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  • Thought exercise – Optimized staffing for profit

  • Rama Aysola, M.D.

    Hey Team MidWest!

    Hope you all are well. This is a thought exercise/project for RMs/SPLs/PLs. Here we go:

    You have a 3 shift a day ED. These are 8 hour shifts. I want you to think like a business owner, you own the ED. Of course you want to staff the ED, cover all shifts, and optimize the staffing to maximize your profits.

    You have One CS, 8 part-time and 2 full-time scribes. You also have one QAS, and a couple of floor-trainers. The CS works about 4-5 shifts in a pay period.

    Your CS is expensive at $13.50/hr wage. QAS is $12/hr. Floor trainers (FT) are at $11/hr.

    What percentages of shifts covered would you like your team to work?

    Ex: CS %30 of shifts, Scribes %55 of shifts, FT %15  — just an example of answer.

    Please post your answer on percentages and your thought process on why you want that model. The details of the ED shift coverage is not what is important. What is important is how you want your shifts covered to maximize profits, maintain quality, and keep the site healthy.

    Top two answers will get a $20 Starbucks gift card.

    Would love to hear your thoughts team!!



    Andrew Domin
    Regional Manager

    <p class=”p1″><span class=”s1″>Ideally, I would like my CS, QAS to work less shifts in comparison to my floor trainers and Scribes. My CS and QAS have a higher rate of pay and therefore are going to cost me more in the long run compared to my scribes at 10$ an hour. However, then I am going to run into issues with my scribes working a large amount of administration hours. </span></p>
    <p class=”p1″><span class=”s1″>Also, the positive thing about having my CS and QAS working less shifts is that they can contribute more time to quality assurances, call outs, recruiting and training. One of the things I run into are my scribes covering a large amount of the shifts and administrative duties resulting in overtime. The goal for any of my sites is to be 150% staffed to allow my CSs to ensure we are staying ahead of the game and not just covering shifts.  I would then utilize my FT to help with quality assurance as well as CRT to offload some of the work for the CSs. This is another measure that can help with combating overtime with the CS. </span></p>
    <p class=”p1″><span class=”s1″>Overall, it is a tricky situation regardless at how you staff it. In the end no matter what I want to ensure my shifts are covered and believe this would be the best solution. </span></p>
    <p class=”p1″><span class=”s1″>Scribes 70%, CS/QAS 20%, FT 10%</span></p>

    Andrew Domin
    Regional Manager

    Sorry for the weird formatting. Not sure what happened.



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