Emergency Department Staff Planning to Improve Patient Care and Reduce Costs

In the face of high staffing costs, uncertain patient arrivals, and patients unsatisfied with long wait times, staffing of medical emergency departments (EDs) is a vexing problem. Using empirical data collected from three active EDs, we develop an analytic model to provide an effective staffing plan for EDs. Patient demand is aggregated into discrete time buckets and used to model the stochastic distribution of patient demand within these buckets, which considerably improves model tractability. This model is capable of scheduling providers with different skill profiles who work either individually or in teams, and with patients of varying acuity levels. We show how our model helps to balance staffing costs and patient service levels, and how it facilitates examination of important ED staffing policies.     

How PSA’s Inclusion Shift Cracked the Ivory Tower Culture and Led to New Governance Challenges

PSA’s shift to inclusion began in the 1990s as a response to the declining membership and the domination of the association by scholars from the Ivory Tower universities--those institutions focusing primarily upon research. Cracking the Ivory Tower refers to this inclusion which involved encouraging student participation; inviting faculty from teaching-focused colleges; expanding program topics on teaching or issues of gender, race, sexual orientation; hosting inclusive receptions; and electing some officers from non-elite schools. As inclusion has dramatically increased membership and promoted more representative participation, governance now faces new challenges, especially the executive director's workload.