So I looked at predictive scheduling and what existed for a frontline nurse manager and discovered there was a lot of gaps in that space. While I was finishing my doctorate, what I decided to focus in was, again, scheduling. And we had a dedicated team doing this that helped build a new outlook and professional view, I believe, for legacy in regards to staffing and scheduling. So we were really seeing great outcomes associated with this work. In addition to, we saw a decrease in agency use, we also saw a decrease in some of our incentive spend. It actually improved after we implemented our project. We saw great outcomes, both in our engagement scores at legacy for staffing and scheduling and effectiveness from the frontline nurses. So we entered into this journey and through that time, we were very successful in leading this project. And her desire and goal, the desire and goal was to transform their health system, to adopt new staffing and scheduling technology and help build their central management platform as well as better optimize the way that they're utilizing their system float pool of about 250 nurses. Long story short, ultimately I decided to pursue the opportunity she presented and the reason I chose it, and this actually launched me into the world of staffing and scheduling, was because it was systems focused. As I did that work, I realized there was more I wanted to do and opportunities I wanted to pursue outside of managing a unit and I was managing the float pool at the time. So I did that work for about two and a half years as a manager.Īnd it was really great to understand how does a unit function, how to lead teams and build that skillset that you just don't get unless you actually do it. So really turned the ship around after we addressed an issue that was going on that was related to a patient condition. We came up with a solution together, leading that team together and really transformed that unit into a place of really great outcomes, nurse sensitive indicator outcomes, high engagement of our team, low turnover. So they asked for me to consider managing that unit, which was quite unique because it required me to transition from those that saw me as a peer or even someone that they had trained into a manager, and that required some unique opportunities to show that I had their back. They had an opening, my manager who hired me retired. So that respiratory cardiology unit, step down unit, I was approached by the leader who was a director at the time. So once I finished my masters, I actually was approached to take over management of the unit that I had started on as a nurse. So I was able to maintain my practice and then continue my education with a focus in health systems management. So during my time as a bedside nurse, I actually entered into my master's program in health systems management through Vanderbilt, which was primarily online. And as I started to understand how the hospital was operating and found that I had a bit of a niche for it, I reshifted my focus from critical care to actually wondering what would it be like to run or manage a unit or manage a hospital. So quickly I was moved into a charge nurse role and started seeing how the hospital operated. And as I began practicing as a bedside nurse and improving my skill and understanding, I became more enticed with system management on a broader scale. So I actually was placed into a large metro hospital in the heart of Portland. Joseph on the west coast, actually paid for my last two years of my nursing education through the University of Portland if I would work for them for three years wherever their need was in the state of Oregon. So Providence Health System, which is a large health system, it's now Providence St. When I started, I actually, what was called a Providence Scholar. Tell me about your journey into this space. Very few people I'm sure have heard of a focus of a PhD in staffing and workforce. My PhD was in innovation like no one's ever heard of a PhD in innovation. So you have a PhD and it was focused in on workforce and staffing, which is a cool niche.
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