VOL HEALTH™ DIAGNOSTIC LAYER

Workforce Stability Index

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

Step 1

VI — Detect Identify extra volatility forming inside the building or portfolio above the normal endemic baseline.

Step 2

WSI — Measure Test whether the workforce system can absorb volatility, coverage strain, pipeline weakness, and cost pressure.

Step 3

SHAI — Align Recommend the right operational response before instability spreads.

Step 4

Map — Visualize Visualize the pattern of pressure across your community or portfolio and the path toward managed stability.

Mode

Single Community Portfolio View

Community / Portfolio

Navigation

Go to VI Return to Platform

Workforce Stability Snapshot

Adjust the inputs below to see how staffing volatility, financial exposure, operational risk, and workforce pipeline strength roll up into a single Workforce Stability Index and economic view.

Staffing Volatility

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

Open shifts per week 0–50

% of shifts covered by agency/PRN 0–100%

Last-minute call-offs per week 0–20

When coverage gaps occur, what most often happens?

Financial Exposure

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

Monthly overtime hours 0–500

Overtime premium (% above base) 0–100%

Agency/PRN premium (% vs core staff) 0–100%

Operational & Compliance Risk

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

PBJ exposure / risk score 0–10 (10 = high risk)

Survey citations related to staffing (last 12 mo) 0–10

Leadership turnover events (ED/DON/ADON, last 12 mo) 0–10

Workforce Stability (Pipeline)

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

Annual clinical staff turnover rate 0–100%

Open clinical FTE vacancies 0–20

Average time-to-fill for key roles (RN/LVN/CNA) 0–120 days

Monthly external recruiting spend $0–$50,000

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.

Total communities in this portfolio for row validation

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

Portfolio Staffing Volatility

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

Financial Exposure (Portfolio)

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

Operational & Compliance Risk (Portfolio)

Metric	Low band	Mid band	High band	Total
PBJ exposure / risk score Low: 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 rate Low: 0–30% • Mid: 31–60% • High: 61%+				20 / 20
Open clinical FTE vacancies Low: 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 spend Low: $0–5k • Mid: $5,001–15k • High: $15k+				20 / 20

Portfolio WSI Score

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Elasticity State

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Primary Constraint

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Economic Pressure

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Band definitions are directional. The model converts these distributions into portfolio-wide average values for each metric.

Go to VI Return to Platform

Stability Index & Economics

This summarizes the current state of the workforce and the modeled economic impact of volatility and pipeline weakness.

Baseline Workforce Stability Capacity (0–95)

– Calculating…

Estimated Annual Volatility Cost

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Stabilizable Upside (StaffHealth + Verified)

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Workforce Drag Cost (Pipeline Weakness)

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Operational Elasticity Health

Calculating...

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Elasticity Score: —

Once WSI is saved, the platform page can plot the real Stability Map point when VI is also present.

Go to VI Return to Platform

Dollar figures are modeled estimates to frame the economic story. Assumptions (e.g., max volatility impact, stabilizable percentage) can be tuned with your PE / finance partners.

Candidate Sourcing Scenario

Illustrative view of how targeted candidate sourcing strengthens the core workforce and stabilizes downstream operations.

With Candidate Sourcing Activated

Metric	Current	With Sourcing	Delta
Stability Index	–	–	–
Annual Volatility Cost	–	–	–
Workforce Drag Cost	–	–	–

Assumes candidate sourcing improves pipeline health first, then secondarily reduces open shifts, call-offs, overtime, and overreliance on reactive coverage.

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.