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Front-line ordering clinicians: matching workforce to workload.

Evan S Fieldston1, Lisa B Zaoutis, Patricia J Hicks

  • 1Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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|April 8, 2014
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Summary
This summary is machine-generated.

Hospitals can now objectively match staffing to patient care needs using the Care Model Matrix. This tool helps identify front-line ordering clinician (FLOC) coverage gaps, improving healthcare delivery and resident learning.

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Area of Science:

  • Healthcare Management
  • Clinical Operations
  • Medical Education

Background:

  • Effective workforce-to-workload matching is crucial in healthcare to prevent negative impacts on patient care and resident learning.
  • Current hospital systems lack objective methods for measuring and aligning dynamic workload and workforce demands.

Purpose of the Study:

  • To develop and gain consensus for an objective tool to dynamically match the front-line ordering clinician (FLOC) workforce with clinical workload in diverse inpatient settings.

Main Methods:

  • A tool was developed through literature reviews, clinical leadership consultations, and validation sessions.
  • Extensive engagement with physicians and nurses across all clinical areas of a large urban children's hospital was conducted.

Main Results:

  • A flexible, objective matrix-format tool was successfully created for representing hospital workload and workforce.
  • The tool received widespread acceptance across 14 hospital divisions, aiding in identifying FLOC coverage gaps and informing staffing decisions.

Conclusions:

  • Defining and measuring workload and workforce elements enables hospitals to better align staffing.
  • The Care Model Matrix offers a flexible, objective solution for quantifying multidimensional workload and workforce aspects, adaptable to various settings.