Staffing

What are the current staffing levels at HCCSO for all positions (filled, vacant, in process)?

As of May 21, all of the original 32 vacant scheduling clerk positions have now been filled. There are five additional positions posted (4 full FTEs and 1 casual) related to internal movement of staff.

Of the 32 positions filled, 12 started in their roles May 16, 6 will be ‘working in position’ by June 2, and 2 will be ‘working in position’ July 3 and July 16, respectively. Additional staff who have previously worked as scheduling clerks and do not require training will start ‘working in position’ May 23.

How can the scheduling position be more appealing to applicants so that positions are filled and staff are retained?

We continue to do well with recruitment, receiving many applicants for all scheduling positions. Retention is an important area of focus for us, and this is part of the vision for the centralized scheduling office – to improve the work environment and experience for scheduling staff. The goal is to provide oversight, support, supervision, standardize work and expectations, and provide a large group of colleagues to rely on. Standardized shifts – 3 weeks of day shift and 1 week of evenings – are meant to improve work-life balance. Prior to this transition, scheduling clerks were reporting to a leader without scheduling experience, and now are reporting to leaders with scheduling expertise who can provide tailored support. We also have a specific, standardized onboarding process, which has always been in place, and have added specific onboarding for nursing scheduling clerks.

Are you actually hiring more DSS? It seems like we are always short staffed. Is the leadership team aware that there are not enough HCAs and HSWs? What are the plans? Why didn’t you hire extra visiting nurses so you wouldn’t have a hard time scheduling clients? When will you hire more?

We are always hiring DSS and DSNs on an ongoing basis.

I am hearing that we just need more DSN and DSS staff. Will more positions be added to improve the quality of care?

We recently added 30 DSS positions in the fall of 2024, and assess needs on an ongoing basis to determine if additional positions are required.

What is your screening and hiring process for DSS? We are having issues with the quality of care being provided.

We have a robust screening and hiring process that includes sourcing resumes based on the posted qualifications. We have focused interview questions and testing, followed by a 2-week orientation complete with testing on skills. This is intended to be augmented with auditing by Resource Coordinators through the shadowing process and ongoing mentoring and coaching.

How can nursing have 924 unfilled shifts for a 4-week period, yet requests to increase EFTs were denied as there was no need or funding available?

Requests to increase EFTs are reviewed and considered based on budget, rotation, vacancies and other shifts, and assessed individually based on the area’s needs.

Why were the Nursing Scheduling Clerks were not replaced as they quit?

Because of the timing of resignations – many left in mid-to-late March – the challenge was to balance the needs of the HCCSO to the needs of community, and had to review the vacancies and assess as we were transitioning. In hindsight, we could have been better prepared to fill these vacancies quicker.

Would centralized staffing use any staff from any facility to replace a sick call? The example would be replacing sick call with an available PTNT staff.

We are offering shifts to external staff, outside of program or site, but we have to ensure they are able to do the job, meaning we have to onboard and orient all of the nurses who come in. There is also memorandum of agreement between the employer and MNU, which standardizes the offering of shifts and overtime, which we must follow. This process includes PTNT, and we are in active discussion with the PTNT team on how we can bring them onboard. The limiting step is how to orient them to the work, which we are exploring options for.

Now that there are HCAs that were hired into scheduling positions, will this create a chaotic gap for client care?

No, the hiring of HCAs into scheduling positions should not impact client care. Less than 0.78% of HCAs were hired into scheduling positions – 13 out of 1650 – and we continue to actively recruit DSS.

Why can’t RCs pick up shifts daily vs a 3-week ahead form?

We need some additional context to answer this question – please resubmit through the feedback form with more detail and we will respond.

Have you been monitoring the AUA for any consistency that would show that you need to hire for those specific shifts?

Yes, we are monitoring and assessing on an ongoing basis.

Can processes be implemented to ensure the fair and equitable floating of nurses out of their district area for anticipated and unanticipated coverage of client visits?

Nurses will continue to be assigned based on client need.

The workload of the schedulers is not realistic. We are expected to work as if we were 6 people. There is not enough time to do the essential work. The “care” in Home Care has been completely taken away.  The SCs are working hard and feeling stressed.

We recognize how hard everyone is working while we continue to manage staffing shortages. We are close to being fully staffed, which will improve workflows and the scheduling workload, staff are more evenly distributed now through the 24/7 model.

Can the rotations be set up to be consistent – i.e. straight days? If rotations are consistent and liked, then retention will be high. Was consideration given to having consistent rotations to retain long-term schedulers? Scheduling plays a big role in operations, and this transition has failed due to being short schedulers.

We are committed to continuously accessing the rotations and will make decisions regarding changes based on operational needs and feedback. We recognize how hard everyone is working while we continue to manage staffing shortages. We are close to being fully staffed, which will improve workflows and the scheduling workload.

Is it possible to receive monthly (or at least bi-monthly) reporting on recruitment for vacant HCAs, HSWs and DSNs? There was a recruitment effort a year ago with good results reported, but little information since. Are there any recruitment strategies beyond posting vacancies to the WRHA website?

We can take this way and develop a regular report on vacancies. With regards to recruitment strategies, we have hosted job fairs and engaged with other community areas and groups, like immigration agencies and Red River College Polytech. Some recruitment incentives include: the bridging UHCA program and increased compensation, resulting in an increase in applicants. We also use social media to recruit – through Facebook, LinkedIn and Indeed. We have created recruitment marketing material and promotional material to hand out and it increase community awareness of the program and increase UHCA recruitment. Our nursing vacancy is quite low.

If we have an e-tasks that has been dismissed with no answer/communication from scheduling, who should the CC follow up with?

Follow up with their manager first to discuss the issue, then your manager will connect with the shift supervisor to escalate if necessary.

I’ve been picking up shifts without handing in an added availability form recently due to urgent staffing needs. Staff are reluctant to hand in added availability as we will not know what area of the city we will be working in. I hope our leadership understands that we need to have some control over the areas that we work in, or shifts will not be filled. Is there any plan to change how shifts are picked up?

Yes, we are reviewing the process to make picking up shifts simpler for staff.

What is the training schedule for the new scheduling clerks that started this week? Who is training them? What is the format? 

Newly hired Scheduling Clerks complete two weeks of community scheduling training, which is provided by RC specialists. They also complete three days of nursing skill training by RC specialists. The format for both sections is in-class learning and job shadowing.

Can you staff HCCSO that way the area offices were staffed? If Seven Oaks used to have 12 Scheduling Clerks during the day, then staff 12 at the centralized office.

The staffing levels have been blended in the transition from 8 hours Monday to Friday to 24/7, so we do have the same amount of Scheduling Clerks, but they are spread out over a longer time period to ensure continuity of service. We also have to adjust what area Scheduling Clerks are assigned to to address staffing issues as needed.

An email said the NSC would get 4 days of training. This has not taken place. The SC who were not experienced in nursing got 1 hour of training, which was basically a conversation.

Both existing Nursing Scheduling Clerks who came from community and new hires receive 3 days of in-class training, plus one on one mentorship. If anyone did not receive this/is not scheduled for this, please escalate to your manager

These new SC’s we just hired, it’s going to take months or years for them to learn scheduling. Is there any proactive plan in the meantime?

New Scheduling Clerks will get ongoing mentorship from existing scheduling clerks, and they will have dedicated supervisors with knowledge of scheduling who can support them as they gain more confidence in their roles. Community offices are also supporting this work as staff get oriented to their new positions.

Why are there mistakes in posting new SC positions? There was a posting of days only rotation but it has been taken down. People have applied to that and what is HR’s take on that?

There was an error in a posting and when identified, it was immediately corrected. All of the original 32 SC vacancies have been filled.

When are the PCAs going to take over the clinic client schedulers?

We’re finalizing the process with PCAs, and will be able to share it this summer.

After Hours Nursing used to have baseline of 5 staff: x 2 06:30; x 1 08:00; x 1 11:00 and x1 at 14:30. Since centralization, we have have been working with 2 nurses and NRC assistants who are not on the phones. AHN cannot keep up with the workload safely.  What is the plan to address this?

We have hired 4 0.7s, which should address workload concerns.

There used to be no left-in visits for the After Hours planner, they were cleaned up for the weekend by the community offices, so AHN could focus on the sick calls. I have worked two Saturdays since centralization, and there have been a long list of left in clients from Friday, which is affecting our workload negatively. Can this not be reverted to the previous practice?

The goal is to have no left in visits. We are working on a group page process to ensure nurses see the requests for unfilled shifts that didn’t get captured or filled in AUA. This will come out on Thursdays. We have tried this once and more shifts were picked up, so we hope this process will continue to help address sick calls and in turn workload going forward.

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