VOL HEALTH™ DIAGNOSTIC LAYER

Workforce Stability Index

Measure how effectively the workforce system absorbs volatility, coverage strain, cost pressure, and pipeline weakness.

Mode
Community / Portfolio
VOL HEALTH™ COMBINED FLOW

Save WSI into the active assessment

Save WSI, then run VI to detect the pressure the workforce is absorbing.

Final recommendations appear after both diagnostic layers are saved and processed.
Workforce Stability Inputs

Staffing Volatility

How choppy is the current schedule? These inputs capture day-to-day instability on the floor.

Financial Exposure

Direct cost impact of volatility, especially overtime and premium labor.

Operational & Compliance Risk

Downstream impacts: PBJ, surveys, and leadership drag from instability.

Workforce Stability (Pipeline)

How strong is the permanent staff pipeline? This is where candidate sourcing moves the needle.

Portfolio Context & Workforce Stability

Enter how many communities fall into each band. The tool converts these distributions into portfolio-wide average values for each WSI metric.

Low band = 2 • Mid band = 6 • High band = 9

Portfolio Staffing Volatility

Metric Low band Mid band High band Total
Open shifts / weekLow: 0–5 • Mid: 6–10 • High: 11+ 20 / 20
% of shifts via agency/PRNLow: 0–25% • Mid: 26–50% • High: 51%+ 20 / 20
Last-minute call-offs / weekLow: 0–2 • Mid: 3–5 • High: 6+ 20 / 20

Financial Exposure (Portfolio)

Metric Low band Mid band High band Total
Monthly OT hoursLow: 0–100 • Mid: 101–250 • High: 251+ 20 / 20
OT premium vs baseLow: 0–25% • Mid: 26–50% • High: 51%+ 20 / 20
Agency/PRN premium vs core staffLow: 0–20% • Mid: 21–40% • High: 41%+ 20 / 20

Operational & Compliance Risk (Portfolio)

Metric Low band Mid band High band Total
PBJ exposure / risk scoreLow: 0–3 • Mid: 4–7 • High: 8–10 20 / 20
Staffing-related survey citations (12 mo)Low: 0 • Mid: 1–2 • High: 3+ 20 / 20
Leadership turnover events (ED/DON/ADON, 12 mo)Low: 0–1 • Mid: 2–3 • High: 4+ 20 / 20

Workforce Stability (Pipeline) — Portfolio

Metric Low band Mid band High band Total
Annual clinical staff turnover rateLow: 0–30% • Mid: 31–60% • High: 61%+ 20 / 20
Open clinical FTE vacanciesLow: 0–1 • Mid: 2–4 • High: 5+ 20 / 20
Average time-to-fill (RN/LVN/CNA)Low: 0–30 d • Mid: 31–60 d • High: 61+ d 20 / 20
Monthly external recruiting spendLow: $0–5k • Mid: $5,001–15k • High: $15k+ 20 / 20
Portfolio WSI Score
Elasticity State
Primary Constraint
Economic Pressure

Workforce Stability & Recoverable Value

The WSI starts from a best realistic workforce baseline, then shows how much added strain is reducing resilience and how much value is still worth capturing.

Identified Recoverable Workforce Value
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This workforce system is being evaluated against a strong real-world baseline, then translated into value that could be recovered through smarter staffing and operating alignment.
Workforce Stability Context
Calculating…
WSI reflects how well the workforce system is absorbing normal operating load before instability turns into drag.
Distance to Baseline
Action Signal
Total Workforce Cost Exposure
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Current modeled labor and instability cost exposure tied to workforce strain.
Immediate Recoverable Value
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Recoverable value available through better workforce alignment, sourcing, and coverage decisions.
Hidden Operational Drag
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Modeled drag coming from vacancies, instability, and inefficient workforce absorption.
Operational Elasticity Health
Calculating...
Score: —

The baseline state is intentionally not theoretical perfection. Like VI, WSI begins from a strong real-world operating baseline, then shows where additional operational strain is pushing the system below baseline or where smart action can move it above baseline into optimized workforce stability.

Key Workforce Drivers

These are the signals currently pushing the workforce system below baseline or limiting recovery headroom.

Primary Constraint
The most visible source of strain in the current WSI profile.
Economic Pressure
Directional read on how expensive this instability is becoming.
Coverage Stability
How resilient daily shift coverage is under disruption.
Workforce Reliability
How dependable the overall workforce system feels right now.
Agency Dependency
How much resilience is currently being rented instead of owned.
Burnout Risk
How likely the schedule is being held together by stretching core staff.

WSI Preview Map

WSI controls the horizontal position. Strong real-world baseline stability begins around 80. Scores below that indicate strain beneath baseline; scores above that indicate optimization headroom converted into stronger workforce resilience.

Current WSI zone
Fragile Workforce
Workforce resilience is currently limited and the system remains vulnerable to coverage instability.

Interpretation

This is the executive story WSI is currently telling from the entered inputs, derived drivers, and modeled exposure.

WSI interpretation will appear here.

Action Framing
Volatility is expensive even when every labor dollar is not directly measured.
WSI clarifies where recovery is most likely to come from first.
Save WSI into the shared session to push this structured context into Notion and downstream recommendations.
Finished with WSI?
Save this WSI assessment, then continue to VI.
Prototype concept for internal discussion and testing. Built by Hudson Keel as a directional framework for assessing workforce absorption capacity in senior living operations. VOL Health™ is a working internal model designed to support workforce stability analysis, volatility interpretation, and strategic response alignment. It does not represent a finalized commercial product.