Table 6 Determining the HIM staff requirement at La General Hospital, based on WISN. AWT = 1 640; OPD attendance = 90 489; inpatient admission = 8 194; number of HIM staff = 31
From: Assessing Ghana’s eHealth workforce: implications for planning and training
eHealth service activity of all HIM staff | Workload component | Service standard (minutes/case) | Annual workload | Standard workload | Required number of staff |
Registration of new patients | 5 | 90 489 | 19 680 | 4.6 | |
Scheduling of appointments | 5 | 90 489 | 32 800 | 2.8 | |
Admission/discharge of patients | 3 | 8 194 | 19 680 | 0.4 | |
Verification of health insurance | 3 | 59 210 | 32 800 | 1.8 | |
Assist patients with care pathway | 2 | 90 489 | 49 200 | 1.8 | |
A. Total required staff for health service activities | 11.4 | ||||
Support activities of all HIM staff | Workload component | CAS (actual working time) | CAS (% working time) | ||
Storing and retrieving patients’ data | 2 h per day | 25 | |||
Maintaining and securing health records | 1 h per day | 12.5 | |||
Meetings | 3 h per month | 2.2 | |||
Total CAS percentage | 39.7 | ||||
B. Category allowance factor: {1 / [1 − (total CAS percentage / 100)]} | 1.7 | ||||
Additional activities of certain HIM staff | Workload components | No. of staff performing the work | IAS (hours per person) | Annual IAS (for all staff performing activity) | |
Data analysis | 3 | 4 | 2 460 | ||
Report writing | 3 | 4 | 2 460 | ||
Technical training and supervision | 3.1 | 2 | 1 271 | ||
Processing of insurance claims | 4 | 0.17 | 18 090.6 | ||
Administrative duties | 1 | 1 | 205 | ||
Report submission | 1 | 2 | 104 | ||
Total IAS in a year | 24 590.6 | ||||
C. Individual allowance factor (annual total IAS/AWT) | 14.9 | ||||
Total required number of HIM staff based on WISN: (A × B + C) | 33.9 | ||||