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Downsizing of manpower:
Downsizing of manpower gives the correct picture about the number of people to be employed to
complete given task in the predetermined period. It is used for achieving fundamental growth in
the concern. It can work out the correct price by the resource building or capacity building. It aims
at correct place, correct man on a correct job.
Thus manpower planning is must to make the optimum utilization of the greatest resource
available i.e. manpower for the success of any organization.
In a typical hospital set up, expenditure on salary amounts to roughly 25-30 per cent
of total income or 30-35 per cent of total expenditure. This is not healthy statistics,
say experts. Most hospitals are believed to operate with excess manpower. As
competition increases and margins come under pressure, hospitals tomorrow will
have no option but to rationalise manpower, which, in other words, would mean
downsizing.
Most times, downsizing has led to further chaos, mainly because of improper
manpower planning. Health-care consultants stress on a multi-skilled workforce to
carry multiple tasks in order to maintain optimum employee per bed ratio, a key to
boost and sustain profits.
To achieve this, manpower planning becomes crucial. But, such tasks are rarely
undertaken in hospitals, say experts. Most hospitals operate on excess man power,
says Dr K C Ojha, managing director, Hospic, Mumbai-based Hospital Consultancy
Firm. “Ideally, employee to bed ratio should be 3 per bed,” he says. Three persons
per bed could be a little stingy, say some, who find 4-5 persons per bed more
acceptable.
Specialty: The number of employees depends not on the size of hospital but more
on its speciality, say experts. “Ideally for multi-speciality and super speciality
hospitals the ratio of bed to employee should be around 1:6. This is an ideal situation
and is practiced in developed countries as mandatory requisition,” says Dr C P
Kamle, international associate ofAmerican Institute of Medicine and Hans Finne
International.
Setup: More classes of wards means more staff. For instance, a deluxe room may
have one staff for just 2 beds since the patients are charged higher and consequently
demand better care. In median class, one employee can look after 6 patients.
Structure: Hinduja Hospi-tal has more staff than other hospitals in Mumbai because
the building is designed to have four separate wings.
A ward boy in one wing may not be able to give his best to all the wings on the same
floor. So the staff increases. Says
Col Rampal, director, HR, Hinduja Hospital, “The solution is to economise without
effecting patient care. For eg, non-core sector like support staff, house keeping can
be outsourced. We have outsourced security and are thinking of outsourcing food
service too.”
Measures to be taken
Audit: Manpower audit, which must be carried out regularly is seldom done.
According to Dr Vivek Desai, MD of Hosmac Consultancy, Mumbai, knowledge among
healthcare professionals on manpower audits is not satisfactory.
Multi-skilling and multi-tasking: Employee per bed ratio can be kept optimum,
provided effective utilisation of manpower is done by creating multi-skilled and multi-
tasked personnel. Explains Dr Ojha, “In any hospital, an ECG technician does the job
of just taking the ECG. And if it is a male technician, he can see only male patients.
Most of the times therefore he is left without work.” The right way he says is to
employ female employees or train nurses to carry out the same for full utilisation of
man power.
Giving an example of multi-skilled employee, Dr Ojha says that a peon must have
knowledge of computers, lift operation, vehicle driving and handling patients. He
emphasises that even class IV staff be given training and apprenticeship. Full
orientation for computer application must be given. This will reduced manpower
requirement, say experts.
Outsource: Consultants advice that hospitals must explore services which can be
outsourced. Dr Desai says that contracting some services can bring down man power
to 4 persons per bed.