Pyramid Healthcare Skill Based Pay

Program

WHAT

IS

SKILL

BASED

PAY?

Skill based pay is a compensation program based on employees ability to gain additional

skills or competencies thru training, experience, schooling or demonstrated competency. Unlike

other pay systems such as performance management or time in grade/seniority

compensation systems, skill based pay rewards employees for acquiring additional

competencies that can be utilized by the company to drive performance improvement.

WHERE DID

SKILL

BASED

PAY

COME FROM?

JOURNEYMAN

&

APPRENTICESHIP

PROCESS FROM

ANTIQUITY

PAST

STATE

OF

BHT’S

Turnover/Hirers by Classification 05/06Turnover Turnover% Hirers Hire %

Classification

Administration 16 7.4% 16 7.1%

Marketing 2 0.9% 2 0.9%

Finance 2 0.9%

Purchasing

Human Resources

Maintenance 6 2.8% 2 0.9%

Driver 6 2.8% 9 4.0%

Housekeeping 2 0.9% 3 1.3%

CD Tech/Child Care Worker 107 49.8% 111 49.1%

Counselor 34 15.8% 47 20.8%

Nursing 7 3.3% 9 4.0%

Dietary 14 6.5% 10 4.4%

Facilities Adm 6 2.8% 3 1.3%

Nursing Adm 1 0.5% 1 0.4%

Teacher 11 5.1% 13 5.8%

Partial Counselor

Classroom Aide 1 0.5%

TOTAL 215 100.0% 226 100.0%

Turnover Timeframe by Month from Hire Date FY 05/06Classification >1Month >2Mo's >3Mo's >4Mo's >5Mo's >6Mo's <6Mo's Total %>6 MO's

Administration 2 1 1 1 11 16 33.3%

Marketing 2 1 0.0%

Finance 2 2 0.0%

Purchasing

HR

Maint 1 1 1 3 5 50.0%

Driver 1 1 4 6 20.0%

Housekeep 1 1 2 50.0%

CD Tech/Child Care Worker 21 12 10 5 9 3 47 107 59.7%

Counselor 3 1 1 2 5 24 36 36.4%

Nursing 1 1 5 7 28.6%

Dietary 1 1 3 1 8 14 37.5%

Facilities Adm 1 5 6 0.0%

Nursing Adm 1 1 0.0%

Teacher 1 3 7 11 25.0%

PC

Cl Aide 1 1 0.0%

Total 29 17 19 8 12 11 121 215 43.7%

Turnover Employees by Reason FY 05/06

T0 T1 T2 T3 T4 T5 T6 T7 T8 TT V0 V1 V2 V3 V4 V5 V6 V7 V8 TV %TvsV

ALTOONA

Corp 1 1 1 1 4 4 3 7 57.1%

Altoona 1 1 1 5 2 10 5 1 2 8 125.0%

7th Ave Men's 1 2 3 6 1 1 2 300.0%

HWH 1 1 2 1 2 3 66.7%

Church 1 1 1 0 1 2 50.0%

Prison 0 0 #DIV/0!

Blandburg 1 1 3 3 4 12 2 1 1 5 9 133.3%

Harmony 1 2 4 7 8 1 4 13 53.8%

Brookside 1 1 1 1 2 50.0%

Pine Ridge 2 2 0 #DIV/0!

Belleville 1 2 1 4 2 1 3 133.3%

Pittsburgh Outpatient 1 2 3 8 1 9 33.3%

Ridgeview 1 2 2 11 2 18 11 11 163.6%

Transitions Adult 1 1 3 5 5 1 2 8 62.5%

Foundations 1 1 1 3 2 2 150.0%

Green Tree 1 2 1 12 16 4 1 1 6 266.7%

Bridgeville 1 3 1 1 6 1 1 2 4 150.0%

Ebensburg Outpatient 1 1 1 3 1 1 300.0%

3/4 Way House 0 0 #DIV/0!

Cranberry 2 2 0 #DIV/0!

Delaware County Prison 0 1 2 3 0.0%

Transitions HalfWay House 0 0 #DIV/0!

Woodland Autism 0 1 1 0.0%

Erie Outpatient 0 2 2 0.0%

Quakertown 3 3 4 2 2 1 2 11 27.3%

TOTAL TURNOVER 6 4 16 2 7 22 20 27 108 58 4 4 1 0 4 3 0 33 107 50.2%

TECH SKILL PROGRESSION

Entry Level

Tech 1

Tech 2

Tech 3

Tech 4

(Supervisor)

6 months

1 Year

1 Year

1 Year

$

$

$

$

Tech Population

Adult:– 60 FT– 23 PT – @ 148,720/HR YR

Adol:– 82 FT– 18 PT– @ 189,280/HR YR

– .10 = $33,800.00– .25 = $84,500.00– .50 = $169,000.00

Entry LevelPYRAMID HEALTHCARE SKILL BASED PAYADOLESCENT BEHAVIORAL HEALTHCARE TECHNICIANS PROGRESSIONClassification: Entry LevelTime Frame for Progression: six (6) months to one (1) yearMonetary Reward: Hiring rateCompetencies/Skills to be demonstrated and completed:• Training/Education:• Assessment:• Mental Health Assessment• Transportation:• Client Education:• Client Management• Client Safety• Documentation:• Population specific Skills:• Ethical Issues:• Attains a minimum Global Mastery 90 Day Evaluation Score of 2.3• Attain an overall JCAHO Competency Assessment score of 3.0• Acceptable Attendance/Tardiness• No Disciplinary Written Warnings (1 year enforcement)• Successfully trains in Med Administration

Tech 1PYRAMID HEALTHCARE SKILL BASED PAYADOLESCENT BEHAVIORAL HEALTHCARE TECHNICIANS PROGRESSIONClassification: Technician 1Time Frame for Progression: one (1) yearMonetary Reward: ?Competencies/Skills to be demonstrated and completed:• Entry Level Technician competencies and skills• Attain an overall Global Mastery Assessment score of 2.5• Acceptable Attendance/Tardiness (includes staff meetings)• Med Adm for clients (under supervision)• Documentation maintained at acceptable level Client intake Through searches Client Logs updated Incident Reports

Med Logs• Maintains training/recert schedule to ensure compliance w/o assistance• Actively participates in at least two (2) PI workgroups/program projects • Conducts classes in Activities of Daily Living (ADL)/Recovery based lecturers• No disciplinary Written Warnings (1 year enforcement)

Tech 2PYRAMID HEALTHCARE SKILL BASED PAYADOLESCENT BEHAVIORAL HEALTHCARE TECHNICIANS PROGRESSIONClassification: Technician 2Time Frame for Progression: one (1) yearMonetary Reward: ?Competencies/Skills to be demonstrated and completed:• Technician 1 competencies and skills• Attain an overall Global Mastery Assessment score of 3.0• Acceptable Attendance (includes staff meetings)• Med Adm for clients (under supervision )• Documentation maintained at acceptable level Client intake Through searches Client Logs updated Incident Reports

Med Logs• Conducts Activities of Daily Living (ADL)/Recovery based lecturers• Maintains training/recert schedule to ensure compliance w/o assistance• Actively participates in at least two (2) PI workgroups/program projects• Orients new employees to program & duties (job shadowing participant)• No disciplinary Written Warnings (1 year enforcement)

Tech 3PYRAMID HEALTHCARE SKILL BASED PAYADOLESCENT BEHAVIORAL HEALTHCARE TECHNICIANS PROGRESSIONClassification: Technician 3Time Frame for Progression: one (1) yearMonetary Reward: ?• Competencies/Skills to be demonstrated and completed:• Technician 2 competencies and skills• Attain an overall Global Mastery Assessment score of 3.5• Acceptable Attendance• Supervise Med Adm. during shifts• Documentation maintained at acceptable level• Maintains training/recert schedule to ensure compliance w/o assistance• Actively participates in at least four (4) PI workgroups/program projects and leads two (2)

teams or projects• Assigned partial responsibility to lead shift• Supervise ADL Class satisfaction survey’s• Coaches/mentors new employees to attain acceptable performance• Admitted to Penn State Supv/Managers Cert Program• No disciplinary Written Warnings (1 year enforcement)• Training Classes (train/teach/lead – a training class)

Tech 4PYRAMID HEALTHCARE SKILL BASED PAYADOLESCENT BEHAVIORAL HEALTHCARE TECHNICIANS PROGRESSIONClassification: Technician 4Monetary Reward: ?Competencies/Skills to be demonstrated and completed:• Technician 3 competencies and skills• Attain an overall Global Mastery Assessment score of 3.5• Acceptable Attendance• Supervises Med Adm • Documentation maintained at acceptable level• Maintains training/recert schedule to ensure compliance w/o assistance• Actively participates in at least six (6) PI workgroups/program projects and

leads four (4) teams or projects• Assigned responsibility to lead shift• Coaches/mentors new employees to attain acceptable performance• Admitted to Penn State Supv/Managers Cert Program• No disciplinary Written Warnings (1 year enforcement)

Tech 4 cont.• Supervises Child Care Workers and provides feedback on their

performance. • Communicates with staff either verbally or in written communication

logs. • Assists with interventions with clients. • Assists with intake process with new clients into program. Develops

employee schedule. • Orient new staff to unit, program, and milieu. • Conducts employee performance evaluations. • Assists with employee disciplinary actions. • Helps with upkeep of facility. • Attends shift change and company meetings. • Listens to clients concerning all areas of treatment. • Maintains safe, orderly, and therapeutic physical environment for

clients including crisis intervention. • Evaluates behavioral and emotional needs of clients and provides

input.

CURRENTSTATE

OF BHT’S

Turnover/Hirers by Classification 09/10

Turnover Turnover% Hires Hire %

Classification

Administration 22 11.3% 13 7.0%

Marketing 1 0.5% 1 0.5%

Finance 4 2.1% 5 2.7%

Purchasing 0.0% 0.0%

Human Resources 0.0% 0.0%

Maintenance 4 2.1% 3 1.6%

Driver 14 7.2% 9 4.8%

Housekeeping 2 1.0% 3 1.6%

CD Tech/Child Care Worker 77 39.7% 71 38.2%

Counselor 35 18.0% 47 25.3%

Nursing 15 7.7% 12 6.5%

Dietary 7 3.6% 8 4.3%

Facilities Adm 1 0.5% 1 0.5%

Nursing Adm 2 1.0% 0.0%

Teacher 9 4.6% 10 5.4%

Partial Counselor 0.0% 0.0%

Classroom Aide 1 0.5% 3 1.6%

TOTAL 194 100.0% 186 100.0%

Turnover Timeframe by Month from Hire Date 09/10Classification >1Month >2Mo's >3Mo's >4Mo's >5Mo's >6Mo's <6Mo's Total %>6 MO's

Administration 1 21 22 4.5%

Marketing 1 1 100.0%

Finance 1 3 4 0.0%

Purchasing 0 0.0%

HR 0 0.0%

Maint 1 3 4 25.0%

Driver 2 2 10 14 25.0%

Housekeep 1 1 2 50.0%

BHT 10 4 7 3 3 4 46 77 37.7%

Counselor 1 2 2 2 1 27 35 18.8%

Nursing 5 1 9 15 30.8%

Dietary 1 2 1 3 7 50.0%

Facilities Adm 1 1 0.0%

Nursing Adm 1 1 2 50.0%

Teacher 1 1 7 9 12.5%

PC 0 0.0%

Cl Aide 1 1 0.0%

 

Total 18 6 15 7 9 6 133 194 27.4%

Turnover Employees by Reason 09/10T0 T1 T2 T3 T4 T5 T6 T7 T8 T9 TT V0 V1 V2 V3 V4 V5 V6 V7 V8 TV %TvsV

ALTOONA

Corp 1 1 4 1 3 8 12.5%

Altoona In Patient 2 1 3 2 3 1 4 16 11 1 2 4 3 21 76.2%

Trad 1 1 2 1 1 2 100.0%

Grad 1 1 2 3 1 4 50.0%

Blandburg 1 4 1 2 8 8 4 2 14 57.1%

Pine Ridge 1 1 2 2 1 3 66.7%

Belleville 1 1 3 1 1 5 20.0%

Pittsburgh Outpatient 1 1 2 2 2 100.0%

Ridgeview 1 2 1 1 5 9 9 55.6%

Transitions Adult 5 4 2 3 14 11 1 1 13 107.7%

Foundations 1 1 3 3 33.3%

Green Tree 0 0 #DIV/0!

3/4 Way House Women 1 1 3 3 33.3%

Altoona Outpatient 1 1 2 2 2 100.0%

3/4 Way House Men 0 0 #DIV/0!

Cranberry 0 2 2 0.0%

Delaware County Prison 0 0 #DIV/0!

Transitions HalfWay House 0 0 #DIV/0!

Clearfield Autism 1 1 1 1 100.0%

Erie Outpatient 4 2 6 8 8 75.0%

Quakertown 1 1 1 3 3 9 8 2 3 13 69.2%

Dolminis 0 1 1 0.0%

Huntingdon School 1 1 3 3 33.3%

York Methadone 0 3 3 0.0%

TOTAL TURNOVER 4 2 9 15 5 0 16 1 4 18 74 85 1 2 4 0 10 1 0 17 120 38.1%

Next

SBP PROJECT

“COUNSELOR”

SKILL BASED PAY