April 16, 2009
Volume 32 No. 7
A
t the end of the first quarter of
fiscal year 2009, which ended
December 31, 2008, PIP results re-
flected a strong start to the year in
some areas and a need for addi-
tional focus in others in order to
achieve goals.
Based on the first quarter re-
sults, if PIP were paid today, eligi-
ble employees could receive a
payout of up to 1.6 percent of their
salary, depending on the results of
departmental goals. The potential
PIP maximum payout if all maxi-
mum goals are met is 3 percent for
fiscal year 2009.
This year, PIP results are meas-
ured in three areas of performance:
financial, patient satisfaction/safety
and individual departmental goals.
Financial
For 2009, the financial measures
include net operating income (pa-
tient revenue minus expenses) and
percentage of discharges by 11 a.m.
Financial results account for 40 per-
cent of PIP. For the first quarter, net
operating income was $9.29 million,
just above the target goal.
“We had solid financial perform-
ance in the first quarter of 2009,”
said James Staten, senior vice presi-
dent, Finance. “As the year contin-
ues, however, we must continue to
PIP first quarter results yield mixed returns
I
n an effort to control expenses and with a
focus on preserving jobs in this challenging
economy, Yale-New Haven Hospital is adopting
a new method of calculating overtime.
Currently, non-exempt employees receive an
overtime premium for all hours worked in excess
of their scheduled shift on a daily basis. Yale-
New Haven is one of a limited number of Con-
necticut healthcare employers that calculates
overtime in this manner.
Effective April 26, YNHH will calculate
overtime based on a 40-hour work week for
non-exempt employees instead of on a daily
basis. This change will have little impact on
full-time employees who already receive over-
time pay above 40 hours worked in a week. It
will, however, have an impact on part-time em-
ployees and casuals who had received overtime
premium for hours worked beyond their daily
scheduled shift.
“Converting the method of paying overtime
With an eye on preserving jobs, YNHH changing overtime policy
Richard D’Aquila (right) greets Jerzy Blaszczyk, phlebotomist at
the hospital’s Branford Blood Draw Station, at a recent early
evening open forum where employees asked questions about
changes to overtime policy.
from a daily to a weekly calculation is cost-effec-
tive and consistent with many other Connecti-
cut hospitals and businesses,” said Richard
D’Aquila, executive vice president and COO.
“We are committed to paying premiums for au-
thorized overtime in accordance with Connecti-
cut statute. This change permits us to
appropriately reduce expenses while still provid-
ing excellent and safe care to patients.”
To enhance “staffing to volume” measures
and increase employee flexibility, the hospital
has expanded the paid time off (PTO) program
to include an option of voluntary time off
(VTO) for non-exempt employees.
VTO differs from PTO when employees agree
to take PTO during periods of low census or de-
creased volume. They make take the time as un-
paid without negatively impacting their benefits
such as PTO accruals, PIP or medical benefits.
For example, a 40-hour employee who takes
must continue to strive for higher
levels of compliance and encour-
age each other to improve our per-
formance. Our patients expect and
deserve nothing less from us than
keeping them safe while in our
care.”
A new measure added to PIP for
2009 is regulatory mock audit.
Teams of hospital employees peri-
odically perform mock audits on
patient care units identifying op-
portunities for improvement. For
its first quarter in the PIP program,
regulatory mock audits came in on
target at 90 percent.
“In the first quarter, we missed
two important goal thresholds that
directly impact the quality and safety
of care and the experience that our
patients have at Yale-New Haven,”
said Kevin Myatt, senior vice presi-
dent, Human Resources. “In a com-
plex institution like ours, we can
become distracted by the many de-
mands of patient care and support
but we need to maintain our focus
on key measures – especially in the
areas of cleanliness and hand hy-
giene.”
Departmental goals
This year, in addition to overall
hospital-wide goals, each depart-
Threshold Target Maximum Actual
Net operating income $7.88 million $9.21 million $10.53 million $9.29 mil
% discharges by 11 a.m. 14%
17%
19%
21.38%
Patient satisfaction      85.9
86.2
86.5
86.2
Cleanliness
82.9
83.3
83.7
82.1
Hand hygiene
85%
90%
95%
81.8%
Regulatory mock audit 86%
90%
95%
90%
Departmental goal(s) Will vary based on department goals
PIP first quarter 2009 goals and results:
Continued on page 4
be very mindful of this extremely
challenging financial environment
and take advantage of every oppor-
tunity to spend carefully and work
more efficiently.”
The percentage of discharges by
11 a.m. exceeded the maximum goal
of 19 percent for the first quarter,
coming in at nearly 21.4 percent.
Patient safety and satisfaction
The patient satisfaction and
safety category includes overall pa-
tient satisfaction and cleanliness, as
well as hand hygiene and regulatory
mock audit. Patient safety and satis-
faction results account for 40 per-
cent of PIP.
For the first quarter, overall pa-
tient satisfaction hit the target of
86.2. At 82.1, cleanliness – the
measure that reflects our patients’
impressions of how clean our facili-
ties are – came in below the thresh-
old goal of 82.9.
Hand hygiene – an infection pre-
vention measure monitored through
recorded observations – also missed
the threshold goal for the first quar-
ter, coming in at 81.8 percent.
Threshold for hand hygiene was 85
percent.
“This was the first time since
hand hygiene was added as a PIP
measure that we’ve had a dip in
compliance, but employees should
not get discouraged,” said Louise
Dembry, MD, YNHH director of epi-
demiology and chair of the hospital’s
Infection Control Committee. “We
Continued on page 4
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