BI12™ BALANCE INDEX 12™

Understand Your Workforce's Wellness. Lead With Clarity.
BI12™ provides healthcare organizations with evidence-informed information about workforce well-being across twelve domains, helping leadership understand conditions and consider informed next steps.
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View Sample Report
12
Domains Measured
4
Balance Tiers
108
Planning Strategies
120
Registered Nurses
IRB Exempt Determination · Advarra Pro00089696

Behind every workforce metric are the nurses who care for patients every day. BI12™ helps healthcare leaders better understand the conditions that shape that workforce.

BI12™

Twelve Domains of Nurse Workforce Well-Being

BI12™ measures nurse workforce conditions across twelve evidence-informed domains associated with workforce well-being, engagement, and retention. It is a descriptive organizational assessment designed to support leadership planning and workforce improvement. BI12™ is not a diagnostic instrument and is not intended for clinical diagnosis, individual employment decisions, or predictive modeling.

Organizational Conditions
01
Staffing
02
Compensation
03
Organizational Support
04
Leadership
Workforce Experience
05
Exhaustion
06
Work-Life Balance
07
Job Satisfaction
08
Engagement
Professional Environment
09
Team Cohesion
10
Growth & Development
11
Psychological Safety
12
Autonomy

Each domain is scored on a 1.00–4.00 scale and assigned to one of four Balance Tiers, organizing findings into planning-ready categories for leadership review.

Tier 1 · Strength
3.50 – 4.00
Tier 2 · Stable
2.75 – 3.49
Tier 3 · Monitor
2.25 – 2.74
Tier 4 · Priority Review
1.00 – 2.24
How BI12™ Works

From Assessment to Organizational Planning

BI12™ follows a structured four-phase process that moves from confidential assessment administration to organizational interpretation and practical planning guidance.

1
Administer
BI12™ is administered confidentially to your nursing workforce. Participation is voluntary, and findings are reported only in aggregate at the organizational level.
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2
Score
Responses are summarized across all twelve domains. Domain scores, a composite score, and Balance Tier classifications provide a structured view of organizational workforce conditions.
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3
Workforce Snapshot
A BI12™ Workforce Snapshot presents the domain condition profile, tier summary, and descriptive narrative to support informed leadership discussion.
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4
Planning Report
The BP360™ Workforce Planning Report interprets these wellness findings, identifying workforce well-being priorities and areas of organizational strength for leadership consideration.
What You Receive

Your BI12™ Workforce Wellness Information Package

Every BI12™ engagement includes a complete executive reporting package designed to help healthcare leaders understand workforce conditions and support organizational planning.

BI12™ Workforce Snapshot✓
A comprehensive organizational workforce profile with twelve domain scores, a composite score, Balance Tier classifications, a radar-chart visualization, and a plain-language narrative for leadership and board-level review.
BP360™ Workforce Planning Report✓
Prioritized planning focus areas and strengths to preserve, supported by interpretation of relevant workforce patterns, evidence-informed planning strategies across three time horizons (0–30, 30–90, and 90+ days), and leadership discussion questions.
Signal Review Summary✓
A structured review of co-occurring workforce conditions and relevant interaction patterns for integrated leadership consideration. This is descriptive pattern recognition, not predictive modeling.
Executive Summary✓
A one-page printable executive brief identifying the primary planning priority, greatest organizational strength, most connected workforce pattern, and recommended leadership discussion points.
Sample Workforce Snapshot
Domain Condition Profile (1.00–4.00 scale)
StaffingExhaustionWork-LifeCompensationOrg SupportLeadershipEngagementTeamPsych SafetyJob SatGrowthAutonomy
ILLUSTRATIVE SAMPLE · NOT REAL DATA
Who BI12™ Is For

Designed for Healthcare Leadership Teams

BI12™ is intended for healthcare organizations seeking a structured, evidence-informed approach to understanding nurse workforce conditions and supporting informed organizational planning.

🏥
Acute Care Hospitals
Hospitals seeking to understand workforce conditions across units and departments and incorporate findings into strategic workforce planning.
📋
Nursing Leadership Teams
Chief nursing officers, nursing executives, and leadership teams seeking structured workforce insight to inform retention planning, staffing strategies, and workforce well-being initiatives.
📊
HR and Workforce Planning
Human resources, workforce planning, and organizational development teams building data-informed approaches to nurse workforce strategy and long-term organizational planning.
Why Organizations Use BI12™

Understand Earlier. Plan More Intentionally.

Organizations often recognize workforce problems after turnover, burnout, or disengagement have already affected operations. BI12™ helps leaders understand workforce conditions earlier, supporting more informed planning before challenges become more difficult to address.

Understand Workforce Conditions
Develop an integrated view across twelve evidence-informed domains rather than relying on isolated workforce metrics.
Support Wellness-Informed Planning
Use structured organizational insights to guide leadership discussion, priority setting, and workforce improvement planning.
Identify Priorities Earlier
Recognize organizational strengths and planning priorities before workforce challenges become more difficult to address.
Research Foundation

Research-Informed Development and Evaluation

BI12™ was developed through a systematic review of the nurse workforce literature and refined through pilot evaluation with registered nurses in acute care settings. Its development reflects an evidence-informed process that combines research, pilot testing, and ongoing instrument refinement under appropriate IRB oversight.

IRB Status
Exempt Determination · Advarra Pro00089696
Pilot Wave 1
N = 120 frontline registered nurses in acute care settings
Reliability
Evaluated across all twelve domains (McDonald's omega); eight of twelve show acceptable-to-strong internal consistency. Two domains identified for item refinement ahead of the next wave — a normal, expected step in early-stage instrument development.
Status
Ongoing evaluation and refinement; additional psychometric evaluation planned as larger datasets become available.
BI12™ Provides
Descriptive workforce indicators and Balance Tier classifications for leadership planning
Not Intended For
Individual employment decisions, clinical diagnosis, or predictive workforce modeling
Data Use
All BI12™ results are reported as organizational aggregates, never at the individual level
Development Status
BI12™ follows a continuous improvement approach. As additional organizational data become available, the assessment will continue to undergo evaluation and refinement to strengthen its measurement properties and practical usefulness.
ETHICAL USE STATEMENT
BI12™ is a workforce planning tool, not a diagnostic instrument. It does not diagnose individuals, establish clinical conditions, determine root causes, predict outcomes, or serve as the basis for individual employment decisions.
Schedule a Consultation

Schedule a BI12™ Consultation

Complete the form below to schedule an introductory consultation. We’ll learn about your organization, discuss your workforce planning goals, and determine whether BI12™ is the right fit for your needs.

Ready to better understand your nursing workforce? Let’s begin with a conversation about your organization’s goals.

Introductory consultations typically last approximately 30–45 minutes.

Contact Information
By submitting this form, you agree to be contacted by Wellness Optimization Strategies, Inc. regarding BI12™ assessment services. Your information will be used only to respond to your inquiry and discuss BI12™ assessment services. It will not be sold or shared with third parties.