The first cases of coronavirus (COVID-19) on U.S. soil were reported in a 100-bed Washington State skilled nursing facility (SNF) on January 21, 2020. On January 22, only three of the facility’s full-time nursing professionals showed up for work. The Centers for Disease Control (CDC) was compelled to bring contract staff to the facility to care for its residents.
Three months later, a Southern California SNF with 84 COVID-19-infected residents was evacuated after a large percentage of the nursing staff failed to show up for two consecutive days.
As the current crisis drags on, and with other potential pandemics/ disasters on the horizon, SNFs of all sizes in all corners of the country will find it harder and harder to attract qualified full-time employees, and retain them over time. Not surprisingly, clinical, accounting and financial implications of this are profound. So, how do you endeavor to maintain a full-time employee base, solidify your facility’s finances and provide optimal resident care in the process?
In this blog, we explore how minimizing contract staff can help to reduce staffing-related expenses while enhancing bottom-line outcomes for your facility—and its residents.
In a perfect world, your SNF would be 100 percent staffed, 100 percent of the time by full-time employees. Why? Optimal staffing levels help to ensure optimal resident outcomes; full-time employees generally feel a sense of teamwork and community and thus tend to be more engaged; and by any measure, salaries and benefits for fulltime employees represent predictable costs on the balance sheet and almost always prove more economical than hiring contract employees. Ours is not a perfect world, however, and staffing realities in today’s SNF realm paint a disturbing picture:
Contract employees may be a necessity for your facility. But they present challenges from both clinical and financial perspectives. Consider:
Indeed, contract staffing can be up to three times as expensive as full-time staff—sometimes even higher. While it’s necessary at times to bring on contract staff, your goal should be to operate with as many full-time employees as possible—and the fewest number of contract employees.
For the contract employees you do bring on board, try to build exclusivity clauses into their work contracts. Having contract employees work solely at your facility (or facilities) during the entire term of that contract will eliminate their risk of exposure in outside facilities—and by extension, your residents and staff will be safer.
Do you have questions about optimizing staffing in your facility, or other clinical or financial challenges? Read our e-book, “Staffing Strategies for Skilled Nursing Facilities in a Post-COVID-19 World” or call Richter’s skilled nursing facility consultants at 866-806-0799 to schedule a free consultation.
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