Surviving the Management Game: Workload Measurement Systems in a Cost-Conscious Environment

1993 ◽  
Vol 60 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Maureen Wright ◽  
Elizabeth Scott ◽  
Rhonda Cockerill
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Measurement System ◽  
Point Of View ◽  
Health Science ◽  
Management Tools ◽  
Measurement Systems ◽  
Client Care ◽  
Workload Measurement ◽  
Science Centre

Using a procedure-based occupational therapy workload measurement system developed at, and applied by, Sunnybrook Health Science Centre, this paper explores the objectives of such a system from the point of view of the occupational therapy manager. It also takes into account the synergistic relationship between the occupational therapist and the administrative/business aspect of health care, paying special attention to past and present trends in health-care accountability. In this paper it is argued that occupational therapy managers must relate their procedures and overhead costs to actual client care, if they are to be included in programme management and client costing. The process used by occupational therapy to describe its own procedures for the system is outlined. The system was then developed in conjunction with other institutional, financial and management tools for the client cost conversion process. By using a procedure based workload measurement system, occupational therapy is able to accurately describe client costing, thereby articulating our role in client care.

Responding to Workload Measurement Needs

1994 ◽  
Vol 61 (4) ◽  
pp. 219-221 ◽  
Author(s):  
Rhonda Cockerill ◽  
Elizabeth Scott ◽  
Maureen Wright
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Occupational Therapy ◽  
Resource Use ◽  
Occupational Therapists ◽  
Activity Tracking ◽  
Management Tools ◽  
Measurement Systems ◽  
Workload Measurement ◽  
Long Range Planning

Workload measurement is a way of capturing and recording the time and/or activities of personnel in the performance of their health care duties. The traditional focus of workload systems in occupational therapy has been on resource allocation, activity tracking and long range planning. The systems are not organized to link with other institutional, financial and management tools to identify and cost client and programme resource use. The position taken in this paper is that occupational therapy workload measurement systems must be expanded to meet these new managerial responsibilities. Occupational therapists must be able to prospectively predict their workload to accommodate the move towards case costing and programme management. The paper also provides information from a national survey which indicates that there is support from the field for this position.

A Survey of Workload Measurement Systems: The Occupational Therapy Manager's Perspective

1993 ◽  
Vol 60 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Elizabeth Scott ◽  
Rhonda Cockerill ◽  
Maureen Wright ◽  
Linda L. O'brien Pallas
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Improvement Program ◽  
Productivity Improvement ◽  
Client Variables ◽  
Measurement Systems ◽  
Therapist Variables ◽  
Client Care ◽  
Workload Measurement ◽  
Canadian Association

Interest in measuring workload for budget specific purposes has increased in recent years as health care managers are being forced to cope with the demands of cost containment and fiscal accountability. This paper reports on a survey of senior occupational therapy managers of Ontario facilities accredited by the Canadian Association of Occupational Therapists (CAOT). Respondents were surveyed on their experiences with, and attitudes toward, occupational therapy workload measurement systems and the ability of these systems to assist in management activities. The survey found that most departments were using the National Hospital Productivity Improvement Program (NHPIP) system. Seventy eight percent of managers indicated they were somewhat or very satisfied with the system, but 60% also indicated that it did not adequately meet all of their management needs. In terms of desirable features of a revised workload system, 87% of managers reported wanting a system based on diagnostic or case mix group recording. Client variables (91%), physical and psychosocial aspects of client care (89%) and therapist variables (85%) were also rated as important factors to address in developing new workload systems.

An Innovative Approach to Goal Setting and Reporting in a Complex Organization

2009 ◽  
Vol 22 (3) ◽  
pp. 15-19
Author(s):  
Marnie Escaf ◽  
Petrina McGrath ◽  
Judy Costello
Keyword(s):  
Health Care ◽  
Goal Setting ◽  
Health Care Organizations ◽  
Health Science ◽  
Innovative Approach ◽  
Academic Health ◽  
Complex Organization ◽  
Science Centre ◽  
Academic Health Science Centre

Managing multiple priorities and achieving sustainable outcomes is a challenge for leaders across health care organizations. One academic health science centre set about to address this challenge through the development of an innovative annual goal and objectives process that aligned every unit/department around organizational priorities. The results have enabled exceptional outcomes for individuals, teams, patients/families and the organization as a whole.

scholarly journals The problems in in the qualification of measuring systems abilities in the investigation performance, the analysis on the example of precision workpieces in the automotive industry

2018 ◽  
Vol 19 (9) ◽  
pp. 147-151
Author(s):  
Magdalena Garbaciak ◽  
Emilia Bachtiak-Radka ◽  
Sara Dudzińska ◽  
Daniel Grochała
Keyword(s):  
Surface Roughness ◽  
Measurement System ◽  
Automotive Industry ◽  
Point Of View ◽  
Measuring Systems ◽  
Measurement Systems ◽  
Measurement Plan ◽  
Standard Edition

The manuscript introduce the problems in the qualification of measuring systems abilities in the investigation in the surface roughness of precision workpieces in the automotive industry. The research were carried out in accordance with the measurement plan. Next, based on the collected results for selected SPG parameters, the analysis and assessment of the capacity indicators were carried out in accordance with the procedure 2 of statistical qualification of measurement systems (in accordance with the MSA 2010 standard edition 4, ARM, tolerance). Two products were analyzed of the cylinder fragment and labyrinth valves of automatic gearboxes. The analysis gave a series of information on errors from the point of view of reproducibility and recurrence on the ability of the measurement system - the analyzes were carried out for the needs of the automotive industry.

scholarly journals IMPLEMENTATION OF SYMMETRIC CRYPTOGRAPHY IN EMBEDDED MEASUREMENT SYSTEMS

2015 ◽  
pp. 66-76
Author(s):  
Wiesław Winiecki ◽  
Piotr Bilski
Keyword(s):  
Embedded Systems ◽  
Measurement System ◽  
Point Of View ◽  
Distributed Environments ◽  
Future Prospects ◽  
Symmetric Cryptography ◽  
Measuring Systems ◽  
Measurement Systems ◽  
Aes Algorithm ◽  
Distributed Measurement

The paper presents the implementation of the symmetric cryptography in the distributed measurement system. Motivation for increasing the security in such systems is presented. Next, fundamentals of cryptography from the measuring systems’ point of view are introduced. The role and structure of embedded systems in modern distributed environments is explained. As the example of presented problems, implementation of the AES algorithm on the Compact RIO module is presented and tested for both efficiency and accuracy. The paper is supplemented with conclusions and future prospects of the approach.

Multiskilling — Re-Engineering Work Process

1995 ◽  
Vol 8 (2) ◽  
pp. 32-36 ◽  
Author(s):  
Kerry Marshall
Keyword(s):  
Health Care ◽  
Health Science ◽  
Work Process ◽  
Service Workers ◽  
Sunnybrook Health ◽  
Science Centre ◽  
Engineering Work ◽  
Engineering Strategy ◽  
Engineering Projects ◽  
Health Care Aide

Many North American companies have recognized the need to re-engineer their core processes to achieve breakthrough improvements in cost, service and efficiency. In fact, it is estimated that U.S. companies alone will spend millions on business re-engineering projects this year. But change experts say that most re-engineering is in name only, cautiously tackling only one process or department at a time. Even fewer hospitals have attempted this magnitude of change. Toronto's Sunnybrook Health Science Centre is the first institution of its size in Canada to embark on a multifaceted re-engineering strategy toward a model of patient focused care. The following is an overview of Sunnybrook's experience with the first of these strategies: multiskilling service workers. The concept of multiskilling provides for a focus on redesigning job classifications to broaden the scope of responsibility. For Sunnybrook, this entailed the amalgamation of six service positions — unit aide, health care aide, dietary aide, orderly, porter, housekeeper and attendant into one service assistant position.

Anticoagulant therapy in practice

2012 ◽  
Vol 153 (19) ◽  
pp. 732-736
Author(s):  
Gergely Hofgárt ◽  
Csilla Vér ◽  
László Csiba
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Anticoagulant Therapy ◽  
Oral Anticoagulants ◽  
Health Science ◽  
Science Centre ◽  
Improper Use ◽  
Current Guidelines

Atrial fibrillation is a risk factor for ischemic stroke. To prevent stroke oral anticoagulants can be administered. Old and new types of anticoagulants are available. Nowadays, old type, acenocumarol based anticoagulants are used preferentially in Hungary. Aim: The advantages and the disadvantages of anticoagulants are well known, but anticoagulants are underused in many cases. Method: The authors retrospectively examined how frequent atrial fibrillation was and whether the usage of anticoagulants in practice was in accordance with current guidelines among acute stroke cases admitted to the Department of Neurology, Medical and Health Science Centre of Debrecen University in 2009. Results: Of the 461 acute stroke cases, 96 patients had known and 22 patients had newly discovered atrial fibrillation. Half of the patients did not receive proper anticoagulation. Only 8.4% of them had their INR levels within the therapeutic range. Conclusions: The findings are similar to those reported in other studies. Many factors may contribute to the high proportion of improper use of anticoagulants, and further investigations are needed to determine these factors. In any case, elimination of these factors leading to a failure of anticoagulation may decrease the incidence of stroke. Orv. Hetil., 2012, 153, 732–736.

Factors affecting influenza vaccine uptake among health care workers in the Medical and Health Sciences Center of Debrecen University, Hungary

2012 ◽  
Vol 153 (13) ◽  
pp. 505-513 ◽  
Author(s):  
Piroska Orosi ◽  
Ágnes Borbély ◽  
Judit Szidor ◽  
János Sándor
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Vaccination Rate ◽  
Internal Communication ◽  
Health Science ◽  
Vaccine Uptake ◽  
Science Center ◽  
Family Doctors ◽  
Care Workers

Influenza vaccination is the most effective way of influenza prevention. The vaccination rate is low worldwide. In Hungary, the vaccine is free of charge to health care workers and, therefore, the low vaccination rate is unaccountable. Aims: In this study, the authors wanted to explore those factors which influence the refusal of vaccination. Methods: The Health Science Center of Debrecen University has about 4000 employees. The authors adjusted a questionnaire with 45 questions and sent it to 525 randomly selected health care workers, 294 of whom responded (response rate, 56%). The Epiinfo software was used for statistical evaluation. Results: The respondents strongly agreed that the vaccine is free and easy to obtain at the workplace. Official recommendations of the occupational health, the Medical Association of Hungary and advice of the family doctors failed to influence the decision. However, a significant impact of communication with family members, friends and colleagues on the decision was documented. Conclusions: The results indicate that the most important tool in decision making of influenza vaccination is the internal communication, but this effect is not a permanent one. International data show highly variable vaccination rates (between 2.1% and 82%). A better vaccination rate (98% or above) may be achieved with a mandatory influenza vaccination program among health care workers. Orv. Hetil., 2012, 153, 505–513.

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