Dr Samir Sawlissawli@sidra.org
• Process•1.Resources                 Staff          Communication              Management           Is Key               ...
1. Resources                        Automated non Bias                             ScheduleSatisfaction            Ability...
   Provides automated 4-6 weeks schedule    applying organizational policies   Provides electronic tracking of staff tre...
•Resources                                         • 2. Process                Staff         Communication             Man...
2.Process                  Communication                               gap     Most sentimental                   Break In...
•Route the                 Prevent                          message to the                  Errors                        ...
   An infra structure to interface communication    and messaging tools like Vocera/Conexall   Routing of alarms and pat...
•Resources                                          • Process                  Staff         Communication               M...
. 3. Outcomes        Prevent                         Errors     Are we                       Tracking of  Maintainingconti...
Tracking   •   Who is on-duty                                  •Route theSchedulingSystem+             Routing        staf...
   Continuity of care through assigning the    same nurse to the same patient when    applicable   Management of staff c...
• 1. Check staff Attendance Call Unit    • 2. Identify no show              • 3. Start calling possible replacement    Fin...
System                                ConfirmReceive alert     suggests                              replacement          ...
• Process•Resources                Staff         Communication             Management          Is Key             Prevent ...
. Achieve the Balance          To satisfy accreditation standards          • Report on adequate/inadequate                ...
   Paperless   Automated schedule   Flexible swap and rescheduling option for staff   Driven by patient acuity and wor...
Define your requirements (Research, consultant, workflows) Scan the market KLAS RESEARCH REPORT Issue RFI See on-line...
   Gather empowered implementation team   Consult experienced experts   Work with the vendor   Plan deliverables and t...
Staffing and scheduling in health care
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Staffing and scheduling in health care

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  • Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  • Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  • Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  • Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  • Staffing and scheduling in health care

    1. 1. Dr Samir Sawlissawli@sidra.org
    2. 2. • Process•1.Resources Staff Communication Management Is Key Staff Satisfaction Prevent Errors Management Contuity of care Efficiency• Outcomes • Achieve the Balance
    3. 3. 1. Resources Automated non Bias ScheduleSatisfaction Ability to swap and request time off WorkaholicOverwork contribute to sentimental events Under work Unfair distribution of Overtime
    4. 4.  Provides automated 4-6 weeks schedule applying organizational policies Provides electronic tracking of staff trends Enforces organizational policies example no day shift after night shift Provides the tools to offer fair distribution of overtime and rotation of shifts Provides seamless tools to enhance staff satisfaction upon requesting time off, swap or floating
    5. 5. •Resources • 2. Process Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency• Outcomes • Achieve the Balance
    6. 6. 2.Process Communication gap Most sentimental Break In errors are due to Communication Failure to deliver Ineffective the right message routing of to the right care messages provider Break in care Poor tracking of staff consistency
    7. 7. •Route the Prevent message to the Errors right person • Staff to StaffScheduling and Enhance CommunicationCommunication Communication • Patient to StaffTools Communication Track • Message sending Commun and receiving ication • Accountability
    8. 8.  An infra structure to interface communication and messaging tools like Vocera/Conexall Routing of alarms and patient call to the assigned staff avoiding overhead paging and noise Routing of staff to staff communication like text paging Call upon resources in case of emergency or code Call upon messengers to collect samples or bring cross matched blood units Email and dashboard staff announcements and alerts Overtime signup for nursing staff
    9. 9. •Resources • Process Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency• 3.Outcomes • Achieve the Balance
    10. 10. . 3. Outcomes Prevent Errors Are we Tracking of Maintainingcontinuity of care staff Work Who is working more than safe Schedule Trends Manage Staff timeunder/overstaffi ng management
    11. 11. Tracking • Who is on-duty •Route theSchedulingSystem+ Routing staff/patientTime andAttendance call/requests •Enforce Policies Trends •Track trends across units
    12. 12.  Continuity of care through assigning the same nurse to the same patient when applicable Management of staff check-in and out in real time alerts Monitor adequacy of unit coverage highlighting under/over staffing Routing staff and patient messaging to enhance communication Patient Assigned Fulfill call Nurse request
    13. 13. • 1. Check staff Attendance Call Unit • 2. Identify no show • 3. Start calling possible replacement FindReplacement • 4. Check overtime rules (sickness, long hours) • 5. Create shift Adjust Schedule • 6. Assign staff code
    14. 14. System ConfirmReceive alert suggests replacement replacement
    15. 15. • Process•Resources Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency• Outcomes • Achieve the Balance
    16. 16. . Achieve the Balance To satisfy accreditation standards • Report on adequate/inadequate coverage Use patient acuity module to avoid under/over staff • Adequate Staffing based on Acuity Avoid overtime to keep management happy • Track Demand and Supply
    17. 17.  Paperless Automated schedule Flexible swap and rescheduling option for staff Driven by patient acuity and workload Has Time and Attendance component Interface able with Clinical Information System and Enterprise Resource Management ERP system and LMS Can be linked to messaging systems such as Vocera, conexall, email and sms Supports handheld devices
    18. 18. Define your requirements (Research, consultant, workflows) Scan the market KLAS RESEARCH REPORT Issue RFI See on-line demo Refine requirements Issue RFP Conduct demonstration Ensure technical operability and adequate local support and training
    19. 19.  Gather empowered implementation team Consult experienced experts Work with the vendor Plan deliverables and tie to contract Track milestones Automate current processes after improving them Test, unit, volume, integration, load Share outcomes and issues with stakeholders Provide training 3 months prior to go live Ensure at the point of care support and not behind command centers Log issues, communicate resolution

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