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Planning, Evaluation & Research

RRM Category: INPATIENT CARE

RRM Module: Inpatient Physicians

Overview:

The RRM Inpatient Physicians staffing module estimates the requirements for physicians to provide all medical inpatient services other than surgery and delivery services. The workload parameter that is the key variable in the staffing estimation is Average Daily Patient Load (ADPL). This module estimates the need for Chief of Service, General Medicine Physicians, Pediatrics Physicians, OB/GYN Physicians and Clerical Support for inpatient care. The staffing needs for surgery and OB/GYN deliveries are estimated in other inpatient care modules.

Services Description:

The Inpatient Physicians staff provides the following types of service:
  • General Medicine
  • Pediatric
  • Obstetrical/Gynecological
  • Other Non-Surgery Type Service

Staffing Criteria:

1.0 FTE Chief of Staff for every 7.0 physicians (subtotal of GM physicians, Pediatrics physicians, and OB/GYN physicians, general surgeons, OB/GYN surgeons and Anesthesiologist).

General Medical Physician staff of 1.0 FTE for at least 5 ADPL, plus 1.0 FTE General Medical Physicians for every 12 ADPL of General Medicine cases over 5 ADPL. (If ADPL is less than 5, ADPL is divided by 5 to calculate staff.)

Pediatrics Physician staff of 0.85 FTEs for at least 5 ADPL, plus 1.0 FTE Pediatrics Physicians for every 17 ADPL of Pediatrics cases over 5 ADPL.

OB/GYN Physician staff of 0.55 FTEs for at least 5 ADPL, plus 1.0 FTE OB/GYN Physicians for every 7 ADPL of OB/GYN cases over 5 ADPL.

1.0 FTE Clerical Staff for every 4.0 physicians (subtotal of GM physicians, Pediatrics physicians, and OB/GYN physicians, general surgeons, OB/GYN surgeons and Anesthesiologist).

STAFFING FORMULAE

Personnel Categories:
Chief of Service
General Medical Physician
Pediatrics Physician
OB/GYN Physician
Clerical Support

Driving Variables:
ADPL - General Medicine
ADPL - Pediatrics
ADPL - OB/GYN
Staff Subtotal - Gen'l. Med, Anes., OB/Surg.

MINIMUM STAFFING LEVELS (fixed):

Personal Category FTEs Per Driving Variables Min. Max.
General Medical Physician 1.0 n/a n/a n/a n/a
Pediatrics Physician 0.85 n/a n/a n/a n/a
OB/GYN Physician 0.55 n/a n/a n/a n/a

Plus, VARIABLE STAFFING LEVELS:

Personal Category FTEs Per Driving Variables Min. Max.
Chief of Service 1.0 7 Staff Subtotal - Medicine 0 n/a
General Medical Physician 1.0 12 ADPL - General Medicine 0 n/a
Pediatrics Physician 1.0 17 ADPL - Pediatrics 0 n/a
OB/GYN Physician 1.0 7 ADPL - OB/GYN 0 n/a
Clerical Support 1.0 4 Staff Subtotal - Medicine 0 n/a


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