Operations Planning and Scheduling ⚫ CHAPTER 10 ⚫
CASE: MEMORIAL HOSPITAL *
A. Synopsis
Memorial Hospital is a 265-bed regional hospital serving western North Carolina.
The hospital is segmented into eight major care areas for the purpose of allocating
nursing staff. Darlene Fry, Director of Nursing, is facing the annual problem of
planning the nurse staffing levels for the upcoming year. Information pertaining to
average patient census across the eight care areas as well as target patient-to-nurse
ratios is presented. Students are also provided with sufficient cost data to help
Darlene develop for next year a staffing plan that conforms to the mission and
objectives of the hospital.
B. Purpose
The primary objective of the case is to have students develop a nurse staffing plan for
Memorial Hospital next year. Parameters and data to allow students to use both
demand and supply options to developing a feasible staffing plan are provided in the
case. Available options that you should expect students to use and discuss in their
plan include:
❑ Hiring and firing/layoff
❑ Overtime and undertime
❑ Use of temporary nurses (i.e., subcontracting)
❑ Use of vacations
❑ Cross-training to be able to assign nurses across different care areas
❑ Offering new services such as HMOs for preventive medical care to keep skilled
nurses employed
Students should be expected to address the trade-offs presented by the hospital’s
stated objectives, the costs of different options, and the projected demands for nursing
services.
Students should also be able to begin to see the issues that are faced in the more
detailed scheduling of personnel.
C. Analysis
Darlene faces several trade-offs to meet her three key objectives: maximizing
customer service, minimizing costs, and minimizing workforce fluctuations. In
general, maximizing customer service requires, on average, a larger nursing staff,
which may possibly cause a direct trade-off with cost minimization. Minimizing
workforce fluctuations requires some combination of overstaffing during slow
months and using overtime or temp workers during heavy months.
* This case was prepared by Dr. Brooke Saladin, Wake Forest University, as a basis for classroom
discussion.