Eskenazi Health reports low nursing vacancy rate and new ACT model for mental health care

In the heart of Indianapolis, the Health & Hospital Corporation Board convened on April 16, 2025, to discuss significant advancements in healthcare staffing and quality improvement initiatives. The meeting highlighted the impressive strides made by Eskenazi Health in addressing nursing shortages and enhancing patient care.

A key focus of the discussion was the hiring of 312 nurses this year, with 55% of them being experienced professionals. This achievement is particularly noteworthy as Eskenazi Health boasts a vacancy rate of less than 3.5%, significantly lower than the national average of 9.9%. This success is attributed to a strong nursing culture and a commitment to professional development, which has allowed the organization to rely minimally on temporary staffing solutions during the pandemic.

Dr. Harris, a prominent figure in the meeting, emphasized the importance of recognizing clinical excellence among nurses. Programs such as the nurse extern program and the Noshnaki RN Nurses Residency aim to further develop clinical skills and retain talent, with an impressive 86% retention rate among residency participants. Additionally, a nurse leadership academy is in place to prepare nurses for managerial roles, ensuring a pipeline of capable leaders within the organization.

The meeting also addressed quality improvement efforts, particularly in relation to the new Centers for Medicare & Medicaid Services (CMS) requirements for hospitals serving older adults. Starting this year, hospitals must attest to five key domains of care for patients aged 65 and older, including medication management and frailty screening. Eskenazi Health is well-prepared to meet these requirements, thanks to its established senior care programs.

In a parallel discussion, Dr. Ashley Overly, CEO of the Sandra Espinazzi Mental Health Center, reported on the implementation of a new treatment model called Assertive Community Treatment (ACT). This model is designed to support individuals with severe mental illness, emphasizing high staff-to-patient ratios and continuous care. With the recent approval of reimbursement for these services, the center anticipates an increase in patient capacity and improved treatment outcomes.

As the meeting concluded, the board members expressed optimism about the future of healthcare in Indianapolis, driven by innovative staffing solutions and a commitment to quality care. The discussions underscored a collective effort to enhance health services, ensuring that the community's needs are met with compassion and expertise.