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ABOUT EPSKED |
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The EPSKED
Customizer, which you use to customize
EPSKED to match your schedule
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The EPSKED Scheduler, which makes use of
the information entered by you in the Customizer program to
produce physician work schedules.
Once EPSKED has
been customized for your emergency department schedule using the
Customizer (the hard part) only the Scheduler needs to be run each
time you create a new schedule (the easy part!).
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EPSKED Customizer - an
overview |
EPSKED's Scheduler makes
use of the information entered by you in the EPSKED Customizer to produce medical provider
work schedules.
To create each schedule, you enter information that answers five
questions, then ask EPSKED to create a schedule which you can then
review, modify, and print. The steps in creating a schedule:
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Some sample entry screens:
Do you want to see how EPSKED customization information could be
entered for your schedule?
Selected sections from several EPSKED
Customizer screens are shown below. Each screen section matches
one of the six steps in EPSKED customization
described above, and should allow you to visualize how
customization would be accomplished for your schedule.
(Note: All of the sample EPSKED screens shown below were
downloaded to you as graphical images. They are shown in reduced
resolution and reduced color depth to allow rapid transmission.
Actual EPSKED program screens are in full color with normal screen
resolution.)
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The first
step in EPSKED customization is informing EPSKED about the shifts
used by your schedule. The sample entries shown here provide this
information for a simple schedule consisting of three shifts: DAY,
SWING, and NIGHT.

Some details:
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The Short Name column is
for entry of a shift name abbreviation. EPSKED can use this
entry to label scheduled shifts on printed and displayed
calendar. It is also used for the shift name when your schedules
are exported for use in handheld calendar programs. (See http://www.bytebloc.com/VcalInfo for a sample display.)
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The Start Time and
End Time columns indicate the starting and ending times of
each of your shifts. This information is used to automatically
generate a preformatted schedule key and to create automatic
shift relationship values. (By default, a shift starting
less than 12 hours after the end of another shift is considered
to have a Conflict shift relationship value. You can
easily override this if desired.)
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The Night shift is checked
as Yes in the Weekend shifts if on Friday? column.
This lets EPSKED know that Night shifts worked on Fridays
should be counted as weekend shifts when calculating
schedule statistics.
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You can define a maximum of
thirty-two different shifts for your schedule. Please see the
EPSKED Fact Sheet
for details of EPSKED's capabilities and limitations.
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For larger schedules, you can
divide your schedule into different sites, each of which can be
printed separately. This is not shown in this sample screen.
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The second step in EPSKED customization is describing how your shifts relate to each
other. (You don't really want EPSKED scheduling you for a morning shift after you have
just worked the previous night!).
EPSKED tracks relationships between each scheduled shift and all other shifts in
the schedule for the same day and for the two days following the scheduled shift. You
classify the desirability of working all subsequent shifts into one of four categories:
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You would Prefer to work it
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You would Dislike working it
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You would be Okay to work it
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It Conflicts (you cannot work it).
Here are shift relation entries you might use for the SWING shift:

Some details:
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The entries above indicate that:
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If a provider is scheduled for a Swing shift, all
other shifts on the same day Conflict (cannot
be worked).
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The Day shift on the day after working a Swing shift
Conflicts and cannot be computer scheduled.
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The provider Prefers to work the Swing shift
on the day after working a SWING shift (maintaining
circadian rhythms?).
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Since preferences vary among providers, you can create
up to fifteen different models for shift relationships,
assigning different shift relation models to different
providers.
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Information entered here is a key part of EPSKED's
adaptability in working with a wide variety of schedules
and physicians.
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Many emergency departments schedule different shifts on different
types of days. For example, your schedule may require scheduling of
different shifts on weekends or holidays than on weekdays.
Here is an entry indicating to EPSKED that the Day and Night shifts
are scheduled every day of the week, while the SWING shift is
normally scheduled only on Saturdays and Sundays.

Some details:
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Day Type is
the general name for a category of days (e.g., Weekdays)
all of which have the same scheduled shifts.
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From the
scheduling program, you can change the shifts used on
any day in the schedule to the shifts used for a
different Day Type, or add and remove individual shifts.
For example, if July 4 falls on a Tuesday but is usually
a busy day for your department, you may want to change
its shifts to those of the Weekend Day Type to obtain
additional coverage. Alternatively, you could create and
select other shifts for a Holiday Day Type, which has no
days selected from the Days Normally Used
buttons.
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You can
create as many as fifteen different Day Types.
Additionally, the scheduling program allows individual
shifts to be added and removed from days in your
schedules.
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The basic appearance of the printed schedule
is that of a calendar. Within each day, several lines of schedule
information can be printed. On the top line of each day is printed
that day's date. The remaining lines in each day are used to print
the names of the providers scheduled for that day.
Your mission in
this customization step (should you decide to accept it) is
to assign a line number to each shift used in your schedule.
The assigned line number determines where the name of the
provider scheduled for that shift is printed for each day
that the shift is used. For example, assign your earliest
daytime shift to line number one, so that the name of the
scheduled provider is printed as the first (top) name for
the day.
Here are entries
that position the Day, Swing and Night shifts:

From this entry, can you tell who is scheduled for which
shifts (Day, Swing, or Night) on the following sample days
from a printed schedule?

Correct answers:
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Dr. Jones is
scheduled for the DAY shift on Friday the 6th and the
SWING shift on day Saturday the 7th.
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Dr. Smith is
scheduled for the NIGHT shift on both days.
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Dr. Clark is
scheduled for the DAY shift on Saturday the 7th.
EPSKED
allows you to print the name of the shift to the left of the
scheduled provider, if desired. This can add clarification
to a printed schedule, as:

Some Details:
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EPSKED
allows you to schedule a maximum of 32 shifts each day,
with printing
limited only by font legibility. (A twelve week schedule
using 32 shifts each day can be created and displayed,
but the font size for printing as a calendar is too
small to read. Schedules of any size can instead be
directly exported as an HTML file or an Excel
spreadsheet).
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Options to
vary the letter case and to add shift labels or dividers
are available to improve the clarity of the printed
schedule.
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When you create schedules you are interested not only in printing them but also in
obtaining some statistical information. Usually you would want to know the total number of
hours worked by each provider or other summary information such as the total number of
night shifts worked, or holiday shifts or weekend shifts or clinic shifts or weekend night
shifts or weekend holiday shifts. Each of these names represents a category that EPSKED
can summarize, both individually for each provider and as a total for the
entire schedule (for example, total number of hours in the schedule) and as a cumulative
total for one or more schedules. This summary information is easily displayed and
printed whenever you want.
Here are some entries creating several sample summary categories:

Some details:
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The lines in each column below the Category Title label contain the name of the summary category defined by
that column.
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The first of these top lines is a title used to identify the type of shifts included in
the category.
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The second of the two top lines in each column usually displays either the word
"SHIFTS" or the word "HOURS", indicating which you want summarized in
the category. For example, if the title entered in the first line was "NIGHT",
you could create summary categories for either "NIGHT HOURS" or "NIGHT
SHIFTS", or both.)
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Simple summary categories can be easily combined to create linked summary categories
such as the WEEKEND NIGHT SHIFTS category above. Some other possibilities
are "HOLIDAY NIGHT SHIFTS", "WEEKEND DAY HOURS", or "FRIDAY NIGHT
SHIFTS" up
to a maximum of thirty(!) different summary categories.
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The lower group of lines in each column below the Shifts Used label lists the names of the shifts included in the
summary category. For example, an
"EVENING SHIFTS" category might list SWING on these
lower lines as the name of the shifts to include in that category. During scheduling,
whenever a physician is scheduled for a SWING shift, EPSKED updates his or her summary
information for that category.
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Pretty neat, huh?
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The sixth (and final!) step in
customizing EPSKED is identifying the providers who work the
schedule you have defined in the previous five steps.
Don't be
overwhelmed by the number of options! Shown in the sample
provider Entry Form are all customization requests specific
to an individual provider. In addition to a name, other
information is displayed. Most important to you are probably
the usual number of hours and shifts requested by the
provider for each schedule, the number of days in a row the
provider prefers to work (referred to as Shifts In A Row on
the program screen), and shifts the provider is unable to
work or for which he has special preferences. Again,
don't be overwhelmed by the number of options! EPSKED
can produce schedules even if all you do is simply enter the
names of your providers. The remaining options are either
automatically set to standard values or do not need to be
used, but are available if required by your schedule.

When the EPSKED scheduling program creates a schedule it
attempts to match the requested values as closely as
possible for each provider. The task of entering these data
values for each provider is greatly simplified by use of a
template.
Some comments
if you're interested in more details:
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The first
row below the provider name and title information
contains EPSKED Customizer
entries related to requested hours and shifts.
How many hours and shifts should be scheduled for each
provider? You may enter requests for specific numbers of
shifts in up to three selected summary categories. For
example, you might want to customize EPSKED to accept
scheduling requests for specific numbers of night,
weekend and evening shifts for each of your providers,
as was done here.
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The
second row below the provider name and title information
contains EPSKED Customizer
entries related to sequences of shifts.
How many shifts in a row does each physician want to
work? Are there any shifts, such as night shifts, for
which your providers want to work fewer in a row than
for other shifts? Do any providers want to either work
the entire weekend or have the entire weekend off? If
you customized more than one Shift
Relations Model, which one should be used for each
provider?
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The third
row below the provider name and title information
contains EPSKED Customizer
entries related to preferences for shift types.
Are there any of the customized shifts that an
individual provider cannot work? (For example,
physicians or physician assistants who work only in a
fast track area may not be able to work shifts in the
main emergency department.) Likewise, are there any
shifts that individual providers prefer working or
dislike working?
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The
fourth row below the provider name and title information
contains EPSKED Customizer
entries related to contact information.
What is the provider's voice telephone
number? (This is used to print a provider telephone
roster at the bottom of individual schedules.) What is
the provider's fax telephone number? (You can fax
schedules directly from EPSKED.) What is the provider's
email address? (You can email messages and schedules
directly from EPSKED.)
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The fifth
row below the provider name and title information
contains EPSKED Customizer
entries related to EPSKED optional Cycle Scheduling
feature. Are there any
repetitive cycles of shifts worked or days off that you
want EPSKED to automatically pre-schedule? The simple
cycle selections shown above for Dr. Friedman
automatically takes him off every other weekend of every
future schedule. It also automatically schedules him for
the Day shift every second Thursday of the month and Off
for all shifts every third Friday of each month. Here
are the cycle entries from the optional Cycle Entry
screens that create the cycles selected for Dr.
Friedman:

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