BI12™ BALANCE INDEX 12™

See Your Workforce Clearly. Plan With Confidence.
A research-informed workforce well-being assessment that helps healthcare leaders understand workforce conditions across twelve evidence-informed domains to support informed planning decisions.
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View Sample Report
12
Domains Measured
4
Balance Tiers
108
Planning Responses
120
Pilot Participants
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 workforce conditions across twelve domains associated with nurse well-being, engagement, and retention. It is a descriptive assessment — not a diagnostic instrument — designed to support leadership planning, not replace clinical judgment or employment decisions.

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 Planning Report

BI12™ follows a structured four-phase process from administration through delivery of a complete workforce planning report.

1
Administer
BI12™ is administered to your nursing workforce. Participation is voluntary. Responses are aggregated at the organizational level.
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2
Score
Responses are scored across all twelve domains. Average domain scores and a composite score are calculated and assigned to Balance Tiers.
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3
Snapshot
A Workforce Snapshot is generated including domain condition profiles, tier summary, and a descriptive narrative for leadership review.
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4
Planning Report
A BP360™ Workforce Planning Report organizes findings into planning focus areas, identifies workforce signal patterns, and provides structured planning guidance.
What You Receive

Every BI12™ Assessment Includes

Every BI12™ assessment produces a full report package delivered to healthcare leadership.

BI12™ Workforce Snapshot✓
A twelve-domain condition profile with composite score, Balance Tier classification, radar chart visualization, and a plain-language narrative summary suitable for leadership and board-level review.
BP360™ Workforce Planning Report✓
Planning focus areas and strengths to preserve, organized by tier. Includes workforce signal pattern detection, practice-informed planning responses across three time horizons (0–30, 30–90, and 90+ days), and leadership discussion questions for each priority domain.
Signal Review Summary✓
The BP360™ Signal Monitor identifies co-occurring workforce conditions appearing simultaneously, naming any active interaction clusters for integrated leadership review. 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 a structured first leadership conversation to consider.
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.

🏥
Acute Care Hospitals
Organizations seeking to understand workforce conditions affecting nurse well-being, engagement, and retention across units and departments.
📋
Nursing Leadership Teams
CNOs and nursing leaders who want structured workforce intelligence to inform retention planning, staffing strategies, and well-being initiatives.
📊
HR and Workforce Planning
Human resources and workforce planning teams building data-informed approaches to nurse workforce strategy and organizational planning.
Research Background

Developed and Evaluated Under IRB Oversight

BI12™ was developed through systematic review of nursing workforce literature and refined through pilot testing with registered nurses in acute care settings. The development process has been conducted under 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 good-to-excellent internal consistency. Two domains identified for item refinement ahead of the next wave — a normal, expected step in early-stage instrument development.
Status
Active research and refinement; factor validation planned for a larger sample
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™ is a developmental assessment currently undergoing ongoing evaluation and refinement
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 a consultation about a BI12™ assessment for your organization. A member of the Wellness Optimization Strategies team will follow up to discuss your organization’s needs and next steps.

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

Contact Information
By submitting this form, you agree to be contacted by Wellness Optimization Strategies, Inc. regarding BI12™ assessment services. Your information will not be shared with third parties.