10.28.20
随着bet8网站备用继续大力投资雇用医师的企业(pe), organizational leaders are placing a greater emphasis on proactively managing PE expenses. 在大多数就业的pe中, the second-largest operating expense bucket (after provider expenses) consists of support staff salary and benefit expenditures. This category alone represents approximately 25% of PE expense budgets and 40% of PE net patient revenue.[1]
Health systems that maximize the value generated from their PE investment deploy a support staff workforce that prioritizes patient care quality while optimizing the balance between capacity/throughput and the staffing cost.High-performing organizations that utilize a standardized staffing model (see figure 1) with consistent workflows across their PE can expect a greater ability to achieve the following:
- 更低的支持人员运营费用: 重点放在每个支持人员在他们的许可证的顶部工作. Then assigning operational workflows to appropriate positions ensures the lowest-cost resources support the related job functions.
- 提高工作满意度,减少员工流失率: 适当平衡工作职责, 合理的工作期望, and a well-developed career progression framework promote a positive working environment that motivates staff to stay with the organization and have a meaningful and tenured career. 这必然导致更高的工作满意度和更大的员工保留率.
- 减少运营中断: 结合了精益人员配置水平和灵活的劳动力部署模型, on‑demand float staff pools reduces staffing shortages that can disrupt normal operations.
- 品质和品牌认知度: Using a standard staffing complement and operational workflows across all clinic locations promotes a consistent consumer experience that patients and families then associate with the health system’s name.
高管, 业务领导, and frontline managers have critical roles in establishing and maintaining a standardized, 高绩效的支持人员队伍. Optimal staffing deployment requires that these key stakeholders perform their duties effectively in concert (as depicted in figure 2). Not doing so places the PE at risk of failing to realize the full potential of its support staff.
图2:高绩效的体育支持人员管理模型
Participation of leadership from the PE C‑suite is essential for establishing the culture of how support staff are used and deployed across the organization. PE高层领导:
- Define the organization’s staffing management strategy in relation to organization-level strategic goals and priorities.
- Oversee the definition of labor standards and alignment of organizational resources to deploy a common staffing model.
- 是否对所有支持人员的水平和支出负责.
- 监督区域和bet8娱乐线浮池的设计.
- Support regional leaders when they confront resistance to system-wide staffing initiatives.
- Address performance feedback from the provider network (employed, PSA, affiliated, etc.), remaining steadfast when communicating and enforcing approved staffing policies and procedures.
- Pursue opportunities to deliver patient care through business and care delivery models that streamline the utilization of support staff (e.g.、集中计费、虚拟护理、联络中心).
From an ongoing performance management and accountability perspective, PE executives should:
- 了解人员配置策略的执行情况.
- 定期(季度, 至少)审查支持人员和费用预算差异摘要的趋势.
- Foster a culture of accountability among both administrative and clinical leaders relative to labor productivity and expense management.
区域和bet8娱乐专线 运营总监负责整个企业的运营 staffing management strategy and ensuring all managed clinics follow standard staffing 策略、过程和工作流. 这些董事:
- Establish clinic-specific staffing levels based on the system-wide standard staffing model.
- Support recruiting for open budgeted positions and maintain final approval of all new staff hires.
- Keep practice managers accountable for training staff and adhering to best practice operational workflows.
- Manage regional- and/or service line–specific float staff pools to backfill short- and medium-term resource needs.
- Communicate potential local and regional workplace improvement solutions to PE leadership and governance groups that could be implemented across the system to promote consistency.
为了持续遵守全系统的人员配置政策和程序, 区域和bet8娱乐线运营总监应:
- Actively monitor regional and service line support staff levels and expense budget variance summaries.
- Conduct clinic audits to ensure adherence to standard roles, responsibilities, and workflows.
实践经理负责执行 组织在诊所层面的人员配备计划. 他们:
- 对已批准的工作流程提供持续的在职培训.
- 通知招聘人员职位空缺.
- 管理招聘候选人的面试流程.
- Communicate with regional and service line directors about short- and medium-term resourcing needs that can be filled by float staff pools.
- 总结和沟通所有员工的工作反馈, 可靠的基层人员部署, 为区域和bet8娱乐线运营总监提供工作流程创新思路.
- 监控劳动生产率和/或成本的变化并采取行动.
此外,实践经理保证 工作人员完成必要的教育和培训课程,并进行监督 员工在日常工作中遵守全系统的标准工作流程.
A well-designed and properly executed support staff strategy can help organizations optimize clinical performance and achieve improved operating margins. Physician groups that continue to manage their staff in silos with minimal inter-specialty or -regional collaboration will struggle to realize the desired operational and financial economies of scale of a consolidated physician enterprise.
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[1] 心电图 2019年医疗集团成本和基础设施调查.