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
- 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.