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iSNAP News
Saint Vincent Meets Health Care
Administrative Challenges Head On

Hanford Bay Associates helps to propel Saint Vincent into the 21st century with upgrade from SNAP to  iSNAP

It’s not very often an organization remains loyal for 10-plus years to a technology product, service or company. With technology evolving by leaps and bounds—sometimes over mere months—staying put can mean getting stagnant. But Saint Vincent Health System saw things differently.

“The people at Hanford Bay remain extremely responsive to our needs,” says Mary Manross, an RN with Saint Vincent Patient Care Services Administration, who serves as Saint Vincent’s  iSNAP application specialist. “We have enjoyed a wonderful working relationship since 1992. Hanford Bay listens carefully and allows us considerable input and voice into software design.  If we hadn’t received the expert care and attention we have over the years, we wouldn’t still be working with them. I can’t speak highly enough of the people at Hanford Bay.”

Saint Vincent Health System, located in Erie, Pa., is a multi-faceted network of 26 health care facilities, including a 489-bed teaching hospital, a 32-bed rural hospital in western New York, 16 physician practice sites, six rehabilitation outpatient rehabilitation sites, home care and a free-standing outpatient surgery center.  Saint Vincent provides a variety of health care services including:

  • rehabilitation
  • mental health treatment
  • global health care
  • critical care
  • maternal/child health
  • surgical care
  • cardiac care
  • orthopedics
  • oncology
  • neurology
  • nephrology
  • urology
  • women’s health care
In the Beginning

In 1992, Saint Vincent set out to implement a software system that would primarily assist with scheduling as well as time and attendance processing. The hospital elected to work with Hanford Bay Associates, Ltd. of Amherst, NY. The hospital and the software company worked as a team to implement Hanford Bay’s SNAP solution. SNAP was Hanford Bay’s original Oracle-based product providing hospitals with the technology to generate staff schedules, manage time and attendance information, track benefits and maintain decision support information to meet daily staffing requirements. SNAP fulfilled the hospital’s unique need for decentralized scheduling while allowing for centralized staffing.

When Saint Vincent replaced an existing scheduling package with SNAP 10 years ago, the goal was to streamline administrative activity, reducing leadership’s level of involvement in scheduling and payroll tasks. SNAP was especially beneficial during a re-organization at Saint Vincent when many leaders were asked to assume responsibility for additional departments. In 1996, Saint Vincent looked to benefit further from SNAP by implementing time and attendance data collection and automated payroll features.

With 51 Patient Care Services cost centers, it was crucial for Saint Vincent to address the amount of time spent on scheduling, logging and reporting data and other administrative tasks. SNAP’s ability to address each unit’s uniqueness proved to be critical to a successful implementation. When minor modifications were required, Hanford Bay was able to respond quickly to meet Saint Vincent’s specific needs.

“Our initial implementation of SNAP allowed us to save substantial time developing schedules and producing payroll, as well as many other benefits,” comments Bonnie Prokocki, manager of Patient Care Services Administration. “We went from spending five to eight hours every other week on payroll to only a few minutes each day. This saved us time, but more importantly, we became much more efficient using SNAP. We have more time for our primary tasks directed toward high-quality patient care.”

A Decade Later … From SNAP  to  iSNAP

Saint Vincent implemented the  iSNAP (intuitive Staffing Needs and Planning) solution in July 2002 in their 489-bed health center and is now rolling out  iSNAP into additional facilities.  iSNAP is Hanford Bay’s substantially enhanced Web-based solution, providing comprehensive staff scheduling, planning and management for hospitals, extended care facilities, airports and other human resources intensive and critical delivery environments.

Saint Vincent Health Center and the hospital’s free-standing surgery center are both running live on  iSNAP. Today, more than 1,900 associates are using  iSNAP. Four additional Saint Vincent affiliates will come up by the end of 2003, bringing their total number of users to 2,500. Two affiliate facilities will be added to  iSNAP early next year.

Saint Vincent has also elected to integrate   iSNAPP with Lawson human resources and payroll systems. Basically,  iSNAP works between Lawson’s HR and payroll systems.  Saint Vincent updates  iSNAP with associate schedule information, which is adjusted daily and by shift,  to reflect when the associates actually worked. This ensures that appropriate staffing is maintained, and thereafter used as input for payroll. With the interface, Saint Vincent can import into iSNAP daily demographic information and export bi-weekly schedule information that is then utilized as input to payroll. With this automated, flexible process,  manual time cards are  only a bad memory. The updated  iSNAP data is then validated and passed off to the Lawson system for payroll processing.  

“Our HR/Payroll interface has been a real time saver as well as an efficient time manager,” notes Manross. “We perform daily adjustments for Payroll and, on ‘Payroll Monday,’ each department just makes adjustments for the weekend and then validates the changes. What used to be a six to eight hour job for our 24/7 clinical departments is now only an hour process each Monday, after each  department, depending on size, spends  a few minutes each day for updates. With this powerful combination, we have accurate, up-to-date information readily available throughout our organization.” 

A Jump in Speed and Ease of Use

“While we were happy with SNAP, demands from the hospital required us to look at even faster processing,” notes Manross. “We found iSNAP to be significantly faster in processing payroll, schedules and other administrative functions. We are also very pleased with the reduction in  iSNAP training time. We went from 16 to 20 hours of training users on SNAP to only one to two hours with  iSNAP.  iSNAP is extremely easy to learn and very user friendly.”

In their feedback to administrative managers,  iSNAP users continue to relay positive comments about the significant decrease in payroll processing time. Users can make daily changes for multiple cost centers in minutes. Wrapping up payroll validation is accomplished in less than one hour.

 Staff Involvement, Custom Reporting Remain High Priority

Saint Vincent relies heavily on iSNAP to track time and attendance after the scheduling process. Staff can pull several different types of reports using  iSNAP’s very powerful, user friendly and unique “filters.” Additional detailed reports can be generated using “ad hoc” reports or Crystal Reports, a report writer integrated with   iSNAP.  Soon Saint Vincent will make custom reports available on the  iSNAP menu for access by all users. As Saint Vincent becomes more proficient with Crystal Enterprise, they expect to be able to provide virtually any report that is requested, tailored specifically to the users’ request.

Since implementing  iSNAP, Saint Vincent has moved all data entry to the clerical level. The only involvement by department leaders is to approve the schedule, validate payroll and eventually sign off for the submission of input to Payroll. Saint Vincent does not involve staff-level users for data entry. Staff members are responsible for indicating schedule changes such as sick calls, overtime or arriving late on preprinted “exception logs” that are generated from the  iSNAP schedule. The clerical data entry employee enters those changes into  iSNAP for input to Payroll and tracking purposes. This simplified and straightforward routine allows for more accurate time tracking,  utilizing clerical level employees for data entry, while insuring that staffing needs are also being appropriately met.

For the  iSNAP implementation, Saint Vincent migrated from an HP-UX and Oracle 7 platform to a Windows NT Oracle 8i platform. They also replaced the report writer with Crystal Enterprise Reports.

”From our initial SNAP implementation in 1992 to the additional  iSNAP affiliates we’ll be adding later this year, Hanford Bay has allowed us to maintain our high standard of efficiency as well as our high standard of patient care,” concludes Manross. “Hanford Bay’s exceptional support and technical expertise is highly valued by our entire organization. The system has paid for itself many times over.”    (Document Authored Sept 2002)

   
   

Snap Happy
Streamlined schedules and payroll keep the beat at Saint Vincent
By Heidi Boettcher

As hospitals, clinics and patient care facilities stretch both budgets and staffs, doing more with less has become the norm. Saint Vincent Health System is no exception. Managing staff schedules, payroll information, and patient details is only a portion of Saint Vincent’s daily activity. By streamlining administrative tasks, nurses and other Saint Vincent healthcare professionals can concentrate on delivering quality patient care.

Saint Vincent is a 489-bed Catholic teaching hospital located in Erie, PA. The facility provides a variety of healthcare services, from rehabilitation, mental health and global healthcare to fully equipped trauma and critical care departments. In an effort to continually provide optimum care in the current healthcare environment, a Continuous Improvement (CI) Team evaluated and implemented SNAP (Schedule Nurses & Ancillary Personnel).

Developed by Hanford Bay Associates, Ltd. of Amherst, NY, SNAP is an Oracle-based product, assisting hospitals in producing staff schedules, time and attendance information, benefits tracking and decision support information to meet daily staffing requirements.

Flexibility with SNAP
Initially, Saint Vincent implemented SNAP for its scheduling features, with future plans to utilize its time and attendance capabilities. Hanford Bay’s product fulfilled the facility’s unique need for decentralized scheduling while allowing for centralized staffing. With 51 Patient Service cost centers, it was crucial for Saint Vincent to address the amount of time they were spending on scheduling, logging and reporting data and other administrative tasks. SNAP’s ability to address each unit’s uniqueness proved to be critical to a successful implementation. When minor modifications were required, Hanford Bay was able to respond quickly to meet Saint Vincent’s specific need.

Bonnie Prokocki, a business associate from Patient Services at Saint Vincent, says: "We wanted to reduce the number of leaders involved in the time and attendance process. SNAP allowed clerical and operational associates to become actively involved. We realized we were missing out on a valuable resource by not involving our staff. Additionally, we hoped to give our leaders more time on other projects directed toward enhancing patient care. With SNAP, less leadership involvement is needed and our process is much more automated."

Saint Vincent leaders still provide validation and approval in specific scheduling and payroll issues. The health system has encouraged its staff to be proactive with the scheduling process. "With SNAP, there’s much less room for error," says Kathy Vitale, RN, from Patient Services. "There are so many variants in scheduling – vacation, overtime, weekend and holiday schedules – SNAP makes decisions on each variant and helps us to meet the needs of our staff, while supporting high quality patient care."

In 1993, Saint Vincent replaced an existing scheduling package with SNAP to help streamline administrative activity while reducing leadership’s level of involvement in scheduling and payroll tasks. SNAP was beneficial during necessary reorganization at Saint Vincent because many leaders were asked to assume responsibility for additional departments. In 1996, Saint Vincent looked to benefit further from SNAP by implementing time and attendance data collection and automated payroll features. Currently, more than 1,400 associates are scheduled and paid using the SNAP system. The total will soon be over 2,500 as the non-patient service areas of the health system are added..

_________________________

Streamlined administrative tasks allow nurses and other Saint Vincent healthcare professionals to concentrate on delivering quality patient care.

__________________________

Upgrading to HP performance

With the decision to automate time and attendance using SNAP, Saint Vincent officials chose to upgrade to an HP9000 Model D350 as the SNAP/Oracle Server, assuring faster response time for enterprisewide applications. SNAP, running on the Hewlett-Packard hardware, allows any number of staff members to quickly produce schedules, time-and-attendance records, benefits information and other activity reports, benefits information and other activity reports to meet daily staffing requirements.

Hanford Bay Associates note that most of the sites using SNAP report that the system provides a return-on-investment in only 12 to 18 months. This accomplished by reduction in the time it takes to develop and maintain schedules and collect and submit time-and-attendance data to payroll.

Increased Productivity
"SNAP has reduced the time spent doing schedules by approximately 50%", explains Mary Manross, RN, from Patient Services. "We’re also much more efficient in processing payroll. Before SNAP , our staff dreaded ‘time card Monday’. Now we refer to it as time cardless Monday’. SNAP  allows us to quickly and efficiently manage the time and attendance process. We no longer have the rush and chaos on Monday mornings. Our payroll staff can concentrate on other projects and our nursing staff leadership can concentrate on patient care issues. Productivity has definitely increased."

Prior to implementing the SNAP  system for payroll, the Saint Vincent CI Team recognized the opportunity to clarify and revise existing pay policies. With this accomplished, the policies were programmed to interface with the SNAP  time and attendance records. Consistent application of payroll policies is now assured.

Gretchen Stearns, Saint Vincent payroll associate, notes SNAP ’s ability to automate procedures while significantly reducing errors. "An early indication of the benefits of automating time and attendance with SNAP  was the dramatic reduction in the number of adjustments and exception checks we had to issue for a typical pay period. Removing the manual side of the system has reduced the amount of time we have to spend on rework."

Automation and Much More  
In addition to automating much of its administrative tasks, SNAP  can provide necessary information about staffing trends and vacancies. Leaders at Saint Vincent are able to use this data to support hiring decisions. SNAP  is integrated with the Saint Vincent payroll and human resources system and assists in tracking details about associates. It can also provide daily budgetary information.

Prokocki notes that another key attribute to SNAP  is the system’s ability to determine if an administrative procedure is working or is not working. While planning a mock disaster, an actual disaster occurred in the community. Prokocki was able to extract data for comparison and concluded that the type of skilled staff needed during an actual disaster differed from those originally planned.

Saint Vincent Health Center has worked hard to utilize its administrative computer system to benefit staff and patients alike. SNAP  contributed to that objective.

Heidi Boettcher is a technology writer in Littleton, Colo.

 
As published in Health Informatics, August 1998.
Copyright © August 1998 The McGraw-Hill Companies.  All Rights Reserved.
   

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