Workforce Prescriptions

Evidence-Based, Outcomes Focused

Audit Name: Labor Utilization Audit™

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The Labor Utilization Audit was formerly known as the Pay Practice Audit, it's name was changed January 2010. If you have any questions please Contact Us!

Purpose of the audit

Labor Utilization is not about who you pay but about what they are doing and the results produced. The goal of efficiency should be improved productivity (reducing your "cost per output" while not diminishing your capacity). Unfortunately, challenges in: managing staff schedules, governing staff behavior, organizing care, creating patient synergy and optimizing work processes all contribute to unhealthy relationships between revenue and labor and ultimately undermine the sustainability of most productivity and throughput initiatives.

At Workforce Prescriptions, we provide the solutions that optimize rather than downsize your workforce, reconnecting labor spending with revenue! By first determining the root causes of labor misalignment and then implementing "people sensitive" changes, WRX is able to create and sustain permanent labor cost reductions that are backed by a $1,000,000(One Million) dollar annual bottom line guarantee.

Audit Methodology

During the Labor Utilization Audit™, Workforce Prescriptions (WRX) examines 9 different areas of labor performance:

• The level of productivity
• The impact of key processes on labor utilization & labor dependence
• The effectiveness of scheduling practices
• Staffing Levels/Staff availability
• The use of Premium Pay & Agency
• The flexibility & portability of the workforce
• The cause of delays in care & avoidable days
• The impact of policies on labor availability/waste
• The impact of time-off and leave management on labor availability

The Labor Utilization Audit™ gathers 3 kinds of data encompassing over 1500 distinct data-points:

• Quantitative data (through online data requests)
• Qualitative data (through onsite interviews)
• Statistically driven data (through 5 online surveys)

WRX then compares all the datasets to differentiate between correlations and root causes. We only report back on issues that have a minimum of 3 points of data redundancy. This eliminates, "chasing after cultural ghosts" and saves time in implementation.

Standard Audit Process

A standard Labor Utilization Audit™ consists of 7 distinct steps:

1. Initial data request including on-line surveys (Quantitative Information Gathering) managed through WRX client portal.
2. Clarification calls with CLIENT project lead and appropriate departments
3. 2 man days on-site visit for additional information gathering (Qualitative Information Gathering)
4. Perform initial recapture analysis (Quantitative Analysis)
5. Clarification call of preliminary findings with key stakeholders(Qualitative Analysis)
6. Initial presentation of reports by phone to key stakeholders (Scaling & Tuning Conversation)*
7. Final 1 day on-site meeting to present findings and recommendations to different constituencies

A standard Labor Utilization Audit™ requires 7-9 weeks:

1. 2-3 weeks for initial payroll data exchange
2. Followed by 1 day onsite to perform interviews, introduce the data portal and launch surveys.
3. The survey period typically requires 3 weeks
4. Followed by 10 days of off-site analytics
5. A "preview call" is scheduled for 4 weeks after the onsite day
6. A final presentation of findings & introduction to implementation meeting occurs within 2 weeks of the preview call

Audit Outputs

A Labor Utilization Audit™ results in the production of 3 reports;

• The State of the Union report that details "why" waste is occurring
• The Recapture Analysis report that details "how much waste is occurring" and "how much is recapture-able" and over what period of time (and from which sources)
• The Recapture Strategy report that provides actionable recommendations for creating change sensitive progress against recapture goals

WRX follows the philosophy of, "Staying in the game" with customers. We build detailed implementation plans based on our assessment of your organizations change readiness and current systems. We create a customized roadmap built from lessons learned during implementations in over 150 other facilities. We charge a minimal 1 time fee for implementation and continue to work with a customer for a period of up to 12 months to ensure the success of both firms (although standard implementation time is 90 days).

Audit Guarantee

WRX guarantees that it will identify more than $1,000,000 (one million dollars) in annually achievable reductions or provide the CLIENT with a full refund of program fees paid, less travel, lodging, meals and ancillary production costs incurred but not yet reimbursed.

Additional questions may be answered at the Labor Utilization Audit FAQ Page.

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