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Journal of Medical Systems

, Volume 11, Issue 5, pp 319–330 | Cite as

A model to determine staff levels, cost, and productivity of hospital units

  • Walton M. Hancock
  • Stephen M. Pollock
  • Myeng-Ki Kim
Articles

Abstract

A methodology is presented with examples of the productivity, the staffing required, the resultant productivity, and costs that can be obtained for hospital units that are subject to random work demands such as laboratory, radiology, physical therapy, and nuclear medicine. The methodology assumes that the hospital has a labor productivity system that produces the RVUs or earned hours of work accomplished daily by shift. Factors considered are the distribution of the capabilities of the work force, the fatigue and delay allowances of the work standards, the quality of the work standards, the maximum amount of overtime that people will be asked to work, staffing policies such as constant or different staffing levels for each day of the week, and worker selection processes. Predicted results are compared with present practice, which indicates that substantial cost reductions can occur with the use of the methodology.

Keywords

Fatigue Productivity System Physical Therapy Labor Productivity Cost Reduction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Aberg, U., and Hancock, W.M.,Design Criteria of Predetermined Times Systems, International MTM Directorate, Stockholm, Sweden, 1968.Google Scholar
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    Barnes, R.M., Motion and time study.Design and Measurement of Work, Wiley, New York, 1963, 5th ed., p. 344.Google Scholar
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    Karger, D.W., and Hancock, W.M.,Advanced Work Measurement, Industrial Press, New York. 1982.Google Scholar
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    Lindner, C., and Hancock, W.M.,Computerized work measurement can help hospitals identify cost reduction possibilities. J. Industr. Eng. March: 70–76, 1985.Google Scholar
  5. 5.
    Hancock, W.M., and Chan, T.J., Productivity and staffing of hospital units where the demand for services is variable.IIE Trans. Accepted for publication.Google Scholar
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    Mundel, M.E.,Motion and Time Study, Prentice-Hall, Englewood Cliffs, New Jersey, 1950, 4th ed., pp. 304–305.Google Scholar

Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • Walton M. Hancock
    • 1
  • Stephen M. Pollock
    • 1
  • Myeng-Ki Kim
    • 1
  1. 1.From the Industrial and Operations Engineering DepartmentUniversity of MichiganUSA

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