70 likes | 231 Views
The “Royal Bank” Solution Presenter: Bobbie Carroll Hospital: The Royal Women’s Hospital Bobbie Carroll bobbie.carroll@rwh.org.au (03) 9344 2155. 15-16 September - Auckland. KEY PROBLEMS.
E N D
The “Royal Bank” SolutionPresenter: Bobbie CarrollHospital: The Royal Women’s HospitalBobbie Carrollbobbie.carroll@rwh.org.au(03) 9344 2155 15-16 September - Auckland
KEY PROBLEMS • 2000-2002 Steady movement of permanent and in-house casual nursing/midwifery staff to agencies – higher wages; greater control over work:life balance • Skyrocketing nursing/midwifery agency usage and costs (near $2 million pa) • Inability of agencies to meet increasing needs (competition from other hospitals seeking specialist staff) • Internal dissatisfaction with ‘foreigners’
INNOVATIONS IMPLEMENTED • Conceptualisation, development and introduction of Royal Bank Health Recruiting • Shift in focus from the organisation to member (ie casual staff) • Intensive marketing as a nurse bank with all the positive attributes of an agency – plus more! “Priority, choice and the benefit of belonging” “We will never cancel a shift”
OUTCOMES SO FAR • Procurement of >4000 shifts per month • Bank : Agency ratio >80:20 • Fill rate > 90% • Cost per shift (after award wages) approx $15 (compared to $115 for agency) • Expansion to include non-nurse workforce • Variation from casual to permanent > 5 staff members per month • Solid reporting and much greater understanding of our casual staff usage
Impact on patient or staff safety • Better trained staff – competency program in place for casual staff • Greater continuity of care provider – coordinated approach to allocation • Growing acceptance of bank staff as “our staff”
LESSONS LEARNT What we recommend to other hospitals on this topic • Invest in in-house casual staff • Find a point of differentiation and exploit it • Consider using RWH’s Royal Bank to manage your casual staff service!
What we would do differently? • Get better IT advice! • Pay greater attention to people’s resistance to change • Appoint a “ Lead Site Champion” who is truly committed to the project – but who is firmly entrenched in the organisation (so that STRANGER DANGER alerts don’t jeopardise the project)