A Smart Business Doctor Success Story

A Healthcare Case Study

Healthcare Office Payroll is Out of Control!

The Challenges

Our client has an A.1 reputation in the state for a dementia living facility. There is a waiting list for new  occupants and the morale of the staff is very good.

As our assessment preceded it was quite obvious from the beginning that payroll was out of control. The client wanted to stay with all the positive elements of their Institution and could not figure out how to  bring payroll in line.

The business assessment process identified very quickly that the very high labor cost was tied to job skills.

The Solution

The facility needed to stay open 24/7 but after a deeper analysis it was evident that job skill sets could  be reallocated to different time shifts and cross training would benefit all processes of the facility. 

The client did not realize that they were not taking advantage of the diverse skill sets of their employees. Smart Business Doctor recommended, that by just changing shifts and employees to shorter hours, the same quality work could be given to  their residents.

The client took advantage of Smart Business Doctor recommendations to outsource two meals a day and that cut down on employee hours and cost. 

The Results

After we showed the client the processes that they needed to take place, the morale of management was much improved.

Management was able to see the huge savings after we compared ongoing budgets to previous budgets.

Smart Business Doctor laid out a new training program for employees and their ability to be cross-trained was looked at as beneficial to their career.

"When we considered bringing on Smart Business Doctor for advice, I was not quite sure that we could improve the bottom line at all. I was very worried about employee morale. I did not want to let any  employees go or compromise are good status and great reputation. The management quickly saw issues from a different point of view. We would have never thought of these remedies. We are now able to continue as before, but with a much better profit margin."

Kelly Maryland


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