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Enderson P.C. Miranda, MBA, CPHQ CEO, OnSomble, Inc.
Timothy R. Brock, PhD, CPT, CRP, ID(S&L+) Founder & CEO, The Institute 4 Worthy Performance
Semper et cogitemus, et nos exclamus!
Workplace Performance Analytics — Next Generation Performance Improvement Technology
Optimize Your Personnel Data-Driven Adaptive Platforms for Individual and Organizational Development
✓ DESCRIBE how the Institute of Medicine’s report on the future of nursing and global human capital identifies opportunities to apply ISPI’s 10 international standards, which healthcare executives expect and will fund.
✓ EXPLAIN how to integrate decades of professional role-based behavioral competency research with 21st century big data performance analytics, thus diagnosing and remedying real-time workplace competence/behavior gaps while demonstrating ROI.
✓ RECOGNIZE how new Performance Improvement capabilities can add value to each participant’s professional competencies by relating their work environment to multiple case studies. Examples demonstrate how data analytics transforms the way organizations measure and develop actual workplace competence to achieve optimal human and organizational performance results.
Agenda
Our Foundational Framework
R
Focus on Valued, Measurable Results or Outcomes - Behavioral Accomplishments – Human Performance System Measures - Impact – Business Impact Measures (Output, Quality, Cost, Time, Intangibles) - Return on Investment – Monetary Benefits of Impact vs Program Costs
STake Systemic View (Systems Perspective) - Alignment – Worker, Work, Workplace, World (Market)
VAdd Value By Producing Results That Make a Difference - Business Case – Needs-Driven, Feasible, Worthwhile, and Sustainable - Evaluation – Evidence-Based, Reliable, and Worthy Results or Outcomes
PWork in Partnership to Produce Intended Results - Trust and Respect - Candor, Intelligence, and Goodwill (Socratic conditions for conversation)
+Remain Solution Neutral as an Honest Broker - Solve root causes to performance gaps, not sell predefined solutions or products
Plus
4 Principles
Be systematic in all aspects of the process including: 1. Determine a need or opportunity. 2.Determine causes and requirements. 3.Design solutions that are measurable and sustainable. 4.Ensure solutions’ conformity and feasibility. 5.Implement solutions by developing strategies to sustain change. 6.Evaluate results and impact.
6 Practices
Pathfinder ThinkingPerformance Improvement Journal
“Looking Back to Look Forward” series
We are about leading a learning organization by applying systematic, systemic thinking and reflection to improve worthy performance.
• “…intelligence is not synonymous with thoughtfulness and systemic thinking” (p. iv)
• Critical reflection is the missing piece for continuous learning. (p. iv)
We are about reflection and action.
Volatile, Uncertain, Complex, Ambiguous (VUCA)
VUCA environment makes it difficult for Performance Improvement professionals to remain relevant unless we adapt and learn
12 Major Human Capital ChallengesHuman Capital Strategy Critical Forces
1. Set the proper investment level 2. Align with business needs* 3. Manage talent for value* 4. Engage employees at work 5. Create a performance & innovation culture* 6. Keep employees healthy 7. Embrace demographics and societal changes 8. Utilize technology effectively* 9. Confront globalization 10.Protect the environment 11.Build global leaders* 12.Use analytics and big data*
CEO Expectations• Human capital is their top issue around the globe Sources: 2013 Conference Board CEO Challenge Report 2012 IBM Leading Through Connections: Insights from Global Chief Executive Officers
• 9 out of 10 CEOs expect HR leaders to be proficient in workforce analytics
Source: 2015 Harris Poll
• Only 8.4% of companies currently consider themselves possessing strong HR analytics capabilities Source: 2015 Deloitte University Press Report
• 53% of executives indicate that workforce data is a key competitive differentiator Source: 2014 Oxford Economics and SuccessFactors Report
• 38% of these executive have ample workforce data to understand their firm’s talent strengths and vulnerabilities
Source: 2014 Oxford Economics and SuccessFactors Report
• Human capital analytics is the linchpin of human capital investments
Source: 2012 Conference Board State of Human Capital Report
Shared Meaning
“The return an organization gains from the loyalty, creativity, effort, accomplishments, and productivity of its employees.”
The Human Resources Glossary
What is Human Capital?
Scientific process of transforming data into insights for better decisions The Institute for Operations Research and the Management of Sciences (INFORMS)
…………………….Helps discover meaningful patterns in data that often favor data visualization to communicate insights Fitz-enz & Mattox II (2014). Predictive Analytics for Human Resources
Improves human capital investments at both the individual and organizational levels Pease, Byerly, & Fitz-enz (2013). Human Capital Analytics: How to Harness the Potential of Your Organization’s Greatest Asset
Analytics Defined
The 4 Vs of Big Data
Big Data Complexity
Data
Sour
ces
Data Speed of
AnalysisVelocity Va
riety
Volum
e
Data
Amou
ntData
Validity &
Reliability
Veracity
Big Data…a term for data sets that are so large or complex that conventional information technologies can no longer effectively handle the size or scale and growth of the data set ▪ Phillips and Phillips (2015). High Impact Human Capital Strategy:
Addressing the 12 Major Challenges Today’s Organization’s Face
Accuracy in big data may lead to more confident decision making, and better decisions can result in greater operational efficiency, cost reduction and reduced risk ▪ Pease (2015). Optimize Your Greatest Asset—Your People: How to Apply
Analytics to Big Data to Improve Your Human Capital Investments
Business Intelligence
The age of big data has created opportunities for learning leaders to drive change in their organizations. • Pease, Beresford, Walker (2014). Developing Human Capital: Using Analytics to Plan and Optimize Your Learning and Development
Investments.
Drive Change
CEO Perspective Study ROI Institute
MeasureCurrent Measure
Should Measure
Measure Importance
1. Inputs Last year, 78,000 employees received formal learning. 94%
2. Efficiency Formal learning costs $2.15 per hour of learning consumed. 78%
3. Reaction Employees rated our training very high, averaging 4.2 out of 5. 53%
4. Learning 92% of participants increased knowledge and skills 32%
5. ApplicationAt least 78% of employees are using the skills on the job. 11%
6. ImpactOur programs are driving our top 5 business measures in the organization. 8%
7. ROIFive ROI studies were conducted on major programs yielding an average of 68% ROI.
4%
8. Awards Our learning and development program won an award from Training Magazine. 40%
86%
82%
22%
28%
61%
96%
74%
44%
6
7
8
5
4
1
2
3
Programs
Payoff Needs
Business Needs
Performance Needs
Learning Needs
Preference Needs
Start HereEnd Here
ROI Results
Impact Results
Performance Results
Learning Results
Reaction ResultsReaction Objective
Learning Objective
Business Objective
ROI Objective
Performance Objective
Business Alignment and Forecasting The ROI Process Methodology
Input Objective
Input Needs Input Results
5
4
3
2
1
0 0
1
2
3
4
5
Initial Analysis Evaluation
Strategic Alignment V ModelPhillips Business Alignment V Model
Issue
(Level 3) Uneven patient care performance on nurse-sensitive outcomes is a symptom of confusion about nurse role:
• Accountability • Responsibility • Authority
Symptoms(Level 4) Lack of consistent care, decreased quality of care, avoidable waste and costs due to practice variation inefficiencies and errors
Root Cause
(Level 3) Task-based focus vs a RN profession focus
Result(Level 3) Lack of professional role competence is a barrier to optimizing RN role scope that leads to consistent practice excellence
2011 Institute of Medicine Study
Optimize Your Personnel
Problem Space
Remedy uneven performance 365 RNs working at 4 Infant Intensive Care Units (IICU) to improve patient outcomes
Level 3 Role
Behavior Focus
Evaluated 41 clinical behaviors associated with 4 professional role competencies using a cloud-based 3600 assessment tool:Used Dreyfus/Benner five-level novice-to-expert skill development model
• Leader (decision-maker) • Scientist (evidence-based thinking) • Practitioner (results-oriented) • Communicator (physician, cross-team, and patient/family)
Outcome
Gained insights hidden in Level 3 performance analytics big data
• Produce Level 4 patient outcomes • Define Level 2 learning requirements
Optimizing Hospital RN Role Competency Leads to Improved Patient Outcomes (2013)
Presented at the Honor Society of Nursing, STTI- 24th International Nursing Research Congress Prague, Czech Republic ● 2013
Optimizing Hospital RN Role Competency Leads to Improved Patient Outcomes (2013)
Optimize Your Personnel
Insights (Level 3) Greatest practice variations in handover quality content
Consequences (Level 4) Errors in medical diagnosis, medical data, medication changes, etc.
Training (Level 2) Handover practice standardization with simulation and coaching.
Outcome (Level 3) Improved shift handover behaviors (t<0.05)
Results(Level 4) Improved nurse-sensitive indicators, including patient satisfaction scores and improved nursing work environment
Presented at the Honor Society of Nursing, STTI- 24th International Nursing Research Congress Prague, Czech Republic ● 2013
Executive Mandate
(Level 4) Significantly improve patient outcomes at 5 hospitals
Baseline Evaluation (Level 3) Same 3600 Performance Analytics Software
Baseline Results
(Level 3) 1,157 nurses and their supervisors
• Measured 167,229 professional behaviors using Dreyfus/Benner competence levels
• Generated over 2.3 million behavioral data points of current workplace practices
• Completed in 60 days from beginning data collection
2015 Healthcare System (Southwest)
LeadershipCommunicationDecision-MakingExecution
Analytics Data Visualization Example
© Copyright 2018 OnSomble
Effectively Measuring Behavioral Competencies
EVALUATION INSIGHT
DEVEL
OPM
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Organizations must measure the right
types of behavioral competencies based
on their needs
They must utilize a data analytics platform that empowers them to do so in a efficient and
scalable mannerPeople-Centric and focused on
professional growth
Effectively Measuring Behavioral Competencies
© Copyright 2018 OnSomble
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COMPETENCIES
REPORTING
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LEADERSHIP
COMMUNICATION
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EXECUTION
LEADERSHIP
COMMUNICATION
DECISION-MAKING
EXECUTION
© Copyright 2018 OnSomble
Performance Improvement Cycle
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Aggregate self, supervisor, peer, and direct report data-points to provide a wholistic
assessment of observable behaviors.
PEER
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DIRECT REPORT
SELF
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Performance Improvement Cycle
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COMPETENCIES
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Comprehensive 360° view creates detailed reports on competencies and behaviors
© Copyright OnSomble.
Performance Improvement Cycle
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Leverage data analytics to provide tailored educational content through
Adaptive Learning Algorithms
© Copyright OnSomble.
Performance Improvement Cycle
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Identify Individual's Strengths and Align them to their Roles
© Copyright OnSomble.
Performance Improvement Cycle
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© Copyright OnSomble.
Identify Individual's Strengths and Align them to their Roles
Performance Improvement Cycle
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Create perfect pairing and mentorship opportunities
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Create perfect pairing and mentorship opportunities
© Copyright 2018 OnSomble
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Increase productivity, satisfaction, and reduce errors
© Copyright 2018 OnSomble
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COMPETENCIES
REPORTING
OUTCOMES &OPTIMIZATION
PEER
SELF
SUPERVISOR
DIRECT REPORT
LEADERSHIP
COMMUNICATION
DECISION-MAKING
EXECUTION
LEADERSHIP
COMMUNICATION
DECISION-MAKING
EXECUTION
© Copyright 2018 OnSomble
Performance Improvement Cycle
Efficiently Allocate Evidence-Based Content and Education Resources
Perform Gap Analysis and Pinpoint P.I. Opportunity Areas
Identify Internal Leaders and Empower their Growth from Within
Increase Retention and Employee Engagement
Reduce Variation in Practice to Optimize Organizational Outcomes
Ensure Practice at Highest Level of Education and Licensure
Achieve Full Workforce ROI
Benefits of Utilizing Adaptive Learning Solutions and Behavioral Data Analytics
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Case Study #1 - Healthcare System (Midwest)
Role-Based Practice Model TM
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Case Study #1 - Healthcare System (Midwest)
- 2015 - - 2016 -
• 495,408 professional behaviors
• 176,365 - Expert (5) - (35.6%)
• 173,393 - Proficient (4) - (35.0%)
• 134,751 - Competent (3) - (27.2%)
• 9,413 - Adv. Beginner (2) - (1.9%)
• 1,486 - Novice (1) - (0.3%)
3,537 users 9,624 assessments
Second Cycle
3,713 users 9,853 assessments
• 502,503 professional behaviors
• 175,838 - Expert (5) - (35.0%)
• 177,529 - Proficient (4) - (35.3%)
• 138,829 - Competent (3) - (27.6%)
• 8,806 - Adv. Beginner (2) - (1.7%)
• 1,501 - Novice (1) - (0.3%)
First Cycle
9,705 Behaviors scored either Novice or Advanced Beginner (vs. 10,307 in previous cycle)
• Scientist (4.32% in 2016 vs 4.27% in 2015)
• 2,297 behaviors in 2016 (vs. 2,524 in 2015)
• Practitioner (2.06% in 2016 vs 2.08% in 2015)
• 1,095 behaviors in 2016 (vs 1,230 in 2015)
n = 3,537 users n = 9,624 assessments
Confidential. © Copyright 2018 OnSomble
3,899 users 9,852 assessments
(2015)Gap Analysis
3,537 users 9,624 assessments
(2016)
Closing the behavioral gap
Engages in appropriate conversations with patient and patient's family regarding plan of care based on age, developmental stage, culture, and other considerations - Practitioner (9.3% in 2015 to 6.8% in 2016)
Determines the level of supervision required for professionals to whom tasks have been delegated or assigned based on scope of practice, professional and ethical standards, other regulations, and
competency of the professional - Practitioner (8.8% in 2015 to 7.2% in 2016)
Resolves work culture issues that affect the transfer of information within the team and the organization in an appropriate manner Communicator (8.7% in 2015 to 8.3% in 2016)
Utilizes theoretical and scientific knowledge with current best practices when making decisions about care delivery Communicator (8.7% in 2015 to 7.7% in 2016)
Oversees tasks that have been delegated or assigned to other professionals as appropriate Communicator (8.3% in 2015 to 7.5% in 2016)
2015n = 3,899 users
n = 9,852 assessments
2016n = 3,537 users
n = 9,624 assessments
Confidential. © Copyright 2018 OnSomble
Quantifying Growth - Summary System-wide Report
Confidential. © Copyright 2018 OnSomble
Confidential. © Copyright 2018 OnSomble
Quantifying Growth - Summary System-wide Report
Confidential. © Copyright 2018 OnSomble
Quantifying Growth - Summary System-wide Report
Quantifying Growth - Summary System-wide Report
Confidential. © Copyright 2018 OnSomble
Quantifying Growth - Summary System-wide Report
Confidential. © Copyright 2018 OnSomble
Quantifying Growth - Summary System-wide Report
Confidential. © Copyright 2018 OnSomble
Confidential. ©
Copyright 2018
OnSomble
Growth Analysis - Detailed Report
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Case Study #2 - Multiple Healthcare Systems (Northeast)
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Case Study #2 - Organizations Involved
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Case Study #2 - Objectives
Measure Maine RN’s 11 Nursing Core Competencies to identify potential areas of needs and strengths that can be addressed in training, education, and preceptor opportunities
Measure competencies related with patient satisfaction / HCAHPS scores ( including the measurement of key communication competency items)
Generate competency benchmarks on individual factors such as RN education, background, or experience, and organizational factors such as shift, unit, department,
hospital, or health system.
Expand data collection and competency measurement throughout Maine for broader state-wide benchmarks and recommendations
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State-wide Competency Distribution - First Cycle
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Case-Study #2: Competency Distribution - First Cycle
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State-wide Competency Distribution - First Cycle
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State-wide Gap Analysis - Summary Report
Hospital B
Hospital C
Hospital A
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State-wide Gap Analysis - Summary Report
Hospital E
Hospital D
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State-wide Gap Analysis - Summary Report
Hospital G
Hospital F
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Hospital “A” Gap Analysis - Detailed Report
New Grads Experienced New Hires
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Hospital “A” Gap Analysis - Detailed ReportNew Grads Experienced New Hires
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Hospital “A” Gap Analysis - Detailed ReportNew Grads Experienced New Hires
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State-wide data: New Grads
Most common Novice / Beginner Behaviors - “Areas of Opportunity”
Provides constructive feedback to peers - Professionalism - 31%
Participates in professional nursing organizations - Professionalism - 30%
Demonstrates knowledge of community based aging network resources including the Administration of Aging, state unit on aging, community action programs, and area agencies
on aging - Geriatrics - 29%
Utilizes current evidence and clinical experience to decide when to modify clinical practice - Evidence-Based Practice - 29%
Participates in data collection and other research activities - Evidence-Based Practice - 29%
Confidential. © Copyright 2018 OnSomble. All rights reserved. No reproduction without permission.
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State-wide data: Experienced New Hires
Most common Novice / Beginner Behaviors - “Areas of Opportunity”
Demonstrates knowledge of community based aging network resources including the Administration of Aging, state unit on aging, community action programs, and area agencies
on aging - Geriatrics - 26%
Evaluates consumer and family learning - Communication - 22%
Participates in data collection and other research activities Evidence-Based Practice - 20%
Participates in collecting safety data - Safety - 20%
Participates in the use of quality indicators and measures to evaluate the effect of changes in the delivery of care - Quality Improvement - 20%
Confidential. © Copyright 2018 OnSomble. All rights reserved. No reproduction without permission.
Day Shift
Night Shift
Shift Comparison Report
Hospital “C” (RNs with higher scores
concentrated primarily
in the night shift)
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360°
COMPETENCIES
REPORTING
OUTCOMES &OPTIMIZATION
PEER
SELF
SUPERVISOR
DIRECT REPORT
LEADERSHIP
COMMUNICATION
DECISION-MAKING
EXECUTION
LEADERSHIP
COMMUNICATION
DECISION-MAKING
EXECUTION
Confidential. © Copyright 2018 OnSomble
Comparison Report Overall competency scores based on highest level of education
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State-wide data: Experienced New Hires
Most common Expert Behaviors -“Areas of Strength”
Maintains privacy and confidentiality of consumer information Informatics and Technology - 60%
Provides high quality, safe, and effective patient care - Professionalism - 54%
Provides care with sensitivity and respect for the diversity of human experience - Patient-Centered Care - 54%
Requests assistance when a situation warrants it Teamwork and Collaboration - 48%
Demonstrates a basic ability to communicate with an older adult, including those who have cognitive, sensory, or literacy barriers - Geriatrics- 46%
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Case Study #3 - Global Pharmaceutical Company
• Partially Meets Expectations:
• Teamwork and Collaboration (5.5%)
• Achieving Results (4.9%)
• Decision Making (4.1%)
• Inspiring and Influencing (3.8%)
• Technical and Business Expertise (1.8%)
Division Managers
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Case Study #3 - Gap Analysis - Division Managers
Self Supervisor Alternative 360 Peer Average
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Case Study #3 - Gap Analysis - Division Managers
Self Supervisor Alternative 360 Peer Average
Confidential. © Copyright 2018 OnSomble. All rights reserved. No reproduction without permission.
Enderson P.C. Miranda, MBA, CPHQ CEO, OnSomble, Inc.
Timothy R. Brock, PhD, CPT, CRP, ID(S&L+) Founder & CEO, The Institute 4 Worthy Performance LLC
Semper et cogitemus, et nos exclamus!
Questions
Optimize Your Personnel Data-Driven Adaptive Platforms for Individual and Organizational Development