SCHEDULING For Hospitalist Programs

SCHEDULING: GENERAL

  • Flexibility Is King The Hospitalist, Mar 2011 Click to expand

    Alternative schedules boost hospitalist career satisfaction. The challenge is setting a schedule that balances productivity and quality time off.

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  • Engineering Can Help Hospitalists Solve Scheduling Dilemmas The Hospitalist eWire, Apr 2012 Click to expand

    An industrial engineer conducted a workshop on applying techniques such as queuing principles to hospitalist scheduling.

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SCHEDULING: CASE STUDIES

  • Case Study: Johns Hopkins Bayview Medical Center
    Four-day blocks match hospitalists' and patients' schedules ACP Hospitalist, Jun 2012 Click to expand

    The slam comes on the first day of the new four-day blocks developed by the hospitalist group. During his first day on, a hospitalist takes only new admissions, up to a cap of 12 patients.

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  • Case Study: Hospitalists of Northern Michigan
    How to take the squabbling out of scheduling Today’s Hospitalist, Oct. 2012 Click to expand

    A dedicated scheduler manages a complex schedule for a 60-clinician hospital medicine group (HMG) with five programs at four different hospitals. A Power Point presentation on this scheduling program can be found here.

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  • Case Study: The Inova Fairfax Hospital Department of Medicine Click to expand

    Brian Hazen, MD, Medical Director of this hospitalist program, presented their approach to scheduling at the Society of Hospital Medicine’s (SHM’s) 2012 Annual Meeting. The approach uses a "point system" and proposes five rules: 1) protect your nocturnists; 2) protect your team players; 3) avoid monotony; 4) it takes a village; and 5) above all else, be fair. A Power Point presentation on this scheduling program can be found here.

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  • Case Study: MultiCare, Tacoma WA
    Making night coverage work Today’s Hospitalist, Jul 2009 Click to expand

    The group is divided into admitters and rounders, two separate and equal groups. While rounders work only during the day, admitters alternate between weeks of nights and weeks of days, with each admitter doing one seven-on block of nights per month.

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  • Case Study: Mainline Health
    Alternative scheduling to seven-on/seven-off Today’s Hospitalist, video Click to expand

    Alternative scheduling — a variable, flexible schedule that allows hospitalists to work shorter days and fewer weekends — has increased provider satisfaction by easing burnout and promoting a healthy work-life balance.

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  • Case Studies: Scheduling Strategies The Hospitalist, Apr 2007 Click to expand

    Seven HMGs that wrestled successfully with their scheduling challenges – HealthPartners (Minnesota), Alachua General (Florida), Southern New Hampshire Medical Center (New Hampshire), Colorado Kaiser Permanente (Colorado), Brochie Hospitalist Group (Pennsylvania), Hollywood Memorial Hospital (Florida), and Presbyterian Inpatient Care (North Carolina).

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  • Case Study: Loyola University Medical Center Click to expand

    This academic medical center took a different approach then the traditional 7 day on 7 day off model. Hospitalists rotate on several services, each of which is weighted differently. The weights are based on clinical load and weekend commitments. Full time faculty work a 28 week (196 day) schedule. This is a "weighted" 28 weeks. For example, nights are weighted at "1.5" so the nocturnist works 130 nights in the year to attain a 196 day equivalent. View an expanded PDF description of this scheduling model.

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SCHEDULING: SOFTWARE VENDORS

The following is a list of vendors offering scheduling software for hospital medicine groups. It is most likely an incomplete listing. SHM does not have opinions, positive or negative, about the software products offered by these vendors

STAFFING AND SCHEDULING: FACTS AND FIGURES

SHM’s 2014 State of Hospital Medicine Report includes data on the following subjects that relate to staffing and scheduling: Click to expand

  • Scope of Services Routinely Provided
  • Roles in Surgical and Medical Co-Management
  • Presence of NPs and PAs
  • Number and FTE Physician Leaders
  • Staffing Back-up Systems
  • Scheduling Models (Shift-based vs. Call-based vs. Hybrid)
  • Scheduling Patterns (e.g., 7 on/7 off)
  • Duration of Scheduled Shifts
  • Annual number of Shifts/Work Periods per FTE physician
  • First Responders for Night Coverage
  • Presence of Nocturnists
  • Nocturnist Schedule Differentials
  • Distribution of Work in Academic Practices
  • Proportion of Clinical Work Spent on Teaching Services, Academic Practices

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