1. SSM Health Care Category 5: Staff Focus

2. Our Workforce …

4. CQI Quality Principles  Patients and other customers are our first priority  Quality is achieved through people  All work is part of a process  Decision-making by facts  Quality requires continuous improvement

5. RN Recruitment Retention Teams Nursing Education Nursing Recruitment and Retention Steering Team Nursing Technology Shared Accountability Collegial Relationships Compensation Nursing Informatics 2000Current Nursing Portal

6. Work Life Balance – Flexibility

7. Benefits to Fit Many Needs Phased retirement Phased retirement Health plan option to cover Legally Domiciled Adult Health plan option to cover Legally Domiciled Adult Defined Benefit plan plus Matched Savings plan Defined Benefit plan plus Matched Savings plan Tuition reimbursement and loan repayment Tuition reimbursement and loan repayment Long-term care insurance Long-term care insurance Adoption benefits Adoption benefits

8. Shared Accountability – Low Nursing Turnover St. Marys Hospital Medical Center (Madison, WI) – 7.4% St. Marys Hospital Medical Center (Madison, WI) – 7.4% St. Marys Health Center (Jefferson City, MO) – 9.2% St. Marys Health Center (Jefferson City, MO) – 9.2% Cardinal Glennon Children’s Hospital – 10.8% Cardinal Glennon Children’s Hospital – 10.8% St. Joseph Health Center – 7.7% St. Joseph Health Center – 7.7% December 31, 2002 American Organization of Nurse Executives benchmark = 14%- 24% dependent on size, location, specialty, etc.

9. Showcase for Sharing Examples Nurse internship programs Nurse internship programs Decreased ER wait time Decreased ER wait time Standardized forms and discharge orders Standardized forms and discharge orders Employee recognition approaches Employee recognition approaches Improved patient satisfaction Improved patient satisfaction Great Idea!!

10. Pre-Promotion Assessment Calipers Calipers –Evaluates leadership potential –Helps ensure successful managers –Consistent evaluation and self- learning instrument

11. Diversity Core dimension of recruitment and retention Core dimension of recruitment and retention Need to reflect the communities we serve Need to reflect the communities we serve Initially, address balance between male and female executives Initially, address balance between male and female executives Now, address areas of ethnic diversity Now, address areas of ethnic diversity

12. Our Diversity Goals Good

13. Our Diversity Journey Corporate Vice President – Human Resources and System Diversity Corporate Vice President – Human Resources and System Diversity Diversity forums Diversity forums Diversity mentoring programs Diversity mentoring programs Diversity component of employee satisfaction process Diversity component of employee satisfaction process

14. Employee Satisfaction Survey Segmentation types Segmentation types –Department –Functional group ( manager, professional, support staff, etc.) –Age –National origin –Tenure –Pay type –Gender

15. Employee Satisfaction Results

16. Training Options Traditional, stand-up, classroom style Traditional, stand-up, classroom style Videoconferencing Videoconferencing “Meeting in a Box” “Meeting in a Box” Intranet/internet training modules Intranet/internet training modules Placeware – using telephone and intranet Placeware – using telephone and intranet

17. Competency & Education Assessment Annual assessment Annual assessment –Employee competency –Trends and patterns? –What has been done/will be done? –What training has been done? –What training needs to be done?

18. Staff Focus: Lessons Learned Improve the measurement of processes Improve the measurement of processes Enhance diversity Enhance diversity Reformat the work environment Reformat the work environment Find new ways to gather feedback Find new ways to gather feedback Take hard look at employee education Take hard look at employee education Benchmark internally and externally Benchmark internally and externally Incorporate HR into the planning process Incorporate HR into the planning process

19. “You must do things you think you cannot do.” Eleanor Roosevelt

20. Questions?