Ripunjai Kumar Shukla

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Not-for-profit (NFP) and for-profit (FP) hospitals were compared on several performance indicators including revenues, costs, productivity/efficiency, and profitability. The indicators were adjusted, where appropriate, for outpatient activity and a case-mix index for all patients. FP hospitals had higher profit margins as well as higher gross and net(More)
  • R K Shukla
  • Hospital & health services administration
  • 1990
This article develops and evaluates an admission monitoring and scheduling system designed to reduce fluctuation of work load on nursing units. Effects of the system on work-load distribution, full-time equivalents, labor cost, and employees are assessed in a 235-bed hospital. The system provided more stable work loads and had a potential for improving(More)
This study is based on the empirical fact that among nurses large variations occur not only in clinical competency but also in individual productivity. The article proposes that competency-based targeted staff development programs can improve productivity as well as nursing performance. Research presented here shows that the nurses on units using targeted(More)
This paper compares subjective and four data-based models to estimate length of surgery for operating room scheduling systems. The four data-based models for predicting case block length are based on 1) procedure, 2) procedure and surgeon, 3) procedure and case complexity, and 4) procedure, case complexity, and surgeon. Data-based approaches performed(More)
The consumption of professional and non-professional nursing resources on medical/surgical nursing units varies sharply among community hospitals. In an effort to explain the variation, this study examines several factors: socio-economic characteristics of the population; supply of registered nurses; hospital characteristics such as size, complexity and(More)
The purpose of this study was to illustrate the adaptability and use of work sampling, an industrial engineering technique, as a dependable method for collecting personnel utilization data in the physical therapy department of a general hospital and to demonstrate the concept of work sampling to physical therapy supervisors and personnel unfamiliar with(More)
  • R K Shukla
  • The Journal of nursing administration
  • 1982
The cost-benefit analysis of the primary nursing structure is contingent on the factors that affect the proper use of nursing skills. By reducing the problems of coordinating the work, primary nursing has the potential of greater professional nurse involvement with patients. However, in a unit with inefficient support systems, inappropriate use of(More)
This article challenges our present system of afternoon admissions and morning discharges for its inefficiency in utilizing patient stay at the hospital as well as for its insensitivity to consumer convenience. In fact, the tradition of afternoon admissions and morning discharges may have its roots in the hotel industry which sets similar times for arrival(More)