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Team Award Process

Presented by:Thomas Geloneck
VA Ann Arbor Healthcare System
Ann Arbor, Michigan
Phone # 734-761-7937


 

VA Ann Arbor Healthcare System
provides General Medicine, Surgical and Specialty Care for veterans in lower Michigan and Northwestern Ohio


Fiscal Year 2001 Activity

  • Approximately 4200 inpatient admissions
  • 200,000 Ambulatory Care Visits
  • 1290 Full Time Equivalent Employees
  • Major teaching affiliation is with the University of Michigan medical School

Our Strategic Goals

  • Improve patient access to specialty care
  • Facilitate patient focused care
  • Provide a safe environment for patients, employees and visitors
  • Recruit and retain high quality staff
  • Cultivate research and education programs
  • Maintain financial stability

Purpose of the Team Award Process

  • Encourage teamwork
  • Mechanism to encourage front line staff to engage in performance improvement activities
  • Link award system with strategic goals
  • Provide known rewards for successful outcomes- a contract for performance
  • Encourage employees to understand organizational goals

Incentive Award Committee(see Handout)

  • Oversees team award process
  • Reviews team proposals and recommends award amounts
  • Evaluates final team reports
  • Has multidisciplinary membership

Team Formation

  • Employees empowered to form cross-departmental teams to meet strategic goals
  • Management may also encourage team formation to meet a performance improvement need

Team Proposal (see handout)

  • Easy to use, computerized template
  • Identify: activity to improve, steps to take, and outcomes they hope to achieve
  • Incentive award committee helps with proposals as needed

Evaluation Process

  • Each proposal is evaluated on the basis of...- Relationship to goals and performance measures, whether or not the activity is a normal duty function, interdisciplinary involvement, and whether work responds to an external recommendation for improvement.
  • Rating determines award amounts

Point System for Team Proposals (see handout)

  • Related To Strategic Goals
    • Total - 5 points
    • Part. related - 3 points
  • Related To A Performance Measure
    • 5 points
  • Not A Normal Duty Function
    • Total - 5 points
    • Part. related - 3 points
  • Interdisciplinary/ Interdepartmental
    • > 5 depts. - 5 points
    • >2-4 depts. - 3 points
  • External Review Recommendation
    • Actual - 5 points
    • Potential - 3 points

Employee Involvement

  • Since the program began in 1998, 67 teams have completed their work
  • Teams had an average of 7.6 members
  • 512 total participants
  • Average individual award: $315
  • Total expended: $161,000+
  • Participants may be on more than one team

Results Achieved(Tangible examples)

  • Over $2.6 M in tangible savings
  • Improved energy efficiency
  • Reduction in worker’s compensation costs
  • Decrease interest payments
  • Decrease inventory; bulk purchasing

Results Achieved(Intangible examples)

  • Decrease lab specimen processing time
  • Improve ventilator care
  • Patient education results in changes in diet and improved lab values - Dialysis
  • Reduced use of patient restraints

Pros...

  • Encourages teamwork
  • Awards linked to goals
  • Mechanism for "ground up" performance improvement
  • Consistency in payouts

Cons...

  • May not apply for all jobs
  • Employee resistance if viewed as a replacement for other awards
  • Viewed as a lot of work

Lessons Learned

  • Market to supervisors; they need to help and encourage employee participation
  • Treat as a supplement to existing award programs, not in lieu of individual recognition
  • Applaud successes and publicize