Consistent Assignment & Staff Turnover

This article provides the first five steps in achieving staff stability through a hiring and welcoming process to establish positive connections with new employees in the first six months.

By the end of this module, medical directors will know how to positively influence staff behavior in a nursing home setting. Learners gain knowledge about how to coach, support and influence staff so they can increase job retention and satisfaction and improve quality of care.

The Pioneer Network Starter Toolkit is a product of the Pioneer Network's National Learning Collaborative on Using the MDS as an Engine for High Quality Individualized Care. It provides information on how 49 nursing homes were able to accelerate their improvement by using four key organizational practices: consistent assignment, shift huddles, involving CNAs in care planning and Quality Improvement (QI) closest to the resident.

Employee “value” is a culture-building tool in which you identify the motivating values of an employee and commit to exchanging those values with them as their supervisor. Download this Currency Questionnaire to get started.

This employee satisfaction guide from the Centers for Medicare & Medicaid Services helps nursing homes determine the most appropriate and helpful resources to use to address the identified improvement opportunities found in the employee satisfaction survey. Note, the employee satisfaction survey is available in CMPRP-Toolkit 2 – Employee Satisfaction Survey (ZIP).

In this recording from Oct. 22, 2024, TMF Health Quality Institute Chief Medical Officer Russell Kohl, MD, FAAFP, and Education Specialist and Health Equity Advisor Kelley Morrison, MHA, CPHQ, discuss High Reliability Culture. They explore how High Reliability Organizations (HROs) are creating environments that prioritize safety, engagement, trust and development by implementing a Just Culture, among other HRO strategies.

This tool shows how to measure and improve staff morale with proven strategies and ideas to celebrate and motivate your staff.

This July 20, 2023, recording discusses promoting a stable work culture and staff retention. TMF Quality Innovation Network-Quality Improvement Organization specialists explore strategies to increase and sustain retention with a resilient work environment and how to create a space for staff collaboration.

This tool aids in facilitating two-way communication between leadership/supervisors and employees.

Leading an effective educational session is crucial for enhancing the skills and knowledge of the health care personnel and staff in your nursing home. Listen to this Feb. 8, 2024, TMF Quality Innovation Network webinar recording to learn how to create and lead engaging and beneficial educational sessions for your nursing home staff.

Listen to this April 18, 2024, Nursing Home Connect webinar recording from the TMF Quality Innovation Network to find out how facilities have overcome challenges implementing quality improvement systems. Learn from peers who have achieved success with resident and staff COVID-19 vaccination rates and learn how to successfully report data in the National Healthcare Safety Network (NHSN).

Watch this Sept. 26, 2024, Nursing Home Connect webinar recording to learn about recent updates to the Centers for Medicare & Medicaid Services (CMS) minimum staffing standards, as well as hiring strategies, resources for regulatory compliance, and effective retention tools to build reliable and dedicated care teams.

In this March 7, 2023, recording, TMF Quality Innovation Network-Quality Improvement Organization (QIN-QIO) specialists share best practices regarding nursing home staffing and discuss how vital organizational culture is to staff satisfaction and morale. We also provide an update on regional bivalent vaccination rates.

This May 10, 2022, webinar recording discusses strategies for successful recruitment, hiring and retention of staff for long-term care facilities during COVID-19. In addition to TMF specialists, nursing facility leaders also share specific suggestions.

It is no secret that high staff turnover in nursing homes is a widespread crisis. Here is how one skilled nursing facility in Abilene, Texas, reduced its nursing aide turnover rate from 90% to 21% in two months.

TMF’s Nursing Home team held a webinar discussion on Staffing Challenges and Solutions During COVID-19 on March 1, 2022. Here are some staffing solutions generated from nursing home administrators, directors of nursing and others who participated.

Coronado Nursing and Rehabilitation Center Administrator Jay Hobbs explains how he implemented action teams and other improvements to solve the problem of staff retention.

This educational video from Quality Insights of Pennsylvania focuses on reducing staff turnover in nursing homes.

TMF Health Quality Institute has created this document to allow nursing homes to gather feedback from residents and their families. Nursing homes that gather feedback are encouraged to analyze the data from the surveys to see what improvements and modifications can be made. Nursing homes are also encouraged to work with their Quality Assurance & Performance Improvement (QAPI) teams to outline a plan to implement needed changes.

This comprehensive, but not all inclusive, list of resources may be helpful for nursing homes as they work to enhance practices around recruiting and retaining staff.

TMF QIN-QIO created this document to allow nursing homes to gather feedback from their staff. Nursing homes that gather feedback are encouraged to analyze the data from the surveys to see what improvements and modifications can be made. Nursing homes are also encouraged to work with their Quality Assurance & Performance Improvement teams to outline a plan to implement needed changes.

This tool in Spanish for Puerto Rico shows how to measure and improve staff morale with proven strategies and ideas to celebrate and motivate your staff.

This U.S. Spanish tool shows how to measure and improve staff morale with proven strategies and ideas to celebrate and motivate your staff.