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Designing Work for Life:
A Strategy for Recruiting and Retaining the Best

Sandra C. Kolb and Naomi Johnson

Office of Human Resources
Office of the Assistant Secretary for Administration and Management


Family-Friendly Work Practices:  The Challenges

  • Programs widespread, underutilized
  • Policies and actions not in agreement
  • Seen as accommodating personal needs
  • Can cause resentment among co-workers
  • Viewed as employee benefit, not business imperative

Wanted:  Employees without a Life!


Designing Work For Life Employee Questionnaire:

Central Focus at Beginning and End of Pilot Periods:  A Comparison of Employees in Three Pilot Site Locations

  Religious/Spiritual Life Family Life Work/Career Leisure
General Counsel's Office
28%
50%
31%
12%
Hospital Business Office
21%
53%
47%
6%
Nursing Unit
14%
40%
47%
20%
General Counsel's Office -- 2
24%
53%
18%
12%
Hospital Business Office -- 2
21%
53%
47%
10%
Nursing Unit -- 2
8%
58%
58%
25%



Importance of Time/Flexibility in Scheduling Work

  • In 2001, more employees rated having a job that allows for time to meet family or personal priorities as "very important" than having a job with a high salary.
  Family Time High Salary Personal Time
General Counsel's Office
73%
10%
65%
Hospital Business Office
79%
61%
74%
Nursing Unit
58%
58%
25%



Background of Work Redesign Pilot Projects

  • Based on Ford Foundation and other research in private sector -- part of HHS’ Quality of Work Life Initiative
  • Dual Objectives: Improve organizational productivity and employee’s ability to integrate work and personal life
  • Work Group Focus: Look at the whole, not just needs of individuals

Designing Work for Life:  Three Pilot Projects

  • Division in the Office of General Counsel
  • Hospital Business Office
  • Hospital Nursing Unit

Business Need

  • Division in Office of the General Counsel
    • Recruitment and retention
  • Hospital Business Office
    • Recruitment and retention
  • Nursing Unit
    • Cyclical nature of work
    • Employee stress

The Process

  • Appreciative Inquiry
  • Traditional data collection: questionnaires, work process analysis
  • Data feedback -- "all hands" retreat
  • Possibilities and design
  • Recommendations
  • Implementation and tracking

Approved Experiments

  • Division in General Counsel’s Office
    • Flexi-place
    • Simplified Time and Attendance Reporting
  • Hospital Business Office
    • Alternate Work Schedules
  • Nursing Unit
    • Supplemental staffing
    • Discharge education partnership with pharmacy

How We Evaluated

Measures

  • Employee/coworker satisfaction
  • Leave usage
  • Overtime
  • Workload timeliness
  • Float hours (nurses)
  • Discharges
  • Turn-over (General Counsel’s Office)

Method

  • Interviews
  • Pre- and post-surveys
  • Time sheets; logs
  • Time sheets
  • Worker logs
  • Nurse manager’s logs
  • Agency Monthly Report
  • Personnel records

Employee Satisfaction with Work/Life Balance

1999

  • Office of General Counsel 34%
  • Hospital Business Office 38%
  • Nursing Unit 61%

2001

  • Office of General Counsel 65%
  • Hospital Business Office 67%
  • Nursing Unit 28%

Office of General Counsel Flexi-place

  • Users, co-workers, supervisors all satisfied
  • Majority felt it had positive impact on organization
  • All recommended making permanent

Office of General Counsel Simplified T&A Reporting

  • Led to feeling of trust
  • More use of credit hours (82% cf. 69%)
  • Credit hours per person almost doubled

Hospital Business Office: Alternate and Staggered Work Schedules and Performance...

  • Charts for scheduled appointments ready when clinics opened.
  • Better patient service:  front desk staff still in reception area when last patient leaves.
  • More efficient use of office equipment.
  • Improved ability to see tasks completed in one day.
  • Ability to staff up during peak hours improved.

Hospital Business Office: Additional Impact of AWS on Performance

On AWS

  • Coordinate w/Co-workers - 84%
  • Meet Client Demands - 62%
  • Stay current - 72%
  • Follow-through - 69%

Not on AWS

  • Coordinate w/Co-workers - 61%
  • Meet Client Demands - 54%
  • Stay current - 62%
  • Follow-through - 65%

Hospital Business Office: Alternate and Staggered Work Schedules and Productivity...

Dec. 2000

  • Outstanding Medicaid verifications - 562
  • Outstanding patient updates - 251

July 2001

  • Outstanding Medicaid verifications - 38
  • Outstanding patient updates - 41
  • More timely correction of errors
  • Better understanding of process on part of providers
  • Lower backlog and improved timeliness of updates

Nursing Unit: Impact of Supplemental Staffing

  • Plan:
    • Staff for low season
    • Supplement RSV season with 3 contract nurses
    • Intent:
      • reduce stress, need for unscheduled leave and overtime during RSV
      • reduce need to float during summer
  • Impact:
    • 1 Contract nurse hired for night shift for RSV season.
    • Difficult to evaluate
    • Mixed results
      • some reduced stress
      • did not relieve float situation
      • hired staff deemed unreliable

Nursing Unit: Impact of New Procedures with Pharmacy

1/01-8/01

  • Pharmacy - 554
  • Nurses - 200
  • Pharmacy handling most discharge sessions
  • Time saving for Peds
  • Improved customer service
  • Fewer interruptions for pharmacy

Impact on Recruitment and Retention

  • Telework used as recruitment tool.
  • New hires applied as soon as eligible.
  • Employees stopped looking for other jobs or turned down offers.
  • Employee returned to job when new employer did not offer flexible schedules.

Some Lessons Learned

  • Retain the "dual objective" focus and define success.
  • Solicit widespread employee involvement.
  • Focus on work group level.
  • Responding to employees engenders trust.
  • Leave behind capacity to continually improve the work environment.