By: Mat Roosa, LCSW-R
“How can we improve our workforce?”
In a human service environment filled
with open positions, understaffed programs a low rates of worker retention this
seems like a perfectly reasonable question.
As NIATx
has continued to explore new places, we have turned our attention to trying to
support the workforce challenges of health and human service organizations. The
critical need for this support emerged from the experience of attempting to
support programs in implementing NIATx based change projects, but finding that
the change leader supervisors were struggling to keep enough staff to operate
the program, and had little energy for improvement. Some consultants and
providers of technical assistance have been struck by the level of stress
related to workforce concerns that supervisors are experiencing. Too many supervisors
express a high level of stress and moral injury, as they find themselves unable
to pursue the mission that they care deeply about, because they do not have the
staff to do it.
So, we decided to use our improvement
model to help organizations to answer that question: “How can we improve our
workforce?” And upon further inspection
we found that this might not be the right question to ask.
One of our NIATx principles is to get
ideas from other industries, and so we found ourselves thinking about how a
similar question might play out in another environment. What if a customer went
into a grocery store and asked the front-end manager, “Where can I find the
dinner food?” We all know why this would not be an appropriate question. It is
just too generic to be meaningful. The response would likely be some version of
“It depends on what you want to eat.”
The work of Deming teaches us that
everything we do can be defined as a process. And workforce issues are no
exception. It became clear that any effort to support workforce improvements
needed to use our NIATx tools to break down the issue into the specific
processes. These included recruitment, hiring, retention, and promotion (RHRP).
The NIATx tools of the walk through and flow charting could then be used to
understand the potential applicant or interviewee’s experience associated with
that specific process. Nominal group technique brainstorming could then help to
define specific strategies for recruitment, or hiring that could be tested
using the PDSA (plan, do, study, act) change model.
We have begun to use this approach to
train supervisors and managers to make specific changes and to measure the
results to see if they can recruit more diverse candidates, get more people to
apply for positions, enhance the interview experience, etc. In addition to the
NIATx model, we have also included other key factors, including cultural responsiveness,
wellness, and coaching/ mentoring to provide additional support to the
workforce improvement effort.
There is certainly no single fix to
the complex economic drivers of workforce challenges. But the use of focused
data driven change projects can help an organization or a broader system, to
find strategies that can make a difference. Harnessing the wisdom of a change
team to find new paths forward is a key part of NIATx. Using PDSA change cycles
is helping leaders to impact these workforce challenges in simple and powerful
ways.
Mat Roosa,
LCSW-R
Mat Roosa is a founding
member of NIATx and has been a NIATx coach for a wide range of projects. He
works as a consultant and trainer in the areas of process improvement,
evidence-based practices implementation, and organizational development and
planning. Mat’s experience also includes direct clinical practice in mental
health and substance use services, teaching at the undergraduate and graduate
levels, and human services agency administration.
