Successful restructuring: maximizing training dollars

Data regarding the cost of staff training associated with restructuring are scarce and incomplete, with little measurement of how staff performed after training. Effectiveness of staff education efforts are hampered by staff resistance to change, dysfunctional interdisciplinary team work, and existing system "glitches." The key criteria for successful education efforts related to restructuring are: development of measurable desired outcomes of training efforts, determination of solution appropriateness and resource needs, the thoughtful timing of interventions, and a high level of ongoing organizational support. Changes in teamwork effectiveness can be measured by examining variances in quality outcomes, timely and appropriate discharge planning, and resource cost measures such as use of overtime and absenteeism. Recommendations for effective use of training dollars include acknowledging resistance and providing forums which permit time (and a process) for re-education.