Internal Travel Nurse Program

 
MEDSTAR TRAVEL NURSE
PROGRAM
Should MedStar launch an internal travel nurse program?
Rhaj Gooden
 
BACKGROUND
MedStar is a relatively mid-sized community hospital system, primarily located in the
Baltimore Washington region
One of the largest and best paying employers in the region
10 hospitals and 120 entities
Located in a very aggressive and competitive healthcare market
 
THE UNREALIZED VALUE OF
NURSES
Average staff nurse salary: $52k to $82k  per year
Average travel nurse salary: $2,086 per 
week 
($108,480 per year)
Almost 90% of Nurses report feeling dissatisfied or “burnt-out” in
2018, specifically in the  hospital setting
The odds of patient mortality increase by about 7% for every
additional patient in the average nurse's workload. ...
The difference from 4 to 6 and from 4 to 8 patients per nurse is
accompanied by 14% and 31% increases in mortality, respectively.
 
GOAL
Should MedStar consider building their
own Internal Travel Nurse Program?
Reasons to Consider the Question.
1.
Record low nurse satisfaction rates
2.
Nurses leaving the hospital environment or becoming travel nurses
3.
Current travel nurse costs unsustainable
4.
The public loves nurses
5.
Unionization threats
6.
Age balance disrupted
7.
Nurse shortage to continue for at least another 7 years
 
PERSPECTIVES TO CONSIDER
Decision Maker: CEO of the System
CFO
Dept of Finance
CNO
Dept. of Nursing
COO
Dept. of Operations
 
PERSPECTIVES TO CONSIDER
CFO
Dept of Finance
Manage relationships with suppliers and insurers
Billing and Revenue Cycle Management
Manage costs, revenue, and all financial concerns
System perspective, very little human perspective
Financial modeling and predicting
CNO
Dept of Nursing
Manage nursing schedules
Develop paths for upward mobility
Develop talent pipelines with schools and internship programs
Risk management and care oversight
Direct care of the patient
Liaison between the doctor/hospital and the patient
Face of the hospital
COO
Dept of Operations
Scheduling
Coordination between physicians, clinical staff and
nonclinical staff
Manges auxiliary services, access and patient
experience (How do we get patients in the door happy
and out the door happier?)
Safety
Public Relations
General Administration
 
MODEL
 
BENEFITS PRIORITY
 
COSTS PRIORITY
 
OPPORTUNITIES PRIORITY
 
RISK PRIORITY
 
WHOLE MODEL PRIORITY
 
SUMMARY & CONCLUSION
Benefits: New Incentives
Costs: As is
Opportunities: Internal travel program
Risks: Internal travel program
Whole Model: Internal Travel Program
Developing an internal travel program was
Developing an internal travel program was
found to be the overall best method to address
found to be the overall best method to address
the nursing shortage.
the nursing shortage.
A variety of factors influenced this:
A variety of factors influenced this:
Public perception of nurses
Public perception of nurses
Morale/Reputation
Morale/Reputation
Industry disruption
Industry disruption
Emergency preparedness
Emergency preparedness
Staff & patient experience
Staff & patient experience
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Should MedStar launch an internal travel nurse program? Explore the benefits, costs, opportunities, and risks of developing an innovative solution to address nurse dissatisfaction, staff shortages, and patient outcomes.


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  1. MEDSTAR TRAVEL NURSE PROGRAM Should MedStar launch an internal travel nurse program? Rhaj Gooden

  2. BACKGROUND MedStar is a relatively mid-sized community hospital system, primarily located in the Baltimore Washington region One of the largest and best paying employers in the region 10 hospitals and 120 entities Located in a very aggressive and competitive healthcare market

  3. THE UNREALIZED VALUE OF NURSES Average staff nurse salary: $52k to $82k per year Average travel nurse salary: $2,086 per week ($108,480 per year) Almost 90% of Nurses report feeling dissatisfied or burnt-out in 2018, specifically in the hospital setting The odds of patient mortality increase by about 7% for every additional patient in the average nurse's workload. ... The difference from 4 to 6 and from 4 to 8 patients per nurse is accompanied by 14% and 31% increases in mortality, respectively.

  4. GOAL Should MedStar consider building their own Internal Travel Nurse Program? Reasons to Consider the Question. Record low nurse satisfaction rates Nurses leaving the hospital environment or becoming travel nurses Current travel nurse costs unsustainable The public loves nurses Unionization threats Age balance disrupted Nurse shortage to continue for at least another 7 years 1. 2. 3. 4. 5. 6. 7.

  5. PERSPECTIVES TO CONSIDER Decision Maker: CEO of the System CFO COO CNO Dept of Finance Dept. of Operations Dept. of Nursing

  6. PERSPECTIVES TO CONSIDER COO CFO Dept of Operations Dept of Finance Scheduling Coordination between physicians, clinical staff and nonclinical staff Manges auxiliary services, access and patient experience (How do we get patients in the door happy and out the door happier?) Safety Public Relations General Administration Manage relationships with suppliers and insurers Billing and Revenue Cycle Management Manage costs, revenue, and all financial concerns System perspective, very little human perspective Financial modeling and predicting CNO Dept of Nursing Manage nursing schedules Develop paths for upward mobility Develop talent pipelines with schools and internship programs Risk management and care oversight Direct care of the patient Liaison between the doctor/hospital and the patient Face of the hospital

  7. MODEL Internal Travel Nurse Program Invest in Other Means to Attract & Retain Nurses Alternatives Remain as is Strategic Criteria Staffing Consistency Public Perception Patient Outcomes Cost Control Innovation Control Criteria CFO CNO COO

  8. BENEFITS PRIORITY

  9. COSTS PRIORITY

  10. OPPORTUNITIES PRIORITY

  11. RISK PRIORITY

  12. WHOLE MODEL PRIORITY

  13. SUMMARY & CONCLUSION Developing an internal travel program was found to be the overall best method to address the nursing shortage. Benefits: New Incentives Costs: As is Opportunities: Internal travel program A variety of factors influenced this: Risks: Internal travel program Public perception of nurses Morale/Reputation Whole Model: Internal Travel Program Industry disruption Emergency preparedness Staff & patient experience

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