National Daily Hospital Executive Briefing — Thursday, November 13, 2025
Hospital & Health System Workforce Challenges — News, Recommendations, and Case Studies
1) News — The AHA 2025 Health Care Workforce Scan reports that burnout and turnover have decreased for the first time since the pandemic, but shortages persist and workload imbalance continues to drive risk. Nearly 18% of newly licensed registered nurses (RNs) quit the profession within their first year.
https://www.aha.org/system/files/media/file/2024/11/2025-Health-Care-Workforce-Scan.pdf
2) News — A 2025 Laudio–AONL report introduces eight operational metrics (such as missed breaks, overtime, and late clock-outs) to identify nurse burnout earlier and give leaders a practical dashboard for intervention. https://nurse.org/news/laudio-aonl-nurse-burnout-report-2025/
3) Recommendation — Follow examples like Sentara’s deployment of a real-time nursing workload tool across 100 inpatient units to distribute tasks more equitably, reduce burnout, and improve patient care. https://www.aha.org/system/files/media/file/2024/11/2025-Health-Care-Workforce-Scan.pdf
4) News — 2025 workforce-cost analyses estimate the average cost to replace a single RN at just over $61,000 when recruiting, onboarding, and temporary coverage are included. https://www.aag.health/post/hr-in-healthcare-statistics-trends
5) Recommendation — Treat RN turnover as a strategic financial risk: quantify replacement cost per nurse locally, incorporate it into service-line pro formas, and tie leadership incentives to reductions in regretted separations. https://theodoredrew.com/blog/the-silent-emergency-the-story-behind-2025s-healthcare-staffing-shortages/
Hospital Patient Satisfaction / Engagement — Digital Front Door & Integrated Scheduling
1) News — Digital front door strategies in 2025 emphasize a single, consumer-grade entry point for online scheduling, triage, reminders, and payment, helping simplify navigation and boost engagement. https://www.experian.com/blogs/healthcare/how-a-digital-front-door-can-simplify-care-in-2025/
2) Case Study — Recent reports show that adding SMS reminders to traditional outreach can reduce no-shows by more than 14 percent, with 76 percent of patients wanting to manage care digitally and over one-third of younger consumers willing to switch providers for better digital options. https://www.sprypt.com/blog/how-the-digital-front-door-is-transforming-healthcare
3) Recommendation — Build or expand a digital front door that includes online scheduling, configurable triage, insurance capture, and automated reminders to reduce friction for patients and call-center workload for staff. https://seconddoor.app/blog/what-is-a-digital-front-door-in-healthcare
4) Recommendation — Use automation to streamline form fills, reminders, and confirmations so staff can focus on higher-value interactions and complex coordination. https://www.mindbowser.com/digital-front-door-healthcare-evolution/
5) Case Study as Shared Previously — Integrated scheduling and patient engagement platforms guide patients from referral through follow-up, closing gaps between hospital discharge, specialist visits, and imaging appointments. https://www.healthcareittoday.com/2025/05/21/empowering-a-cohesive-patient-journey-with-integrated-scheduling-and-patient-engagement/
Patient Safety / Culture of Safety — News, Recommendations, and Case Studies
1) News — An AHA 2025 report finds hospitals performing at or better than pre-pandemic levels on key safety measures (falls, pressure injuries) while also seeing rebounds in workforce engagement and resilience. https://www.aha.org/guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes
2) News — AHRQ’s 2025 safety-culture summary highlights that providing feedback after leadership walkrounds is associated with better safety culture, higher employee engagement, and lower burnout. https://www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
3) Recommendation — Use the latest Hospital Survey on Patient Safety Culture (HSOPSC 2.0) and pair survey results with structured leadership walkrounds and feedback cycles to target unit-level risks. https://pmc.ncbi.nlm.nih.gov/articles/PMC11844972/
4) Recommendation — Educate leaders that workplace safety culture and patient safety culture are intertwined and must be improved together to sustain gains. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-10984-3
Quality Metrics to Share with Your Team (≤7)
1) Workforce — In 2025, the AHA reports the first post-pandemic decline in burnout and turnover, but cautions that shortages and workload imbalance still threaten workforce stability. Nearly 18% of newly licensed registered nurses (RNs) quit the profession within their first year.
https://www.aha.org/system/files/media/file/2024/11/2025-Health-Care-Workforce-Scan.pdf
2) Workforce Cost — RN turnover now costs U.S. hospitals an average of about $61,110 per nurse, underscoring the financial impact of retention failures. https://www.aag.health/post/hr-in-healthcare-statistics-trends
3) Burnout Signals — Laudio–AONL identified eight operational metrics (for example, missed breaks and late clock-outs) that can be tracked in near real time to flag nurse burnout risk before it results in turnover. https://nurse.org/news/laudio-aonl-nurse-burnout-report-2025/
4) Patient Demand — Surveys show that 76 percent of patients now prefer to manage healthcare digitally, and around 35 percent of younger consumers would switch providers for better digital options. https://www.sprypt.com/blog/how-the-digital-front-door-is-transforming-healthcare
5) No-shows — Digital front door implementations that layer text reminders onto existing outreach have achieved more than a 14 percent reduction in no-shows in some populations. https://www.sprypt.com/blog/how-the-digital-front-door-is-transforming-healthcare
6) Safety Culture — AHA’s 2025 analysis shows hospitals meeting or beating pre-pandemic performance on falls and pressure injuries while millions of patients report better care experiences. https://www.aha.org/guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes
7) Culture & Burnout Link — AHRQ and allied work confirm that stronger safety culture and consistent leadership walkrounds with feedback are associated with higher staff engagement and lower burnout. https://www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
Leadership Call to Action (≤5)
1) Stand up a quarterly workforce-risk review using AHA’s 2025 Workforce Scan as a benchmark, and track local burnout, turnover, and vacancy trends by unit. https://www.aha.org/system/files/media/file/2024/11/2025-Health-Care-Workforce-Scan.pdf
2) Implement operational burnout metrics and dashboards (for example, Laudio–AONL’s eight measures) so nurse leaders can act on early-warning signs instead of waiting for exit interviews. https://nurse.org/news/laudio-aonl-nurse-burnout-report-2025/
3) Launch a 90-day digital front door pilot in one high-impact service line (primary care, urgent care, imaging) with online scheduling, SMS reminders, and self-service insurance capture, then measure no-shows and call-center volume. https://www.experian.com/blogs/healthcare/how-a-digital-front-door-can-simplify-care-in-2025/
4) Refresh your safety culture baseline using HSOPSC 2.0 and align targeted leadership walkrounds, feedback, and local action plans to the survey’s weakest domains. https://pmc.ncbi.nlm.nih.gov/articles/PMC11844972/
5) Integrate scheduling and engagement platforms across hospital and ambulatory settings so that discharge, follow-up appointments, and reminders are coordinated as a single patient journey. https://www.healthcareittoday.com/2025/05/21/empowering-a-cohesive-patient-journey-with-integrated-scheduling-and-patient-engagement/
National Daily Hospital News
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