Wisn prog perubatan teaching module

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Wisn prog perubatan teaching module

  1. 1. WISNBAHAGIAN PERUBATANJKN PERAK
  2. 2. INTRODUCTION• Objective of workforce planning :To place• Right people• In the right place• At the right time• With the right skills and education• Of the right skills mix
  3. 3. HUMAN RESOURCE MANAGEMENT• Plan the number and type of HRH it requires• Allocate HRH to different health units• Methods :a) Old method : - Population ratio - Fixes staff scheduleb) New method : - WISN• Weakness of old method : Ignore local differences in the amount and type of work that health workers do
  4. 4. WISN• New method based on the actual work that health workers do (workload).• Can be applied to - medical staff - paramedic - non-clinical staffs• Useful : - calculating both current and future HRH requirements. - comparing level of HRH in different areas or health facilities. - Indicates how much work pressure HRH are under
  5. 5. STEPS IN WISN METHODOLOGY1. Set WISN target2. Estimate Available Working Time (AWT)3. Define components of work4. Set activity standards (service standards & allowance standards)5. Calculate standard workloads6. Calculate allowance factors7. Calculate required staff requirement
  6. 6. 1. Set WISN target• Select staff category• Type of facility (hospital, KK, Unit)• Geographic areas (remote KK vs urban KKs)
  7. 7. 2. Estimate Available Working Time(AWT)No Item Days eg1 Working day / week A 52. Working days/year B (Ax 52) 260 (5x 52 )3 Annual leave C 304 Public holidays D 185 Sick leave E 76 Special leave F 07 Working hrs/day G 8 Contoh : AWT = B- (C+D+E+F) days /year 260-(30+18+7+0) =205 =H
  8. 8. CONVERTING AWT TO OTHER UNITS• Days / year = H x 8 hrs = hrs/year = H x 8 x 60 = min/yearContoh 205 working days /year = 205 x8 =1640 hrs/year = 205 x8x60 = 98400min/year
  9. 9. 3. Define work componentsWorkload group Workload componentHealth service activities of all cadregroupsSupport activities of all cadre groupsAdditional activities of certain cadresmembers
  10. 10. 4. Set Activity Standard• Definition: The time it takes a trained and well-motivated member of a particular staff category to perform the action to acceptable professional standards in the circumstances of the country.• Two types of Activity Standards - Service Standards - Allowance Standards• Shown as unit time
  11. 11. Activity StandardHealth service activity Unit timeService standardsCategory allowance factorsIndividual allowance factors
  12. 12. Service StandardsHealth service activity Unit TimeOutpatient consultation min/patientProcedure min/patientWard round min / patientGrand ward round hrs/session
  13. 13. CATEGORY ALLOWANCE STANDARD• For activities that are not reported in annual service statistics Activity Unit time Proportion of AWT QA activity 2 Hrs/ week Eg 2hrs/wk = 2/8x5 = 0.05 CME 1 Hr/week Eg 1 hr/wk = 1/40=0.025 Training (LDP) 7 days /year Eg 7/205 = 0.034 Meeting 2 Hrs / month Eg 2x12/1640= 0.014 Reporting 4 Hrs/week Eg 4 /40 = 0.1 Total CAF/100 0.05+0.025+0.034+0.1= 0.209 Allowance multiplier = __1___ = 1.264 1- 0.209
  14. 14. INDIVIDUAL ALLOWANCE FACTORS• For activities that are not reported in annual service statistics done by selected staffs Activity No of Unit time Proportion of AWT staffs involved Doing returns 1 4 hrs / 4/ (4x40)= 0.025 month Stock checking 2 2 hrs / 2 x 2/(4x40) = 0.025 month Supervision of 1 4 hrs / 4x12/1640 = 0.029 students month
  15. 15. Standard Workloads• Definition : Amount of work (within one activity) that one person could do in a year.• If expressed as unit time for the activity: Std. workload = Available working time in a year Unit time for the activity• If expressed as rate of working: Std. workload = Rate x Available working time in a year
  16. 16. Standard Workloads Staff category : Medical officer AWT in a year = 205 days/ 1640 hrs /98400 minHealth service Unit time or rate of Standard workloadactivity workingOutpatient consultation 10 min/patient 98400/10= 9840 pts/yearProcedure 2 hrs/day 8/2 x 205 = 820 proc/yr Ward rounds 15 min /patient 98400/15 = 6560 pts/yrGrand ward round 1 session/week 52 x1 = 52 grand ward round /year
  17. 17. DETERMINING STAFF REQUIREMENTS• Total staff requirements = (staff required for service activity X staff requirement (CAF) + Staff requirement (IAF)
  18. 18. SAMPLE CALCULATION : MO IN SPECIALIST HOSPITALMEDICAL DEPTWORKLOAD CATEGORY WORKLOAD COMPONENTService activities • Outpatient consultation • Ward rounds • Procedures • Grand ward roundsCategory allowance factors • QA activities • CME • LDP • Meeting • ReportingIndividual allowance factors • Supervision of students
  19. 19. STAFF REQUIREMENT FOR SERVICE ACTIVITY (A) Staff category : Medical officer AWT in a year = 205 days/ 1640 hrs /98400 minHealth service Unit time or Standard Annual work load Staff requirementactivity rate of working workloadOutpatient 10 min/patient 98400/10= 9840 10,000 out pt 10,000/9840=consultation pts/year 1.016Procedure 2 hrs/day 8/2 x 205 = 820 1000 hrs 1000/820 =1.220 hrs /yr Ward rounds 15 min /patient 98400/15 = 6560 6000 inpts 6000/6560= pts/yr 0.915Grand ward round 1 session/week 52 x1 = 52 grand 46 grand ward 46/52 = 0.885 ward round /year roundsStaff requirement based on service activities = 1.016+0.915+1.220+0.885 = 4.036
  20. 20. STAFF REQUIREMENT FOR CAF (B)
  21. 21. STAFF REQUIREMENT BASED ON IAF (C)Activity No of staffs Unit time Proportion of involved AWTSupervision of 1 4 hrs / month 4x12/1640 =students 0.029
  22. 22. TOTAL STAFF REQUIREMENT BASED ON WISN• Total staff requirement = (AXB) +C = (4.036x1.264) +0.029 = 5.130
  23. 23. ANALYSIS & INTEPRETING WISN• WISN difference : difference between current and required staffing levels -ve : shortage +ve : surplus• WISN ratio : current staff/ required staff < 1.0 : high work pressure > 1.0 : low work pressure
  24. 24. EXAMPLE OF ANALYSISSTAFF CATEGORY : MEDICAL OFFICERS IN DISTRICT HOSPITALS OF PERAKDH Current Required WISN Workforce WISN Workload number of number difference problem ratio pressure MO (WISN) A 8 7 +1 Surplus 1.14 None B 6 8 -2 Shortage 0.75 High C 10 7 +3 Surplus 1.43 None D 11 11 0 Balance 1.0 Normal

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