Promoting Health Systems Through Improved Staffing Practices

The Los Angeles County Department of Health Services (DHS) has an annual operating budget of more than $4 billion and 670,000 unique patients a year, most of whom are low income. The agency employs 22,000 full-time staff and 8,000 contractors, which presents a number of challenges.  

To meet the demands of this vast and complex workforce, FUSE Fellow Nichelle Toomire will create a methodology and a data dashboard that provides insight into the use and cost of contract staff compared to full-time county employees. These efforts will allow DHS to identify the actual costs and benefits of using contract staff, realize much needed cost savings, and put in place a system-wide, sustainable, and evidence-based approach to managing labor use.