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Summer 2004

Ideas in Action New Technology Aids Scheduling at Hopkins

Manual scheduling and payroll once was an arduous, time-consuming job for nurses at The Johns Hopkins Hospital.

But, that changed when the hospital added new technology that Hopkins nurses expect will result in greater employee satisfaction and time savings.

In the fall of 2002, Hopkins purchased automated scheduling software, to cut time spent on scheduling and payroll and provide real-time labor data for nurse managers, said Lynn Jones, the hospital's former assistant administrator for the Department of Gynecology and Obstetrics, now leader of the information system project.

In 1996, the labor and delivery, post-partum, high-risk antepartum, and newborn nursery units at The Johns Hopkins Hospital merged. This resulted in the need for more than 120 employees to be scheduled on one master schedule. However, the need for the one master schedule presented challenges for nurses who create it manually. A nurse would have to balance the work preferences of the entire staff, while ensuring that each unit was staffed with the required skill levels on each shift.

The solution was the purchase of the VasTech Nightingale Nursing Information System, which is now being implemented throughout the Department of Nursing. “It’s early in our house-wide implementation, but so far the results are promising,” Jones said of the employees’ reaction to the new technology. Staff now can request and access their schedules via the Internet as well as leave electronic messages for their schedule coordinator. Schedule coordinators can control what shifts are available for individual staff members through a rules-based scheduling profile.

Schedule coordinators who previously spent time on scheduling can now spend more time on patient care while being assured of the correct staffing skill mix on any particular day, Jones said. Nurse managers who previously spent time manually tracking labor data or preparing payroll now can have data at their fingertips via a reporting tool generated by the information system thereby leaving more time for process improvement or unit decision making using these data, Jones said.

In September 2003, the hospital began training staff in the surgery units on how to use the system. The system is expected to be used throughout the entire Department of Nursing by the end of September 2005, Jones said.

Jones is also participating in a research study with her colleagues at the School of Nursing to measure the impact by measuring time spent, workflow efficiency, and participant satisfaction with the Nightingale scheduling software.

The advanced technology has reduced human error and also has risen to the demands of the busier combined unit, according to Jones. Scheduling has historically, and continues to be, a major issue surrounding a nurse’s work life. “We hope that use of this technology empowers nurses to feel more in control of their schedules, thereby improving satisfaction,” Jones said. “Adequate staffing and scheduling on a unit can also contribute to retention and begin to address some of the issues surrounding the current shortage,” Jones said.

Jones sees further use of technology, both in the clinical and administrative arenas, as a way to assist in the increased demands for healthcare providers because of the current workforce shortage .

Contact:
Lynn Jones
Leader for the Nightingale Project
The Johns Hopkins Hospital
Phone: 410-955-8174
E-mail: ljonesa@jhmi.edu

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