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Wisn prog perubatan teaching module Presentation Transcript

  • 1. WISNBAHAGIAN PERUBATANJKN PERAK
  • 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. 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. 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. 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. 1. Set WISN target• Select staff category• Type of facility (hospital, KK, Unit)• Geographic areas (remote KK vs urban KKs)
  • 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. 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. 3. Define work componentsWorkload group Workload componentHealth service activities of all cadregroupsSupport activities of all cadre groupsAdditional activities of certain cadresmembers
  • 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. Activity StandardHealth service activity Unit timeService standardsCategory allowance factorsIndividual allowance factors
  • 12. Service StandardsHealth service activity Unit TimeOutpatient consultation min/patientProcedure min/patientWard round min / patientGrand ward round hrs/session
  • 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. 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. 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. 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. DETERMINING STAFF REQUIREMENTS• Total staff requirements = (staff required for service activity X staff requirement (CAF) + Staff requirement (IAF)
  • 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. 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. STAFF REQUIREMENT FOR CAF (B)
  • 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. TOTAL STAFF REQUIREMENT BASED ON WISN• Total staff requirement = (AXB) +C = (4.036x1.264) +0.029 = 5.130
  • 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. 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