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Join James Roncevic at the 2nd Annual Ellison-Pierce Symposium for an insightful session on innovative scheduling strategies designed to optimize on-call distribution among medical colleagues. This session will discuss how to fairly allocate vacations and holidays, reduce the overall call burden, and enhance the availability of medical doctors for daily operations. Attendees will learn about the new call team structure, criteria for team distribution, and the scheduling process, aiming to create a more balanced and efficient call system for medical practices.
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2nd Annual Ellison Pierce Symposium Positioning Your ORs For The Future Creative Scheduling Ideas for Call, Holidays, & Vacations James Roncevic May 20, 2006 8:30-9:00am
Do you feel your call is fairly distributed among your colleagues? QUESTION: • Yes • No 0 / 10
Do you feel the allocation of vacations and holidays in your group is equitable? QUESTION: • Yes • No 0 / 10
THE CALL TEAM IDEA • Objectives • Reduce overall call burden • Provide fairer distribution of call • Reduce late hours of non-call MDs • Increase MDs available for daily Ors • High team & Low team vs non-IH Calls
OLD DAILY CALLS 5 – In-House 15 – Facility-specific non-in-house Total – 20 NEW DAILY CALLS 5 – In-House 1 – Facility-specific non-in-house 3 – High Team 8 – Low Team Total – 17 OLD VERSUS NEW A SAVINGS OF 1095 CALL SHIFTS PER YEAR!
CALL TEAM CRITERIA • 11 MD CALL TEAM • HIGH/LOW split • At least 2 MDs for each facility • 3 MD HIGH TEAM • Can cover all facilities between them • No 1 MD can cover 2 facilities alone • Responsible of for all night-time call cases • Post-call day off • 8 MD LOW TEAM • Assist in covering all late evening cases • Assigned to relieve non-call MDs • Called in during the night only in emergency • Out early (2pm) on post call day
THE SCHEDULING PROCESS • File Setup • Update Credentialing File Data • Update High Team Trios • Vacations & Days Off / Meetings • Call & No-Call Requests / Set Schedules • Pain / St. Luke’s / Cardiac / Weekends • Weekday High Team / In-House / Low Team • Review / Revise / Publish • Daily Maintenance
THE HIGH TEAM TALLY 1205 TRIOS
THE FILE STRUCTURE 1 2 4 3
VACATION / HOLIDAY SCHEDULING • The Process • Request Forms Prepared and Sent to MDs • MDs Complete and Return Forms • Data Entered into Vacation & Holiday Files • The Significance of Priorities • Why Annual Vacation Planning • How to Play the Vacation Priority Game • The Vacation File
THE DAILY SCHEDULE Updated call team and vacation schedules are mapped to the daily schedules.
Daily Scheduling Diagram RN Monthly Schedule & Changes MD Call Changes DAILY SCHEDULE POSTED TO WEB Credentialing Changes Quarterly MD Call CRNA Vacation Changes Post to Web MLOA Annual CRNA Vacation Daily Schedule 6 & 7 8 5 & 6 9 & 10 Post to Web 4 Annual MD Vacation 3 11 & 12 Post to Web 1 & 2 13 & 14 23 & 24 15 & 16 22 17 Post to Web 18 21 19 Monthly CRNA Schedule MD Vacation Changes 20 Misc. Req. Meetings ANN’S RED BOOK CRNA Schedule Changes OFF/ NCD LOCUM & PER DIEM SHEDULES AVAILABILITY CHANGES