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Talent’s Impact on HCAHPS
Presented To IHES

March 6, 2013
Content Property of Pinstripe, Inc.

1
Introductions

Mike
Soisson

Tara
Cassady

SVP, Healthcare Practice Leader

SVP, Client Service

Content Property of Pinstripe, Inc.

2
Compelling Pressures

Content Property of Pinstripe, Inc.

3
Today’s Discussion
Impact on Your
Workforce

Impact of Your
Workforce

Assessing Candidates, Costs and Your Current State.

Content Property of Pinstripe, Inc.

4
Drivers for Payment Levers
DSH Payments

Clinical Outcomes

Quality Measures
Patient
Room
Environment

Patient
Experience

Patient
Satisfaction

HCAHPS
Score

Content Property of Pinstripe, Inc.

5
Investment in your current
staff is great…

…but what about new hires?
Content Property of Pinstripe, Inc.

6
Assessing Candidates
Common Current Practice

Necessary Next Practice

•
•
•
•
•
•
•

All of those, and:
• Cultural Fit
• Customer Service
• Workplace Motivators
• Adaptability to Change
• Coach-ability
• Openness to Innovation
• Character Traits

Performance History
Educational Background
Knowledge Areas
Tactical Abilities
Certifications/Licensure
Likeability
Job Search Motivation

Content Property of Pinstripe, Inc.

7
New Required Skills
Passionate
& Engaged
Team
Players

Technology
Oriented

Sense of
Urgency

Critical
Thinkers

Patient
Centered
Content Property of Pinstripe, Inc.

8
Lower reimbursement
equals less cash and
less capital to re-invest.
Is it possible to get more for less?
Content Property of Pinstripe, Inc.

9
Take Advantage of Consolidation

Centralized Services
•
•
•
•
•
•
•
•

Billing
Finance
Payroll
Food Service
Environmental Service
Credentialing
Compliance
Recruitment?

Content Property of Pinstripe, Inc.

10
HR’s Budget
•
•
•
•
•
•
•
•

Recruitment team overhead
Technology costs
Advertising/job boards
Recruitment marketing
Candidate travel and lodging
Relocation expenses
Process improvements
On-boarding

Organizational Costs of Vacancy
•
•
•
•
•
•
•

Agency fees
Hiring manager investment
Overtime
Search firm fees
Cost of turnover
Lost operating revenue
Time to productivity

Content Property of Pinstripe, Inc.

11
Shift Fixed Expenses to Variable Expense
Pinstripe’s solutions deliver 15-40% savings.

Implementation

140

100

60

Jan

Mar

Savings

May

July

Sep

Nov

Client Fixed Expense (thousands)
Pinstripe Variable Expense Solution (thousands)
Monthly New Hires
Content Property of Pinstripe, Inc.

12
We’ll bet you’re still thinking
your talent acquisition is fine.

But are you truly confident
it’s prepared to adapt?
Content Property of Pinstripe, Inc.

13
Assessing Your
Talent Acquisition Function
Common Practice

What You Should Expect

•
•
•
•
•

•
•
•
•
•
•
•
•
•

The “gut check”
Time to Fill metric
Cost of Hire metric
Recruiter Likeability
Quantity of Applicants

Retention
Aging of Requisitions
Data-based Decisions
Workforce Planning
Cost of Vacancy Metrics
Recruiter Effectiveness
Quality of Candidates
Candidate Satisfaction
Hiring Manager Satisfaction
Content Property of Pinstripe, Inc.

14
Financial Analysis
Direct Recruitment Costs

Staff Turnover Cost

• Recruitment advertising/marketing.

• Turnover costs of new employees.

• Recruitment staff costs.

• Assumes 1.0 times annual salary.

• Contingency/Retain search fees.

• Knowledge loss of new employee.

• Onboarding expenses.

• Orientation and training costs of
preceptors.

Leadership Costs

Registry, Agency & Overtime Costs

• HR Leadership salaries attributed to
recruitment.

• Overtime due to vacant positions.

• A portion of hiring manager salaries
attributed to time spent on recruitment.

• Registry and Agency due to vacant
positions.
• Lost revenue due to vacant positions.

Content Property of Pinstripe, Inc.

15
Our Impact on Compelling Challenges
Operational
Efficiency

•
•
•

Workforce Planning.
Prioritize openings that drive revenue.
Innovation, Agile, LEAN and Six Sigma practices.

Quality

•
•
•

Thorough assessments and competency testing.
Patient satisfaction and quality outcomes.
Compliance and continuity of care.

Technology

•
•
•

Access to latest HR Technology without capital investment.
Ongoing maximization of technology.
Attracting and hiring the “high-tech” workforce.

Service Excellence

•
•
•

Competitive Advantage - “Employer of Choice.”
Brand Differentiation.
HR, Hiring Manager Satisfaction, and Candidate Satisfaction.

Reduce Costs/ROI

•
•
•

It’s all about the metrics.
Reduced Costs; Time to Fill; Quality of Hire; Engagement.
Patient Satisfaction; Physician Satisfaction; Retention; ROI.

Content Property of Pinstripe, Inc.

16
Is your HR Team…
•
•
•
•
•
•
•
•
•

Instilling confidence in your leadership?
Talking to their customers every day?
Aligning with your organizational strategies?
Effectively playing the role of Talent Gatekeeper for both
new hires and existing staff?
Fostering a Culture of Innovation and Change?
Flexibly adapting their practices to address your new
needs or challenges?
Knowledgeable about what’s coming next?
Making proactive decisions based on metrics?
Sharing executive dashboards and reports?

Content Property of Pinstripe, Inc.

17
What’s Missing from
Your Recruitment Process?

Content Property of Pinstripe, Inc.

18
Your People!

Content Property of Pinstripe, Inc.

19
Pinstripe Healthcare

Awards & Recognitions
2012 HROA
North America
Recruitment Customer
Relationship
2012 Everest Group
RPO Star Performer
HRO Today
RPO Baker’s Dozen
Five Consecutive Years

• Led by human resource
executives with deep healthcare
provider experience.
• Provides customized, scalable
solutions.
• Produces transformative results.
• Increases candidate quality.
• Driven for innovation and
continuous improvement.
• Averaging 97% stakeholder
satisfaction.
Content Property of Pinstripe, Inc.

20
With GREAT PEOPLE & GREAT CARE
Organizations Achieve:
•
•
•
•

More Engaged Employees.
Deep-Rooted Cultures.
Lasting Patient Relationships.
Quality Outcomes.
Content Property of Pinstripe, Inc.

21
HAVE YOU
SETTLED AT
GOOD OR
DO YOU STRIVE
TO BE GREAT

Content Property of Pinstripe, Inc.

22
Thank You!
Mike Soisson
“Pinstripe got our brand
right away. They use

msoisson@pinstripehealthcare.com
(717) 795-9010

the same words we
would, and are actually
more conscientious in

customer service than

Tara Cassady
tcassady@pinstripehealthcare.com

(262) 439-1428

we were internally.”
- Debbie Walkenhorst, Regional VP HR
SSM Health Care – St. Louis

PinstripeHealthcare.com

Content Property of Pinstripe, Inc.

23
Appendix

Content Property of Pinstripe, Inc.

24
Sample Executive Scorecard
Current
Opens

Sourced
Candidates

Recruiter
Interviews

Hiring Manager
Interviews

Offers
Extended

Offers
Declined

Offers
Accepted

99

21,862

683

353

239

47

189

90 Day Retention
96.5%
Recruiter
Interviews=6
83

Average Days Open
89 (67 aged reqs)

98%

Sourced
21,862

Hiring Manager Satisfaction

97%

Hiring
Manager
Interviews=3
53

Recruiter Interview:
HM Interview

Candidate Satisfaction

1.93:1

$

HM Interview: Offer
Hires= 189

1.23:1

Average Cost Per Vacancy

Agency &
Traveler Costs

Locum Tenens
Costs

Overtime
Costs

Search
Fees

Recruitment
Marketing Costs

$

$

$

$

$

Period from 6/1/2012 through 12/31/2012

Content Property of Pinstripe, Inc.

25

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Talent’s Impact on HCAHPS

  • 1. Talent’s Impact on HCAHPS Presented To IHES March 6, 2013 Content Property of Pinstripe, Inc. 1
  • 2. Introductions Mike Soisson Tara Cassady SVP, Healthcare Practice Leader SVP, Client Service Content Property of Pinstripe, Inc. 2
  • 4. Today’s Discussion Impact on Your Workforce Impact of Your Workforce Assessing Candidates, Costs and Your Current State. Content Property of Pinstripe, Inc. 4
  • 5. Drivers for Payment Levers DSH Payments Clinical Outcomes Quality Measures Patient Room Environment Patient Experience Patient Satisfaction HCAHPS Score Content Property of Pinstripe, Inc. 5
  • 6. Investment in your current staff is great… …but what about new hires? Content Property of Pinstripe, Inc. 6
  • 7. Assessing Candidates Common Current Practice Necessary Next Practice • • • • • • • All of those, and: • Cultural Fit • Customer Service • Workplace Motivators • Adaptability to Change • Coach-ability • Openness to Innovation • Character Traits Performance History Educational Background Knowledge Areas Tactical Abilities Certifications/Licensure Likeability Job Search Motivation Content Property of Pinstripe, Inc. 7
  • 8. New Required Skills Passionate & Engaged Team Players Technology Oriented Sense of Urgency Critical Thinkers Patient Centered Content Property of Pinstripe, Inc. 8
  • 9. Lower reimbursement equals less cash and less capital to re-invest. Is it possible to get more for less? Content Property of Pinstripe, Inc. 9
  • 10. Take Advantage of Consolidation Centralized Services • • • • • • • • Billing Finance Payroll Food Service Environmental Service Credentialing Compliance Recruitment? Content Property of Pinstripe, Inc. 10
  • 11. HR’s Budget • • • • • • • • Recruitment team overhead Technology costs Advertising/job boards Recruitment marketing Candidate travel and lodging Relocation expenses Process improvements On-boarding Organizational Costs of Vacancy • • • • • • • Agency fees Hiring manager investment Overtime Search firm fees Cost of turnover Lost operating revenue Time to productivity Content Property of Pinstripe, Inc. 11
  • 12. Shift Fixed Expenses to Variable Expense Pinstripe’s solutions deliver 15-40% savings. Implementation 140 100 60 Jan Mar Savings May July Sep Nov Client Fixed Expense (thousands) Pinstripe Variable Expense Solution (thousands) Monthly New Hires Content Property of Pinstripe, Inc. 12
  • 13. We’ll bet you’re still thinking your talent acquisition is fine. But are you truly confident it’s prepared to adapt? Content Property of Pinstripe, Inc. 13
  • 14. Assessing Your Talent Acquisition Function Common Practice What You Should Expect • • • • • • • • • • • • • • The “gut check” Time to Fill metric Cost of Hire metric Recruiter Likeability Quantity of Applicants Retention Aging of Requisitions Data-based Decisions Workforce Planning Cost of Vacancy Metrics Recruiter Effectiveness Quality of Candidates Candidate Satisfaction Hiring Manager Satisfaction Content Property of Pinstripe, Inc. 14
  • 15. Financial Analysis Direct Recruitment Costs Staff Turnover Cost • Recruitment advertising/marketing. • Turnover costs of new employees. • Recruitment staff costs. • Assumes 1.0 times annual salary. • Contingency/Retain search fees. • Knowledge loss of new employee. • Onboarding expenses. • Orientation and training costs of preceptors. Leadership Costs Registry, Agency & Overtime Costs • HR Leadership salaries attributed to recruitment. • Overtime due to vacant positions. • A portion of hiring manager salaries attributed to time spent on recruitment. • Registry and Agency due to vacant positions. • Lost revenue due to vacant positions. Content Property of Pinstripe, Inc. 15
  • 16. Our Impact on Compelling Challenges Operational Efficiency • • • Workforce Planning. Prioritize openings that drive revenue. Innovation, Agile, LEAN and Six Sigma practices. Quality • • • Thorough assessments and competency testing. Patient satisfaction and quality outcomes. Compliance and continuity of care. Technology • • • Access to latest HR Technology without capital investment. Ongoing maximization of technology. Attracting and hiring the “high-tech” workforce. Service Excellence • • • Competitive Advantage - “Employer of Choice.” Brand Differentiation. HR, Hiring Manager Satisfaction, and Candidate Satisfaction. Reduce Costs/ROI • • • It’s all about the metrics. Reduced Costs; Time to Fill; Quality of Hire; Engagement. Patient Satisfaction; Physician Satisfaction; Retention; ROI. Content Property of Pinstripe, Inc. 16
  • 17. Is your HR Team… • • • • • • • • • Instilling confidence in your leadership? Talking to their customers every day? Aligning with your organizational strategies? Effectively playing the role of Talent Gatekeeper for both new hires and existing staff? Fostering a Culture of Innovation and Change? Flexibly adapting their practices to address your new needs or challenges? Knowledgeable about what’s coming next? Making proactive decisions based on metrics? Sharing executive dashboards and reports? Content Property of Pinstripe, Inc. 17
  • 18. What’s Missing from Your Recruitment Process? Content Property of Pinstripe, Inc. 18
  • 19. Your People! Content Property of Pinstripe, Inc. 19
  • 20. Pinstripe Healthcare Awards & Recognitions 2012 HROA North America Recruitment Customer Relationship 2012 Everest Group RPO Star Performer HRO Today RPO Baker’s Dozen Five Consecutive Years • Led by human resource executives with deep healthcare provider experience. • Provides customized, scalable solutions. • Produces transformative results. • Increases candidate quality. • Driven for innovation and continuous improvement. • Averaging 97% stakeholder satisfaction. Content Property of Pinstripe, Inc. 20
  • 21. With GREAT PEOPLE & GREAT CARE Organizations Achieve: • • • • More Engaged Employees. Deep-Rooted Cultures. Lasting Patient Relationships. Quality Outcomes. Content Property of Pinstripe, Inc. 21
  • 22. HAVE YOU SETTLED AT GOOD OR DO YOU STRIVE TO BE GREAT Content Property of Pinstripe, Inc. 22
  • 23. Thank You! Mike Soisson “Pinstripe got our brand right away. They use msoisson@pinstripehealthcare.com (717) 795-9010 the same words we would, and are actually more conscientious in customer service than Tara Cassady tcassady@pinstripehealthcare.com (262) 439-1428 we were internally.” - Debbie Walkenhorst, Regional VP HR SSM Health Care – St. Louis PinstripeHealthcare.com Content Property of Pinstripe, Inc. 23
  • 24. Appendix Content Property of Pinstripe, Inc. 24
  • 25. Sample Executive Scorecard Current Opens Sourced Candidates Recruiter Interviews Hiring Manager Interviews Offers Extended Offers Declined Offers Accepted 99 21,862 683 353 239 47 189 90 Day Retention 96.5% Recruiter Interviews=6 83 Average Days Open 89 (67 aged reqs) 98% Sourced 21,862 Hiring Manager Satisfaction 97% Hiring Manager Interviews=3 53 Recruiter Interview: HM Interview Candidate Satisfaction 1.93:1 $ HM Interview: Offer Hires= 189 1.23:1 Average Cost Per Vacancy Agency & Traveler Costs Locum Tenens Costs Overtime Costs Search Fees Recruitment Marketing Costs $ $ $ $ $ Period from 6/1/2012 through 12/31/2012 Content Property of Pinstripe, Inc. 25