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Sharing Ideas in Managing the Budget

The Health Roundtable. New Zealand. Sharing Ideas in Managing the Budget. Innovative Practices at Princess Alexandra Hospital. The Cost Reduction /Revenue Generator.

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Sharing Ideas in Managing the Budget

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  1. The Health Roundtable New Zealand Sharing Ideas in Managing the Budget Innovative Practices at Princess Alexandra Hospital

  2. The Cost Reduction/Revenue Generator • Improved rostering practices and day to day management to ensure hour targets are achieved in line with agreed levels of activity (including seasonal demands) • Matching nursing budget allocation to planned HPPD and activity • Ensuring nurse unit managers fully understand their nursing budget – what’s provided for, planned hours, planned activity

  3. How We Got There/ What we are planning • Background: significant budget over-run in nursing s&w, observed little change in staffing levels when activity levels change over the year, high level of agency nursing use • Estimated savings based on planned HPPD and planned activity vs previous expenditure

  4. How We Got There/ What we are planning • Opportunity existed to reduce nursing s&w due to high use of agency / casual staff • Trying to increase flexibility of workforce – promoting permanent part time – leverage benefits of salary sacrificing • Ensure appropriate support available to enable achievement of HPPD targets eg clinical facilitator

  5. (Planned) Results • Addressing possible barriers • Real concern from nursing mangers at ward level that they would be left short – previously staffed for the ‘what if’ – gaining trust by ensuring hours are provided in high demand times – and then can expect reduction in quieter times • Resistance to change – addressed through education of staff in concept and methodology / benefits • Provide support for changes in rostering practice from nursing managers, business managers • Getting the right staff and the right skill mix

  6. (Planned) Results • What we anticipate to achieve • Appropriate staffing levels at different demand levels • Expenditure reduction in nursing s&w, reduction in agency • Unhappy/ disgruntled staff until they see the results • New relationships and understanding re importance of rostering practices • Things still to do • Activity based budget/rostering for non inpatient areas eg ED and Renal

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