Register for the Recording: Tackling Turnover

Using a Rapid-Cycle Learning System to Tackle Turnover & Attrition [Webinar]

​Presented December 6, 2022, 1 to 2 pm ET

Presented by two leaders from Duke HomeCare & Hospice: 

  • Cooper Linton
  • Janet Burgess
  • Mike Radtke, from Value Capture, will also be part of the Q&A

See the webinar learning objectives

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Learning Objectives

This session will provide practical tips on how to design systems that produce:

  • Responsive, supportive, effective leaders
  • Empowered, engaged safe employees
  • Better patient and financial outcomes

Duke Home Health (DHH) faced a crisis of nursing turnover, even before COVID hit. Staffing retention is a major issue across all of healthcare -- please join us for this impactful and practical webinar regardless of where you work within the broader healthcare system — home health or otherwise!

Powered by a system-wide quest for zero harm throughout Duke Health, DHH leaders used this philosophy and accompanying principles to identify root causes, then build rapid-cycle learning into improvement and management systems. Investigation revealed poor staff engagement and excessive work-process burdens, leading to significant negative patient impact, referring-customer dissatisfaction, and financial harms.

To resolve these problems, DHH’s rapid-cycle learning system, rooted in the principle of respect, involved:

  • Understanding of current condition
  • Leadership behavior changes to quickly respond to staff needs, remove barriers, and coach problem-solving
  • Tiered-huddle management system to elicit and escalate problems, especially safety problems, and vitally, ensure psychological safety so frontline staff and managers raise issues
  • The willingness to shed traditional leadership methods, to experiment, iterate and be perpetual learners

So far, RN turnover has been reduced from 75% to 18% (annualized rates).

These lessons are transferrable to many different settings, so please attend if you work outside of home care.

Webinar Presenters

Janet Burgess

Janet Burgess

Director Patient Care Services

Janet Burgess is currently the Director for the Home Health Program at Duke HomeCare and Hospice. She has been a Registered Nurse for over 33 years with 28 of those years as a leader in Home and Community Based Care. Janet holds a BS degree in nursing and has completed graduate classes in Business Administration. She has experience in healthcare operations, financial planning, budgeting, project planning, and is certified in Executive Nursing Practice through the American Organization for Nursing Leadership.

Janet believes that as a leader in home health, she plays a part in helping people receive high quality skilled care in their home which is the best place they can be. She is passionate about leading others and helping them achieve and perform at their highest potential.

Janet lives in Durham with her husband and in her free times enjoys traveling and spending time at the beach.

Cooper Linton

Cooper Linton

Associate Vice President, Duke HomeCare & Hospice

Cooper Linton has worked in the healthcare industry for over 20 years with a passionate focus on home and community-based care. His professional background includes strategic planning, healthcare operations, certificate of need, marketing, business development, and healthcare construction. He currently serves as the associate vice president for Duke HomeCare, Duke Hospice, and Duke Home Infusion. Cooper also co-hosts a podcast, Edge of Aging, around healthcare and aging issues.

He has a passion around healthcare access for the medically underserved as well as a desire to enhance access to services for caregivers.

 Mr. Linton holds a Masters in Healthcare Administration and a Masters in Business Administration from the University of Alabama at Birmingham where he also completed his Graduate Certificate in Gerontology. Cooper believes that his greatest “real world” education came through his role as a caregiver while he shared the care-journey of his parents.  When not working, Cooper is happily busy as a husband, father, and an avid outdoorsman.