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3 September 2009 - Brisbane

When the Going Gets Tough .... Get Tough on Agency 2008/09 Presenter: Lydia Dennett Hospital: Scorpio Key contact person for this project Lydia Dennett, Lydia.Dennett@wh.org.au and 03 8345 1914. 3 September 2009 - Brisbane. Escalating Agency Burden in Maternity Services.

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3 September 2009 - Brisbane

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  1. When the Going Gets Tough .... Get Tough on Agency 2008/09Presenter: Lydia DennettHospital: ScorpioKey contact person for this project Lydia Dennett, Lydia.Dennett@wh.org.au and 03 8345 1914 3 September 2009 - Brisbane

  2. Escalating Agency Burden in Maternity Services

  3. Reduce Agency Reliance and Usage

  4. KEY CHANGES IMPLEMENTED

  5. What did we do - in detail Clinical Coach Initiative to fill workforce gap created in 2007-11 EBA Vacancy at that time was Costed additional clinical coach support against the agency cost of 8 EFT equivalent Increased Graduate numbers from 8 to 16 with clinical coach support across pm shifts Monday to Sunday and am shifts on weekend. Cost savings of $400,000 GNPs up skilled quickly as caring for complex women with clinical coach from day one Increased GNP Numbers 2007/08 GNP number 86 Highly successful retention post graduate year 81% those who did not stay either returned to home towns rural /interstate or went travelling. Targeted additional 26 Graduate Nurse places 30% increase to 112 places Increase Graduate support by 1 EFT. Broadened the scope of placements to include renal dialysis, theatre, and community placement refugee health. Increased Bank Capacity Unable to replace vacancy rate requirements with current nurse bank resource approx 150 EFT vacant post EBA Targeted recruitment to casual workforce to increase numbers Additional casual workforce numbers Casual workforce support improved including formal casual nurse feedback opportunities to further improve casual workforce experience Targeted Recruitment - CPO • Western Health utilised agency nurses to special patients for behaviour special requirements, substituted with CPO workforce (Constant Patient Observers) at lower cost • Employed 15 CPO’s in 2008/09 and utilised over 1300 hrs of CPO workforce to manage patient specials and replace agency usage

  6. OUTCOMES SO FAR

  7. OUTCOMES SO FAR

  8. LESSONS LEARNT

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