LeeHealth is the largest public health system in the state of Florida, serving Lee County and the surrounding areas. With over 14,000 employees and 1,800 beds, the nonprofit system engages with more than 2 million patients each year through its four acute care hospitals, two specialty hospitals, multiple skilled nursing facilities, outpatient centers, and walk-in clinics. Like many health care systems, Lee Health has persistent and acute challenges within its talent pipeline, especially among frontline staff. In nearly all hospitals, some patients require more monitoring and support than clinical staff can provide. These patients may be at risk of falling, struggle with confusion or agitation, or be at risk of harming themselves or others. The system had been exploring moving to virtual monitoring and observation for years, shifting the “safety tech” role from in-person to virtual. Lee Health needed a unified system that could enable quick decisions, comprehensive information, and, especially, clear communications between safety techs and clinical staff. After safely piloting the virtual safety tech role, employees are now observing patients in all four acute care facilities. The program has resulted in improved job quality for techs and cost savings for the system. Supported by effective upskilling and thoughtful implementation, Lee Health realized financial benefits and created new capacity to support patients and clinical staff.

HCAP Partners – a fund providing debt and equity growth capital to lower-middle market companies – has developed this operational impact approach to assess job quality standards and improvements in portfolio companies through a quantitative measurement system. HCAP has identified five key attributes of job quality that fall within the categories of economic opportunity and health and wellness. HCAP engages with businesses to collect data, develop a baseline assessment, and build a strategic roadmap to implement and improve workplace initiatives for creating and maintaining high quality jobs. While this bespoke measurement system is designed to meet HCAP’s needs, other investors, lenders, and practitioners who work with businesses to improve job quality may find HCAP’s job quality definition and measurement framework useful in developing their own tools.

In this event, Zeynep Ton, author of “The Case for Good Jobs: How Great Companies Bring Dignity, Pay, and Meaning to Everyone’s Work,” discusses the components of a “good jobs” system, which ensures a living wage, dignity, and opportunities for growth to employees, and helps to foster shared success for both workers and organizations. Ton — a professor at MIT’s Sloan School of Management and president and co-founder of the Good Jobs Institute — explores the benefits of this approach; the disadvantages of low-paying and high-turnover jobs; how labor investments can pay for themselves; the obstacles to creating a good jobs system; and how leaders can break free and overcome these challenges to create good jobs.

In this event, Rick Wartzman, author of “Still Broke: Walmart’s Remarkable Transformation and the Limits of Socially Conscious Capitalism,” considers the experience and history of Walmart moving toward a more conscious capitalism and the recent efforts the company has made to provide higher wages and better benefits and opportunities for its employees. Wartzman raises important questions about how much an individual company can do on its own to improve the quality of jobs and people’s ability to earn a living through their work; the degree to which business imperatives encourage companies to improve jobs and when those incentives conflict with that goal; and whether public sector action, through either labor market regulation or the provision of social supports, needs to be strengthened to ensure that work in today’s economy is contributing to an inclusive economy in which all can thrive.

In this event, panelists discuss the promise of work-based learning. When designed well, work-based learning provides a number of benefits to workers and businesses. Approaches such as apprenticeship, on-the-job training, and other forms of employer-sponsored training can offer workers the opportunity for upward mobility and the chance to earn and learn at the same time, while employers gain a more engaged and skilled workforce.

The Hartford has a large workers’ compensation business, ranked 2nd in the nation based on direct written premiums. Workers’ compensation is insurance that provides coverage in the form of cash payments or medical care for workers who are injured on the job. Recently, the company discovered that a significant proportion of claims that were made through the workers’ compensation department were relatively simple claims, referred to as “medical only,” that required only coverage for medications or medical care and not more complex areas such as lost wages or time off work. Medical-only also includes claims that do not require any significant medical intervention or service, as well as claims where the treatment was completed before the claim was filed. This area represented a prime opportunity for automation, where work previously done by a claim administrator would instead be automated using custom-built computer algorithms, freeing up staff members to do more complex work. They determined that some medical-only claims processes could be automated, eliminating multiple human touchpoints without sacrificing compliance or customer outcomes. As with other automation efforts, AI often creates significant financial returns and efficiency gains, giving work previously done by humans to a machine. Unlike many automation efforts, though, The Hartford did not find savings through eliminating workforce. Rather, they took the opportunity created by the automation and reformed roles to fill different business needs, enabling the entire workers’ compensation department to handle more, more efficiently.

This issue brief reviews the history and current state of job design, highlights the benefits workers and businesses receive when jobs are designed with worker well-being in mind, and notes emerging issues and practices in job design related to technology, work-based learning, and employee ownership. We hope this brief sparks new thinking and conversations about how we can all encourage and contribute to designing work and workplaces that promote quality jobs.

This piece draws a line between investment in climate infrastructure and the opportunity to invest in good jobs, achieving climate goals by investing in workers, families, and communities.

This piece features video excerpts from interviews with the Colorado Department of Labor and Employment Northwest Workforce Area, as well as Carpet One Floor and Home, to hear about their partnership in a small business advising pilot aiming to improve job quality.

This publication compiles seven lessons for small business prospecting, recruitment, and ongoing engagement. The lessons outlined in this tool are based on our experience working with Pacific Community Ventures and workforce partners to conduct job quality-focused business advising pilots with small businesses across the country. Although there is no one-size-fits-all approach to developing relationships with employers, we have found that asking lots of questions and tailoring engagement to the local context is key.