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January 2005

Ideas in Action GBMC Employs Successful Recruitment and Retention Pilot Program

Like most hospital officials responsible for recruiting, Susan Coe, director of human resources at Greater Baltimore Medical Center (GBMC) couldn’t figure out why the hospital was struggling with luring nurses to the Towson-based hospital and keeping them there. With a team of hospital officials, Coe designed “Teamwork is Rewarding,” a program that uses existing nurses to help retain new recruits. The program also provides an intense six-month training academy for new recruits to help get them adjusted and prepared for the job. “Teamwork is Rewarding” is designed to stabilize and reduce turnover through the creation of a more stable work environment.

“We came to the conclusion that we wanted to take the approach of making it everybody’s responsibility to assimilate and orient new hires and take the responsibility in a nurturing and welcoming way,” said Coe.

Although GBMC had difficulty in retaining nurses in several specialty areas, they had significant retention concerns with oncology nurses. With this in mind, the hospital made a decision to pilot the program, “Teamwork is Rewarding,” in the recruitment of oncology nurses. The program was put in place for the first time in 2004 and is geared toward recent nursing school graduates.

GBMC, which has 314 beds, had previously assigned one nurse on a unit who would get a small bonus to help new recruits get acclimated to the job. With “Teamwork is Rewarding,” every nurse is now responsible for educating, demonstrating, and showing people how to do the job and acting as a resource for newly-hired nurses.

With the new program, existing staff still receives bonuses but they’re only awarded if the new recruits stay in the job for the duration of their six-month training. They also must staff the unit efficiently and have to be compliant with standards set by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as measured by mock surveys and favorable satisfaction surveys of new recruits.

“It really does take a village to raise children or to bring people in and assimilate them into an organization and we were willing to allocate significant resources to this program,” Coe added.

All full-time and part-time employees can participate in the program. Bonuses are based on how many hours the employee works. Coe said GBMC has chosen to invest a significant amount of money in bonuses because it offsets the amount of money the hospital spends in training and then losing a single employee.

“It pays itself back in financial terms and it pays the organization back in terms of patient satisfaction and employee satisfaction,” she said.

In the first 90 days of the six-month training academy for oncology nurses, participants get a reinforcement of basic medical surgical skills and basic concepts in oncology. In the second 90 days, new staff members work to refine their skills in the oncology setting in appropriate ways that build on their strengths.

Through the training academy, GBMC was able to recruit two nurses in March and two in July and all four are still with the hospital.

Coe says the hospital plans to extend the program to other shortage areas including telemetry, and clinical areas such as radiology and pharmacy.

Laurie Mead, vice president of oncology and womens’ and professional services at GBMC, said she’s already seen a significant difference in the oncology unit in the year since “Teamwork is Rewarding” and academy training programs have been launched.

“The morale has gone up so much and is so positive,” Mead said. “The program has rejuvenated our existing nurses and brought us new nurses.”

Contact:
Susan Coe
Greater Baltimore Medical Center
443-849-3752
scoe@gbmc.org

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