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HUC Staffing Levels UW-Hospital and Clinics Best Practices – March 7, 2000

HUC Staffing Levels UW-Hospital and Clinics Best Practices – March 7, 2000. Team U Jeanette Amanda Agatha Chen Miko Hadikusuma Asha Ramnarine. Problem Statement. The role of the HUC needs to be restructured to improve efficiency and effectiveness in accomplishing tasks.

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HUC Staffing Levels UW-Hospital and Clinics Best Practices – March 7, 2000

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  1. HUC Staffing LevelsUW-Hospital and ClinicsBest Practices – March 7, 2000 Team U Jeanette Amanda Agatha Chen Miko Hadikusuma Asha Ramnarine

  2. Problem Statement • The role of the HUC needs to be restructured to improve efficiency and effectiveness in accomplishing tasks. • Low job satisfaction • High turnover rate • Errors • Customer dissatisfaction HUC Staffing Levels

  3. Best Practices Hospitals • UHC affiliations • Similar setting, across the nation • Network survey • Mayo Clinic • Highly respected, best in nation • Phone survey • St. Mary’s Hospital • Similar setting, same region • Benchmarking visit HUC Staffing Levels

  4. Benchmarking Characteristics • Survey topics • Staffing schedule & levels • Turnover rate • Responsibilities • Training programs • Educational background • Other observations HUC Staffing Levels

  5. Staffing Schedule & Levels • Similarities • ~60% staff all shifts • Most have 1 HUC per unit • Differences • ~40% staff day and evenings only • 2 HUCs per unit • PT floaters • Base # of HUCs on unit size HUC Staffing Levels

  6. Turnover Rate • Similarities • HIGH!!! • Low job satisfaction • Difficulty filling position HUC Staffing Levels

  7. Responsibilities • Similarities • Entering physician and diagnostic orders • Receptionist duties • Transcription • Most have no direct care • Differences • Medical staff verifies orders • Physician enters orders directly • Some have direct care HUC Staffing Levels

  8. Training Programs • Similarities • General hospital orientation • Specific unit training • Differences • Training period: 4 hours – 6 weeks • Cross train technicians, nursing assistants • Standard test to show competence HUC Staffing Levels

  9. Educational Background • Similarities • Knowledge of medical terminology • Differences • Experience • Local community college program/degree • No previous knowledge HUC Staffing Levels

  10. Other Observations • Levels of HUC • Restructuring HUC position • Better pay, upgrade job description • Similar interruptions • Workload management courses • Better workstation design HUC Staffing Levels

  11. Elements to Incorporate • Floaters, additional HUCs based on size • Direct order entry by physicians • Workload management courses HUC Staffing Levels

  12. Elements to Not Incorporate • Cross-training to direct care • Eliminating night-shift HUC • Training and education requirements HUC Staffing Levels

  13. Best Practices Lessons • Hospitals everywhere face similar situations with HUCs • Upgrade position to combat high turnover, low job satisfaction • Need to review duties and identify sources of stress HUC Staffing Levels

  14. QUESTIONS OR COMMENTS?

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