U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Planning, Evaluation & Research

RRM Category: INPATIENT CARE

RRM Module: Obstetrics/Gynecology

Overview:

The RRM Obstetrics/Gynecology staffing module estimates the requirements for OB/GYNs and Certified nurse midwives to provide full service obstetrics, gynecology, and gynecological surgery services, operating/recovery room services, and primary care for women. The workload parameters that are the key variables in the staffing estimation are the number of deliveries and the number of OB/GYN surgery cases. The minimum workload for Obstetrics/Gynecology is 200 deliveries plus OB/GYN surgery cases. Nursing services for OB/GYN are covered in the Inpatient Nursing modules.

Services Description:

The Obstetrics/Gynecology staff provides:
  • Full Service Obstetrics, Gynecology, and Gynecological Surgery Services
  • Operating/Recovery Room Primary Care Service
  • Primary Care for Women

NOTE: Nursing services for Obstetrics/Gynecology are covered as part of Inpatient Nursing

Staffing Criteria:

OB/GYN Surgeon staff of 1.5 FTEs for each facility with at least 200 OB/GYN deliveries plus surgical cases, plus 1.0 FTE OB/GYN Surgeon for every 210 OB/GYN deliveries plus surgical cases above 200.

1.0 FTE Certified Nurse Midwife for every 200 OB/GYN deliveries plus surgical cases for each facility with at least 125 deliveries.

STAFFING FORMULAE

Driving Variables:
OB/GYN Surgery Cases
Deliveries

Personnel Categories:
OB/GYN
Certified Nurse Midwife

STAFFING CRITERIA:

MINIMUM STAFFING LEVELS (fixed):
Personal Category FTEs Per Driving Variables Min. Max.
OB/GYN 1.5 n/a OB/GYN Deliveries, plus Surgical Cases 200 n/a

Plus, VARIABLE STAFFING LEVELS:

Personal Category FTEs Per Driving Variables Min. Max.
OB/GYN 1.0 210 OB/GYN Deliveries, plus Surgical Cases 200 n/a
Certified Nurse Midwife 1.0 200 OB/GYN Deliveries 125 n/a


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