Compounding this problem, PPMH had a situation where every floor would call the staffing agency of their choice to fill their open shifts.
As a member of the Georgia Hospital Association (GHA), PPMH was invited along with other member healthcare organizations to a scheduled demonstration and question period for one of their GHA-approved shift bidding vendors, BidShift Inc.
According to Marthone, PPMH's goals when first meeting with BidShift included creating a mechanism to communicate needs, keeping the staff working onsite rather than going to an agency for work elsewhere and finding a better way to manage the pro re nata (PRN) pool (as necessary or when circumstances require a pool).
The next step was bringing the vendor representative to PPMH to confer with the senior executive team and nursing leadership two weeks later.
Once Marthone became the official project manager, she enlisted PPMH's staffing office clerk as a second system administrator.
Marketing was a big part of the implementation for PPMH, as they wanted to make sure that everyone felt and saw a sense of order, logic and ownership of the process.
In 2001, the PPMH board directed the CEO and senior staff to "fix the detox problem." Programming had been funded partially by the state with the expectation that communities also would provide funding.
Funding was in jeopardy, and the board did not want to increase dependence on PPMH's foundation dollars because detox operations were accumulating net losses of close to $1 million per annum.
* a belief in the community that PPMH was fiscally responsible for substance abuse care for the community as a whole, and allocated dollars should be managed more effectively.
Without additional financial commitments, PPMH had to significantly reduce capacity from 24 to 8 detox beds in June 2001 and change programming from a modified medical detox program to a social detox program.
PPMH recognized it had the community's attention and hired a respected local consultant to initiate a task force to clear the air and develop community solutions.