How Employee Engagement Matters for Hospital Performance

Managers increasingly understand that employee engagement is a prerequisite for high performance. This article examines how job, work environment, management and organizational factors influence levels of engagement among healthcare employees. Original data come from the Ontario Hospital Association-NRC Picker Employee Experience Survey, involving over 10,000 employees in 16 Ontario hospitals. The article provides a clear definition and measure of engagement relevant to healthcare. In addition to identifying the main drivers of engagement, findings shows that a high level of employee engagement is related to retention, patient-centred care, patient safety culture and employees’ positive assessments of the quality of care or services provided by their team. Implications of these findings for healthcare leaders are briefly considered.
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Using common work environment metrics to improve performance in healthcare organizations

This article proposes a comprehensive framework for assessing, reporting and improving the quality of work environments in healthcare organizations across Canada. Healthy work environments (HWE) contribute to positive outcomes for healthcare employees and physicians. The same HWE ingredients also can reduce operating costs, improve human resource utilization, and ultimately lead to higher quality patient care. We show how health system employers, governments, quality agencies and other stakeholders can implement effective HWE metrics. The common reporting framework and metrics we propose will enable managers and policy makers to use HWE ingredients as levers to improve organizational performance. Progress requires the active involvement of stakeholders in developing common metrics, integrating these into existing measurement and reporting systems, building in managerial accountability for work environment quality, and supporting on-going improvements at the front-lines of care and service delivery.
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