UPDATE 3/30/2017 Slide Overview Each unit will contain a plan that - PowerPoint PPT Presentation

BGMC STAFFING UPDATE 3/30/2017

Slide Overview • Each unit will contain a plan that includes: • Current vacancies • Current orients • New hires since June • Agency staff • The graphs will depict the number of nurses short per month. • Review surveys completed and lessons learned • Share next steps

Day Shift 40 35 16 N/S 30 25 20 The Plan: 15 • .96 Day Shift 10 Enhanced Position 5 • 3 Current Vacancies 0 on nights- June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 recruitment efforts ongoing Night Shift • 1 RN Orient started 25 3/6 20 • 11 external hires since June 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 25 15N 20 15 The Plan: 10 • Further supporting staffing adds in the 5 float pool to ensure coverage for 0 numerous DBLs that June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 may occur unexpectedly Night Shift 30 • 4 External Hires 25 since June 20 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 45 40 15S 35 30 25 20 The Plan: 15 • PT Day Enhanced 10 Postion 5 • FT Night Enhanced 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 Position • 2 FT Night orients finishing up around Night Shift 4/17 50 • 1 FT Night Orient 45 starting 4/3 40 • Ongoing recruitment 35 for PT Night RN 30 25 20 • 16 External hires 15 since June 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 30 14N 25 20 The Plan: 15 • FT Day RN 10 Enhanced Position Posted 5 • FT Day RN Vacancy 0 posted and recruiting June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 2 FT and 1 PT Night RN Enhanced Night Shift Positions Posted 50 45 • 1 FT Night RN 40 Vacant and ongoing 35 recruitment 30 • 4 RNs orienting on 25 nights 20 15 • 10 16 External Hires 5 since June 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 50 45 14S 40 35 30 25 The Plan: 20 • 2 FT Night RN 15 Enhancement 10 Positons Posted 5 • 3 orients on night 0 shift June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • Ongoing recruitment Night Shift for 1 FT Night RN 40 • Additional New 35 positions to come on 30 both days and nights 25 20 • 18 External Hires since June 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 40 35 13N 30 25 20 The Plan: 15 • 1 FT Day RN 10 Enhanced Position 5 • 2 FT, 1 PT Night RN 0 Enhanced Positions June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 1 FT Night Orient • Ongoing recruitment Night Shift for PT night RN 35 30 • 14 External Hires 25 since June 20 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 35 13S 30 25 20 The Plan: 15 • Ongoing recruitment 10 for 1 FT and 1 PT Day RN 5 • 3 FT Night RN 0 Enhanced Positons June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 Posted Night Shift • Ongoing recruitment for 1 FT and 1 PT 35 night RNs 30 • 1 FT Night RN 25 Orienting 20 15 • 10 External Hires since June 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 30 10N 25 20 15 The Plan: • Ongoing recruitment 10 for 1 FT Day RN 5 • 1 FT Day RN orienting 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 1 FT Day RN Enhanced Positon • Ongoing recruitment Night Shift for 2 FT Night RNs 20 18 • 1 FT and 1 PT RN 16 orienting 14 • 2 FT RN Enhanced 12 Staffing Positions 10 Posted 8 6 4 • 12 External Hires 2 since June 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 40 35 10S 30 25 The Plan: 20 • Ongoing recruitment 15 for 1 PT Day RN 10 • 2 FT Day RN 5 Enhanced Positions Posted 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 3 FT Night RN Enhanced Positions Night Shift Posted 35 30 • 15 External Hires 25 since June 20 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 18 16 9S 14 12 10 The Plan: 8 • Ongoing recruitment 6 for 1 FT Day RN 4 2 • 2 FT Day RN Enhanced Staffing 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 Positions Posted • Ongoing recruitment Night Shift for 1 FT Night RN 30 • 1 FT Night RN 25 orientee 20 • 5 External Hires 15 since June 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 -5

Day Shift 18 16 4N 14 12 10 The Plan: 8 • Ongoing recruitment 6 for 1 FT Day RN 4 • 1 PT Day RN Orient 2 • 1 FT Night RN orient 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 6 External RN Hires Night Shift since June 45 40 35 30 25 20 15 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 12 MRU 10 8 6 The Plan: • Continue to recruit 4 as needed 2 • Ongoing hiring into the float pool to 0 better cover during June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 times of short staffing. Night Shift 7 • 1 External RN Hire 6 since June 5 4 3 2 1 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 70 MICU 60 50 40 The Plan: 30 • 1 FT Day RN Enhanced Staffing 20 Position Posted 10 • 1 FT and 1 PT orient 0 • 2 PT day RN June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 vacancies posted and ongoing recruitment Night Shift • 4 FT Night RN 50 Positions Posted and 45 actively recruiting to 40 hire 35 • 3 FT and 3 PT RN 30 Night orients 25 • Supplementing 20 staffing with 3 15 agency RNs for night 10 shift 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 70 60 NICU 50 40 The Plan: 30 • 2 FT Day RN 20 Enhancement Positons 10 • PT Day RN position 0 posted and ongoing June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 recruitment • FT Day RN Orientee • 1 FT Night RN Night Shift Enhancement Position 50 • 1 FT Night and 1 PT 45 Night positions posted 40 and ongoing 35 recruitment 30 • Supplementing 25 staffing with 3 agency 20 RNs 15 10 • 11 External Hires 5 since June 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 35 30 SICU 25 20 The Plan: 15 • 3 FT Day RN 10 Enhancement Positions 5 • 2 PT RN positions 0 posted and ongoing June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 recruitment • 1 PT RN Day Orient Night Shift • 2 FT Night RN 35 Enhancement Positions 30 • 2 FT Night RN 25 Orients 20 • Supplementing staffing with 2 15 agency RNs 10 5 • 9 External Hires since June 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

Day Shift 35 ILCU 30 25 20 The Plan: 15 • 2 FT and 1 PT Day 10 RN Enhanced Positions 5 • 7 FT Night RN 0 Orients June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17 • 1 FT Night RN Posted and ongoing Night Shift recruitment 35 • 1 PT Night RN 30 Enhanced Position 25 20 • 14 External Hires 15 since June 10 5 0 June '16 July '16 Aug '16 Sept '16 Oct '16 Nov '16 Dec '16 Jan '17 Feb '17 Mar ' 17

SURVEY RESULTS

Question 1 Staffing has gotten (better - worse - stayed the same) in the past 6 months. Response Stayed Better Worse Blank Surveys Rate The Same Completed 71% 0% 68% 18% 14% 16 22 15 S 15 45% 27% 7% 60% 7% 68% 16% 32% 37% 16% 15 N 19 14 S 6 19% 50% 0% 33% 17% 32% 25% 17% 42% 17% 14 N 12 13 S 15 65% 53% 20% 13% 13% 52% 43% 0% 36% 21% 13 N 14 10 S 28 93% 25% 14% 39% 21% 56% 7% 14% 64% 14% 10 N 14 64% 14% 36% 50% 0% 9 S 14 100% 5% 55% 36% 5% ILCU 22 54% 28% 15% 51% 6% MICU 53 MRU 1 4% 0% 100% 0% 0% 50% 0% 23% 38% 38% 4N 13 NICU 30 68% 0% 87% 10% 3% 24% 0% 50% 33% 17% SICU 6 Total 284 Average 18% 34% 35% 13%