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Chapter 3: The HUC’s Role in Staffing and Scheduling

Introduction to Staff Scheduling

Hospital staffing can be a very complicated but vital task. Understaffing can lead to chaotic days, burnout, treatment delays, increase in medical errors, and high staff turnover (FloatCare, 2023). Yet, overstaffing can lead to inflated budgets, cutbacks, and lack of staff available for other shifts.

Every hospital takes their own approach to administering the staff scheduling process. These approaches may include centralized, decentralized, or hybrid staffing.

Centralized Staffing

All staffing and scheduling for the hospital is administered through one central scheduling department. Within the department, scheduling staff/clerks may be assigned to staff-specific units, and they work closely with these unit managers to develop staffing plans for the unit.

Take Note! — Hospital Staffing Role

Graduates of health office administration programs are qualified to work in hospital staffing departs.

Learn more about this role at Grand River Hospital by reading this employee story: Katie Hendricks: Ensuring a full complement of staff to advance exceptional care.

Learn more about the skills and duties of schedulers on the Indeed Career Guide website: What Does a Scheduler Do? (With Job Description and Salary).

This general job description for the role of scheduler is approved by all the health care worker unions in Ontario: Provincial Job Description: Staff Scheduler [PDF].

Decentralized Staffing

Each unit administers its own staffing and scheduling processes under the direction of its unit manager. In this case, the clerical staff manage the staffing process for all nursing staff, clerical staff, and support staff, such as PSWs, unit assistants, or environmental support personnel on their unit.

Hybrid Staffing

Some aspects of staffing are managed by a centralized office, while others are managed at the unit level. For example, a centralized office creates unit schedules, but the individual unit handles all staff additions and cancellations for the unit staff.

Regardless of the method of staffing and scheduling used in a hospital, it is important for clerical staff to understand the basics of this process, as they will be involved in it at some level in their day-to-day role.

Video: Staff Scheduling Technology

Due to increasing complexity and the amount of time staffing may take, some hospitals are trialling or moving to automated scheduling apps, such as Centricity, AMN, ConnectTeam, Smart Call, Symplr, etc.

Source: Saskatchewan Health Authority — Saskatoon area. (2014, June 19). Staff scheduling made easy! [Video]. YouTube. https://www.youtube.com/watch?v=eDQ4u0AqTCM

References

FloatCare. (2023, January 17). How to manage staff scheduling in healthcare.

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