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November 2004

Ideas in Action Chesapeake Registry Program: Providing Quality Staffing Solutions

Hospitals routinely go through cyclical changes that create a need for supplemental staffing—opening new units, nurses and other staff taking leave or vacation, to name a few. To address hospitals’ concerns regarding the availability of quality supplemental staff, the Maryland Hospital Association (MHA) searched for a creative solution and developed the Chesapeake Registry Program.

The Chesapeake Registry Program, launched in April 2004, allows hospitals in Maryland and Washington D.C. to post their staffing needs on a Web site. Agencies that are registered and approved by the Chesapeake Registry Program are then sent e-mails alerting them to hospitals’ needs. Agencies can then respond with information about their staff and set up an assignment with the hospital in a timely fashion.

Not only has the program helped fill the gap created by workforce shortages, it has greatly increased the quality of supplemental staff.

“There are staffing agencies out there, but there really wasn’t a way for hospitals to ensure quality,” said Alison Burrows, director of the Registry.

Since its launch, the Registry Program has grown to include two programs that address different hospital needs. The Travel Nurse Program kicked off first and includes supplemental nursing staff who typically work in 13-week stints. The Per Diem Nurse Program kicked off last July and provides for short-term and day-to-day supplemental nursing staff.

Initially, the Chesapeake Registry Program issued request for proposals to personnel agencies and had a great number of agencies respond. Certain agencies were selected and ultimately asked to participate.

“When we choose staffing agencies we look for certain criteria such as quality assurance standards and the availability of the agency to meet staffing needs in a geographical area,” said Burrows.

The Registry currently includes15 hospitals and 27 agencies participating in the Travel Nurse Program and 16 hospitals and 22 agencies participating in the Per Diem Program.

“The Registry benefits everyone involved because the hospital has one place they post their needs. There is a master contract with multiple agencies, and they can get their supplemental staff at competitive rates,” said Burrows.

Using the Registry, hospitals can quickly post their needs and get responses in a matter of minutes. Agencies have the ability to get information about hospitals or units where their staff can go. The Web site contains usage reports as well as general contact information about all of the agencies.

“It’s great being able to post our needs on the Web and get monthly reports,” said Lil Banchero, RN, manager of Patient Access and Admissions at Anne Arundel Medical Center. The hospital uses mostly traveling nurses to fill their needs. “We’ve had great results in quality and it’s been easy for us now to just deal with one person.”

The Chesapeake Registry Program is modeled after the Arizona Hospital and Health Care Association’s program which has been in place for 17 years. The Chesapeake Registry Program does on-site audits of each agency, checking employee files, quality assurance standards, and organizational mobility, making sure the agency meets all criteria.

With access to participant-approved staffing agencies, hospitals know they are getting the best help they can.

“The Registry staff is always accessible and the customer service is superior,” said Pam McGrath, director of Client Services for Richmond-based American Critical Care Services. “Even though there’s a virtual aspect, there is a definite human touch as well.”

The Registry is in the process of developing an allied health workers program that will launch in early 2005, and will include supplemental workers in radiology, respiratory therapy, rehab therapy, lab, and other ancillary disciplines.

Along with providing a more efficient utilization of the workforce, the Registry Program provides a commitment to their customers.

“We want the hospitals and agencies to work together in a way that will benefit the hospital and build relationships,” said Burrows.

Working together, hospitals have the ability to develop favorable contracts with staffing agencies saving time and resources.

“How can we best get our needs met?” is the question that we hope to answer for participating hospitals, said Burrows.

Every six months, the Registry program reviews the contracts with participating hospitals.

“We’re always looking at the program and finding ways to make it better for the participants,” said Burrows.

Contact:
Alison Burrows Director
Chesapeake Registry Program
410-379-6200
aburrows@mhaonline.org

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