Facilities Staffing Requirements for the Veterans Health Administration–Resource Planning and Methodology for the Future (2020) / Chapter Skim
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5 Design, Implementation, and Sustainability of the VHA Facilities Management (Engineering) Staffing Model
5 Design, Implementation, and Sustainability of the VHA Facilities Management (Engineering) Staffing Model
Pages 67-82
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From page 67... ...
Although the numbers generated by the staffing model justify and quantify, the actual staffing plan each medical center director approves will ultimately be a balance of risk versus resources as he or she apply his or her expert management judgment to the model output. The following three steps are necessary to ensure the success of this staffing model: the appropriate design of the model, the organization's support to implement the model, and the leadership commitment to sustain the model.
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From page 68... ...
in overseeing the VHA Engineering Staffing Model annual reviews. Subject-Matter Expert Task Force The committee heard from successful staffing modeling efforts such as the VHA Nursing Staffing Model and the VHA Safety and Occupational Health models, as well as National Academies of Sciences, Engineering, and Medicine committee findings on staffing models for other Facilities Management (Engineering)
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From page 69... ...
the model, as well as the parameters, thresholds, and recommended staffing variances in the initial model. The Facilities Management (Engineering)
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From page 70... ...
subject-matter experts with significant experience within each of the three functions for the initial design of the VHA Facilities Management (Engineering) Staffing Model.
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From page 71... ...
The design process starts with the SME task force developing an "initial model" based on workload estimates that lead to baseline staffing levels, and staffing variances that reflect key ways in which Facilities Management (Engineering) workload varies across Veterans Administration Medical Centers (VAMCs)
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From page 72... ...
operations across VHA and improve the accuracy of the VHA Engineering Staffing Model over time. RECOMMENDATION 5.4: The Veterans Health Administration subject-matter expert task force should document areas of data quality gaps, enhancements, or suggested corrections; observations for potential Facilities Management (Engineering)
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From page 73... ...
With support from the medical center directors and CEFAC, the SME task force should then use a coordinated review process to have all medical center directors and chief engineers vet the initial model. This coordinated review should include a few examples of actual VAMC Engineering Staffing Model outputs.
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From page 74... ...
IMPLEMENTATION PROCESS AND SUSTAINMENT CYCLE Organizational Support and Leadership Commitment Successful implementation and sustainment of the VHA Facilities Management (Engineering) Staffing Model hinge on the organization's support of and leadership commitment to the model and the subsequent changes it will drive.
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From page 75... ...
staffing requirement at each VAMC, those figures should be aggregated at the department level without losing fidelity of function and location to support the department's budget request to Congress. In order for the model to retain relevancy, there should be an audit trail of this aggregated model output, the percentage of funding requested by the department of the aggregated output and then the percentage of funding appropriated by Congress for the VHA Facilities Management (Engineering)
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From page 76... ...
Last, this staffing model should not compete with infrastructure investment but rather be balanced with the infrastructure investment to ensure its successful implementation. RECOMMENDATION 5.7: The Veterans Health Administration (VHA)
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From page 77... ...
Staffing Model can help medical center directors adequately address risks to timely, safe health-care delivery based on the unique infrastructure requirements of their medical centers. The timing of the staffing model review should occur annually in time to provide defensible requirements to support the budget request to Congress.
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From page 78... ...
The implementation should be done in appropriate phases at each Veterans Adminis tration Medical Center so that results of the early implementers can be evaluated in the annual review. VHA Key Staff Key VHA employees will be involved in the design, coordinated review, implementation, and sustainment of the staffing model, most notably the chief engineers and the SME task force, including participation by "operators." They also have a responsibility to support the effective communication of the model through its design and implementation stages.
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From page 79... ...
The output of an infrastructure investment strategy could also be a key factor in the annual review of the VHA Facilities Management (Engineering) Staffing Model in the context of how it may inform, with longer lead time,
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From page 80... ...
Staffing Model. The better the data, the more equipped leaders at every level will be for decision-making.
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From page 81... ...
The model not only assists the medical center director in prioritizing staffing requirements and managing risk, but it also supports the department's budget request to Congress. This chapter provides a notional set of implementation and sustainment tasks set in the context of the fiscal year so as to directly inform budget decisions at the medical center level as the timing of the annual budget requests to Congress.
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From page 82... ...
VHA is on the right track to aggressively seek a new and appropriate Facilities Management (Engineering) Staffing Model.
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