Operations Planning and Scheduling ⚫ CHAPTER 10 ⚫
in dealing with the seven care areas (interchangeable or not), decide how to handle
noninteger requirements (round or leave fractional), what to make a full-time week,
how to handle paid vacations, whether to allow some unpaid undertime, and the like.
Day 2
For the second day, each team is to prepare a three-page report (maximum) describing
their basic approach, strategy selected, spreadsheet (maybe sent by e-mail), and
reasons why it is best (including qualitative factors). The instructor can make a
transparency of the team results and lead the discussion of their results, seeing who
(1) had low cost (open up their spreadsheet) and (2) had best for qualitative reasons
(open up their spreadsheets). Maybe also bring out some basic analysis of:
F. Teaching Suggestions: Out-of-Class Exercise
A more traditional approach is to assign it as an out-of-class exercise. Tell the
students that they are to analyze the situation and can make some reasonable
simplifying assumptions, but their assignment is to bring to class a staffing plan that
they can share. They should be required to explain any assumptions made and to
defend how their plan meets the three objectives of the hospital.
In class it is best to start with a general discussion of the alternative approaches
that can be used to develop a staffing plan and how different approaches (level, chase,
and mixed) may impact the hospital’s objectives differently. Then have the students
present their plans and explain their analysis and rationale. You may have to be
prepared to show one of the plans provided to get the ball rolling.
After a few plans have been discussed, note that the differences are generally
accounted for by the differing assumptions that were made or the differing priorities
that were given the three objectives. Be sure that the students understand the impact
assumptions such as the following have on staffing plans:
❑ Using FTE nurses versus partial nurses—overtime would be more appropriate
when partial nurses are used.
❑ Interchangeability of nurses—the staffing plan would be more modularized by
department without this assumption.
❑ Use of vacation periods as needed—loss of flexibility here would probably
increase the requirements and costs.
The case can take as much time as you wish depending on the number of staffing
plans you have students present. You should allow at least 30 to 45 minutes to discuss
the issues and alternatives thoroughly.