3 Ways to Manage Staffing Data in Today’s Challenging Climate

3 Ways to Manage Staffing Data in Today’s Challenging Climate

3 Ways to Manage Staffing Data in Today’s Challenging Climate

 

We understand. Thanks to 18 months of a pandemic, there’s a widespread industry shortage of staff. Compound that with an impending federal vaccine mandate. Looming in the background, a federal minimum wage hike.

 

Yet the need for senior care services is higher than ever. Stringent infection control protocols and new procedures add to the operational complexity you’re navigating every day.

 

You’re trying to hold on to those who are the foundation of your operation by incentivizing loyal staff with overtime, bonuses, and wage increases. You’re adding agency staff to fill the gaps. These strategies are necessary to stay in PBJ compliance.

 

So how do you manage all this when the goal post is constantly moving?

 

One way is to laser focus on your data – and ensure consistency with your data collection, data representation, and data interpretation. Though you currently have tons of data, is it accessible in a relevant, actionable format? If you find yourself shuffling paper reports or clicking through multiple browser windows to find the information you seek, we can offer you a much better way.

 

By integrating your legacy software platforms into a user-friendly, drillable dashboard, Prone 2 Dream customizes how you view your payroll expense, timeclock data, agency expense, and even PBJ star status. You have actionable insight, all in one place, that you can decipher in moments. You can know what you need to know, and make decisions that positively impact your company’s profitability.

Labor Distribution Report

 

Here are 3 ways we can help you manage staffing data:

 

DreamCORE Dashboards are a prospective approach to managing profitability. We integrate your data silos to present green views of actionable KPIs. DreamCORE customizes reporting solutions by bringing the relevant data from the various sources together. Watch your P&L building throughout the month – Earnings Reports, Wage Analysis, Labor Distribution, Census, Reimbursement rates, Spend Down (Checkbooking) and Industry KPI’s such as HPPD, DollarsPPD, Overtime expenses…and much more.

 

The results? Data you can use – to zero in on your daily activities, find issues, course-correct, and meet your projected outcomes. (DreamCORE Dashboards are a comprehensive solution that include the 2 solutions below – Agency Time Tracker and DreamPBJ Dashboards.)

 

Not ready for the entire financial package? Start with one of these staffing-specific solutions:

 

Agency TimeTracker is a user-friendly app that enables the contractor to clock in and out at the facility. The data integrates with your in-house timekeeping system to provide an accurate daily staffing review. You have a true picture of your staffing hours for PBJ reporting and invoice management. At the end of the quarter, simply export your Agency XML file for easy CMS – PBJ reporting.

 

DreamPBJ Dashboards is a business intelligence solution that provides 92 day rolling tracking of your regulatory compliance data with visibility into your PBJ daily star rating. Continuity brings stability, and ultimately enables you to know what each quarter’s stars will be when you cross the last day of the quarter. Dream PBJ takes the mystery out of PBJ reporting.

 

We welcome the opportunity to discuss your unique challenges. We’ll help you wrangle all your data so it makes sense … while you’re running the race.

Choose a convenient time on our calendar by clicking here.

Or simply call: (469) 294-5233 or email: contact@prone2dream.com.

Senior Living Operators – Will You Meet Your Budget This Month?

Senior Living Operators – Will You Meet Your Budget This Month?

There’s a nagging question in the minds of senior living administrators and department managers everywhere: “Will I meet my budget this month?”

 

DreamCORE Dashboards and the Dream Expenses App are the practical solution to this notorious problem – How to manage expenses with a census that fluctuates daily and a labyrinth of operational issues.

 

Dream Expenses is a simple, mobile app that inputs each invoice directly into your general ledger – “one-touch invoicing”. Easily select the GL code, and easily split the invoice if necessary, even between departments.

 

This practical checkbooking system updates your DreamCORE Dashboards with every entry. You have near real time access to department budgets that are auto-adjusting by SpendDown and fluctuating census.

 

The result: DreamCORE Dashboards take the guesswork out of meeting the budget. Each department leader has a departmental dashboard and knows exactly how much is available to spend.

 

DreamCORE Dashboards solve the problem of managing expenses against a fluctuating census, saving time and enabling confident, evidence-based decisions.

 

Book a live demo – Grab a spot on our calendar here.

 

Contact us today to see how easily you can manage your expenses and make data-driven decisions, when all your critical data is in one place.

 

Infographic SNF Expenses

Integrate Agency Nurse Staffing For Positive Impact

Integrate Agency Nurse Staffing For Positive Impact

Integrate Agency Nurse Staffing For Positive Impact

 

The new realities of managing skilled nursing facilities have brought the need for operational efficiencies front and center. The challenge of maintaining appropriate staffing continues as a number one priority – SNF clinical teams and supplemental agency nurses and CNAs are the conduit to the safety and well-being of patients and residents. 

 

How do we find the balance between the existing, available workforce and third-party relief?

 

Many operators feel they are currently running with a bare minimum nursing team, and not by choice. The pandemic has exemplified just how tough it is to maintain a staff in a healthcare environment. For many SNF operators, it’s a feasible option to enlist outside “agency” nurse assistance.

 

Yet, the catch-22 of agency staffing is the need for the hours on the floor… but that relief comes at a premium. Compounding the challenge is reconciling the timekeeping, invoice management, and compliance in PBJ reporting.

 

The key is innovation, and an ability to manage the use of agency with clear strategic intent and financial responsibility. A proactive approach to managing agency nurse staffing provides resiliency and balance.

 

SNF leaders are looking for ways to have higher visibility into key performance indicators, the ability to act quickly based on evidential data, and to be more connected to operational performance in the facilities. Automation of routine tasks and integrating that data with overall company metrics achieves this flexibility.

 

Automation and Integration 

 

Prone 2 Dream Technologies specializes in providing healthcare leaders with time-saving efficiencies and automations. Our DreamAgency is a user-friendly app designed to track agency hours – with a simple clockin/clockout right at the facility. When integrated with your timekeeping and payroll metrics, DreamAgency contributes to your daily data story and allows you visibility of the impact every day. 

 

Agency Nurse Staffing Analytic

 

The data collected by the app integrates with the current staff analytics each day to calculate and display hours, rate, HPPD, and total expense – by pay period, by nursing role, by facility. You can quickly identify how much you are spending on agency staffing and the impact on your operation. 

 

The analytic also displays timeclock data for your in-house staff – hours worked, overtime hours, and individual time card data by pay period. Having this intelligence all in one place enables evidence-based decisions and the opportunity for improvement. Plus, having agency nurses’ time integrated with overall daily data enables accurate PBJ reporting, and submission with confidence. 

 

When integrated with your timekeeping and payroll metrics, agency data enables clear insight to your choices – whether it’s more advantageous to use agency staffing or whether these dollars could be redistributed to your own team. You can determine if paying overtime and giving pay increases to existing staff would be a better allocation of resources.

 

Lastly, DreamAgency tracking creates facility documentation to verify the invoice provided by the vendor.

 

The integration of DreamAgency data with your company timekeeping system provides daily visibility and insight into goals and performance. To learn more contact us, email contact@prone2dream.com or call (469) 294-5233.

SNF Operators – Reduce Time Chasing Receivables

SNF Operators – Reduce Time Chasing Receivables

How much of your human capital is being expensed to chasing receivables?

 

With DreamCORE Dashboards, you have a daily data story showing cash trending and charges trending, shortfall by payer and much more. It’s an at-a-glance daily view of your cash flow status.

 

When a new patient is admitted, critical data enters the EHR. DreamCORE Dashboards integrate the EHR with your book of record to deliver a logical view of real time receivables.

 

Having a daily view helps you identify roadblocks that cause receivables to enter the aging status … where they are less likely to be realized. Dream CORE displays historical data to measure trends and provide insight for improvement.

 

Check out the benefits on the infographic below. 

Book a live demo – Grab a spot on our calendar here.

 

Overtime Happens! But Overtime is Avoidable

Overtime Happens! But Overtime is Avoidable

Overtime Happens! But when you have a clear picture of your payroll in progress at any time during the pay period, you are much better equipped to avoid spending those premium dollars.

 

What if you had a list available every day to see if you are pacing towards overtime? Would you make some changes in your scheduling? Perhaps redirect some hours to another employee who is light this week?

 

This may sound obvious, but overtime often happens because you simply don’t know how the payroll hours are trending. CORE, a financial GPS solution, provides the daily view into how the company’s money is being spent, historically and prospectively.

 

Each department in your facility has a budget, which guides their spending. If a department head goes over budget spending on supplies, they haven’t met expectations of the company. Sometimes it can’t be avoided, but often it’s a matter of not having updated intel. If payroll goes over budget, this is a more significant issue – overtime is paid with the premium dollar – time and a half (in most states). The premium dollar equals the ½ time you paid to cover the gap.

 

No one schedules over time, but as conditions change in your operations, gaps often occur in coverage. CORE gives you the tool to find the right RN, who is not on pace to be paid time and a half. The department manager can make a conscious and objective choice. CORE splits out by pay code and the individual’s payroll number. You can see exactly where you’re spending the premium dollar.

overtime dashboard

 

 

Many companies have a “zero overtime” policy for this reason. That premium dollar is cash leaked directly from the company’s bottom line. Any time you’re paying over what you projected to pay, you are spending margin dollars. With the imminent minimum wage increase quickly approaching, it makes sense to address your processes now.

 

CMS requires a certain amount of RN hours based on census. Since census is always fluctuating, CORE enables you to see these changes, integrated with your payroll and time clock. Alter the schedule accordingly to make a big difference in payroll spending. Having these programs integrated gives you the ability to improve your CMS star rating, while negotiating census appropriate coverage.

 

Say your facility is currently at a two-star rating for RN staffing. CORE is calculating hours per patient day (HPPD) daily so that you can see if you have enough staff scheduled to make it a three-star. Dream of managing those premium dollars back into your schedule to increase the star rating. You have the ability, with CORE, to forecast your PBJ status daily.

overtime premium dollar

 

 

PBJ reporting remains a mystery to many excellent skilled nursing operators. The integration of census software with payroll and scheduling is the key to understanding historically, and then forecasting for improvement.

 

Click here to learn more about Decreasing Premium Overtime Dollars in our upcoming free webinar.

 

Where does agency staffing fit into CMS star ratings, PBJ reporting, and budget overspending? When HPPD are needed, external sources can be tapped to achieve the regulatory level. CORE integrates your agency database with your time clock system for accuracy, making PBJ reporting a much simpler process. Agency staffing helps avoid spending premium dollars on payroll.

 

The time clock is never infallible. With the level of detail CORE provides, you can spot time clock errors and correct anomalies long before they wreak havoc with your payroll administrators. Simply make the adjustment and CORE recalculates at the next scheduled update, adjusting the hours, the PPDs, and the PBJ projection.

 

At the end of the day, we know Overtime Happens. But overtime benefits no one. Not your company, because it’s too expensive. Not your team, because even if they want the boost to their paycheck, a 40+ hour work week is the road to burnout. Not your customer, as an overworked staff never delivers a five-star experience.

 

Overtime is avoidable. Contact us today to learn more about reeling in your premium dollars.

 

 

 

 

 

 

Revenue and Roadblocks: Right Now on the Right Route

Revenue and Roadblocks: Right Now on the Right Route

You use many software platforms to run your business, and each offers a dynamic set of metrics.

 

What if you had a way to see how those metrics affect each other? A way to align them – showing the best route to your destination (profitability) and alert you to roadblocks in your path?

 

In our last article, Business Detours? Not A Problem When You Set Your GPS, we described how business intelligence and predictive analytics form a GPS to help frontline managers navigate the financial side of your company.

 

Enter a GPS solution called DreamCORE Dashboards – CORE is an acronym for the controllable parts of your business: Census* | Overtime | Receivables | Expenses.

*This model was built for the skilled nursing industry but is applicable anywhere –C is your Customers or Clients, your revenue source.

 

Let’s take a closer look at Census, and how you can use this fluctuating element to improve both customer satisfaction and your profitability.

 

Census – The Lives We Care For

 

Census is the lives we care for within our skilled nursing facilities. Our clinical teams treat and care for the individuals entrusted to us, ensuring the right solutions to help heal in the best way, in the best atmosphere.

 

Financially, census drives the revenue. We need to capitalize on every dollar of revenue to support the mission of care – nursing supplies, dietary sustenance, entertainment, housekeeping, administration.

 

The industry has worked out multiple algorithms to ensure the best journey of the revenue dollar to the table– through a labyrinth of documentation, carve outs, comorbidities coding, and specifications that vary widely by payers.

 

What success have we had managing “the dollars on the table”?

 

 

Managing Expenses against Fluctuating Revenue

 

Staying true to the GPS theme, finance develops a roadmap yearly, the “budget”. It is well thought out, achievable, and precise. The day after it is published, the path to success begins to deteriorate. Road conditions are constantly changing (lower than expected census), unexpected detours (transmission on your van konks out), inevitably you must stop, take time to get a true sense of where you are on the map, and recalculate your path to the destination.

 

DreamCORE is constantly recalculating to support your goals – by providing you the pinpoint on the map of where you are at any given time, and where you need to go to stay on course to your destination.

 

For example, your dietary manager was budgeted $35,263 for Raw Food for May–pinned to his corkboard–this budget was calculated last October and was based on a census budget of $8.26 PPD. The actual census for May is averaging $9.75 PPD. If the dietary manager spends the original budget of $35,263, DreamCORE gives clear sight to the overspend of $7,778. The thermometer shows current spend against scaled budget – making it much easier to adjust spending to meet current census level.

 

 

A significant ROI of DreamCORE is based in the automatic adjustment of the budgets.

 

In the example above, the dietary manager’s expense dashboard would show the budget for his department is $26.747.  And daily the “Expected Budget” would be adjusted by the Average Daily Census in the background.  Additionally, with each invoice entered into DreamCORE, the budget balance would be reduced, like a checkbook, keeping the whole department informed of their current balance, helping them not to “overdraw” the account.

 

So being able to see the financial picture at a quick glance enables small changes, which over time make a big impact.

 

This automation keeps the patient at the center – each operational department is rotating around the patient, spending what is necessary to create the healing experience. Your teams are working with their patients, not sitting at desks looking at numbers. They’re solving people problems to create the best customer experience.

 

On the Journey to success

 

Consider you’re on the road to your destination and your GPS tells you there’s an accident ahead, you should exit now to the alternate route. You choose to disregard GPS and within a few minutes you’re at a dead standstill. Half an hour later, you pass the accident, but you’ve lost 30 minutes. Even speeding at this point won’t get you to the destination on time. A small change to the alternate route may have made the difference.

 

DreamCORE provides clear analytics to help you and your teams pinpoint their exact location, adjust for what is ahead, and equipping you to stay on course to the destination.

 

Getting your people to love their numbers

Road to Success

What if each of your department leaders were taught how to use a financial GPS to make the right decisions for their department?

 

Look at the flip side: “You don’t know what you don’t know”–When they don’t understand where they are or where to go, they’re on a path to fail. Nobody hires on to fail! They want to do well – to succeed at their jobs means they meet expectations.

 

DreamCORE encourages camaraderie – when all the departments are working harmoniously, they start to see how they can help each other toward the greater good. One department has an unexpected capital expense, the rest can tighten their belts a bit to balance that out.

 

As an operator, you want to be competitive. You want to hire the best person to run each of your departments. So you hire a great culinary talent to run dietary, but he’s probably not an MBA. He can easily be taught to read DreamCORE, understand the expectation, and DreamCORE can free his time to be where he needs to be – providing a great customer experience.

 

Your department leaders know their priority is the best customer experience. When they know where they are financially, they make the best decisions. They’ll make the best decision for the company every time because they want to feel good about their work. They want to succeed. And you know that successful teams reduce turnover and build great culture.

 

Teaching them how to read a quick DreamCORE view of their department can set them up to succeed, which leads to managing the dollars already on the table.

 

Give them a clear solution to feed that success. 

Book a live demo – Grab a spot on our calendar here.

 

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