancement – 15% Pay – 23% Benefits – 5% My Supervisor/Manager – 18% 2008 HR Solutions, Inc www.RxForSanity.com
What’s “Other” at your hospital? www.RxForSanity.com
Union Buster! • Data from nurses’ strikes in New York State from 1984 to 2004 : 38,228 patients • In-hospital mortality up 19.4 % • 138 more individuals died • Hospital readmissions up 6.5 %. • 344 more readmitted Do Strikes Kill? Evidence from New York State (NBER Working Paper No. 15855), J Gruber, S Kleiner www.RxForSanity.com
You’re unique… Just like everybody else. pairshare www.RxForSanity.com
If you had a magic wand,& could wave it over your staff& get them to do any one thing differently, what would you choose and why? www.RxForSanity.com
If the people in your hospital were singing a blues song about their job,what would they be singing about EXACTLY? www.RxForSanity.com
It’s not my job. www.RxForSanity.com
Exercise: The Perfect Day www.RxForSanity.com
Rxs for Human Resources • Ergometrics • Chair, keyboard, mouse • Desk & monitor set up www.RxForSanity.com
Metrics Yourself:How do you measure up? • ASHHRA’s HR Leadership Self-Evaluation Tool www.RxForSanity.com
Employee Engagement=Patient Satisfaction • Teach them to own their own engagement • Are your staff sitting back passively, waiting for someone to engage them? Change the culture! Why the Lopsided Look at Employee Engagement ??? HR Solutions www.RxForSanity.com
Get your staff off their buts…(but THEY didn’t try to engage me…) 1. Adopt a more positive “can-do” attitude 2. Accept some ownership for being proud of where you work. 3. Ask for clarification if instructions from your supervisor are somehow unclear. 4. Set yourself up to be recognized. 5. Request a career planning meeting with your manager. 6. Get to know your Senior Leadership. www.RxForSanity.com
7. Actively participate in, and contribute to, decisions that affect your work environment. 8. Ask for feedback about your work performance and act on it. 9. If you don’t have the tools/resources to perform your job effectively, ask for them! 10. Seek learning, knowledge, and satisfaction from your co-workers and most of all, don’t forget to instill FUN into your everyday work activities. Get your staff off their buts…(but THEY didn’t try to engage me…) www.RxForSanity.com
What’s “Other”? • Are you working on disruptive behaviors with your CMO, CNO or other administrators? • NOT JCAHO zero-tolerance level issues, but… www.RxForSanity.com
Medical costs fall about $3.27, absenteeism costs fall by about $2.73 for every dollar spent on wellness programs • Use More, Pay Less • $25/mo x 3 mo, • then -$5 if 5-9/mo, -$10 if 10 or more • Catch a Flight • W@W • Commit to Quit • Team behavior management games www.RxForSanity.com
Recognition/Appreciation Best in Class, Circle of Excellence Or noted for longevity only www.RxForSanity.com
Other interesting ideas • Buddy program • Administration lunch table • Nurse fellows program • Nurse shift bidding www.RxForSanity.com
“The great use of a life is to spend it on something that will outlast it.” William James www.RxForSanity.com
Professional Rxs: Find your Windmill Where are the opportunities for you to make a difference with your Passion and Position? www.RxForSanity.com
Possible HR Windmills • Employee wellness • Staff enrichment • Insidious intimidation (bullying) • Diversity • Recognition • Employee financial health www.RxForSanity.com
Your mission in life is whereyour deep joyand the world’s deep hunger meet. ~Richard Nelson Bolles www.RxForSanity.com
Attend conferences like this one, where you can interact with others who share in your problems and your passions! www.RxForSanity.com
Love: Family, Finances & Mental Health www.RxForSanity.com
The Art of HealingW.H. Auden Most patients believe Dying is something they do, Not their physician, That white-coated sage, Never to be imagined Naked or married. www.RxForSanity.com
Family and Medicine • “Being a physician is one of the few socially acceptable reasons for abandoning a family.” Ann Int Med 2001 • Divorce rates 10-20% higher than general population Ann Int Med 2001 Sou Med Jou 2000 www.RxForSanity.com
Financial stresses • 35 to 45 y/o average personal debt equals 95% of annual income • Most spend less than 1 hour per month on retirement planning • 2 of 3 HCPs does not have a will www.RxForSanity.com
