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Balancing Labor Costs With Quality Patient Care Michael Bernstein Health Care Director Moss Adams LLP April 23, 2009
Agenda ,[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object]
Issues Impacting the  Health Care Industry Reductions in Federal & State Payments Reductions in Insurance Payments HIPAA Consumer Expectations Quality Initiatives Information Technology Liability Insurance Community Needs Sales & Use Tax Increases Increasing Wages and Benefits Pharmaceuticals Physician Shortages Labor Shortages Corporate Compliance Aging Plant & Equipment Medical Technology Providers Organized Labor Patient Safety Uninsured State Mandated Staffing
Daily Balancing Act Quality Patient Care (Proper Staffing Levels, With Skills,  State Mandates, and JCAHO) Labor Cost (Control in-house labor costs;  use Agency workers effectively) Employee Satisfaction (Keep physicians & nurses happy  (and retain them)  by not overburdening them) Quality Healthcare
Agenda ,[object Object],[object Object],[object Object],[object Object]
Strategic Objectives ,[object Object],[object Object],[object Object],[object Object]
Change Management  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Change Management  (Continued) ,[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object]
Workforce Management Solution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object]
Actual Results  at a 300-bed urban hospital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results  Year 0 – Year 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object]
Balancing Labor Costs

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Balancing Labor Costs

  • 1. Balancing Labor Costs With Quality Patient Care Michael Bernstein Health Care Director Moss Adams LLP April 23, 2009
  • 2.
  • 3.
  • 4. Issues Impacting the Health Care Industry Reductions in Federal & State Payments Reductions in Insurance Payments HIPAA Consumer Expectations Quality Initiatives Information Technology Liability Insurance Community Needs Sales & Use Tax Increases Increasing Wages and Benefits Pharmaceuticals Physician Shortages Labor Shortages Corporate Compliance Aging Plant & Equipment Medical Technology Providers Organized Labor Patient Safety Uninsured State Mandated Staffing
  • 5. Daily Balancing Act Quality Patient Care (Proper Staffing Levels, With Skills, State Mandates, and JCAHO) Labor Cost (Control in-house labor costs; use Agency workers effectively) Employee Satisfaction (Keep physicians & nurses happy (and retain them) by not overburdening them) Quality Healthcare
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.

Editor's Notes

  1. When you look at a hospital environment you need to think about who is managing all 3. How often do your managers need to settle? Which of these is the area that the hospital is willing to settle on??? However, not getting all 3 things right in a hospital environment is UNACCEPTABLE!