Sierra Valley Medical Center
EEG service line operational diagnostic
Trailing 12 months — Mar 2025 to Feb 2026 · reviewer M. Okafor, R. EEG T.
Reviewer note — M. Okafor, R. EEG T.
Inputs look internally consistent. Confirm the protected outpatient hours figure with the scheduling team before the finance review.
Outpatient wait
Target 14 days · 72 studies queued
Recommended model projects 25 days
Routine OP capacity
Demand 12.0 per week — no margin
Recommended model: 20 slots per week
Staffing gap
3.0 filled vs 4.0 required
Includes 15% reliability buffer for PTO, sick and training
Premium pay burden
15 OT hrs + 4.3 callbacks per month
Recommended model: $17,033 per year
Demand heatmap by daypart
Average monthly requests by day of week and daypart. Volume concentrates in the early and mid blocks, while the 19:00–07:00 band is covered only by call.
| 07:00–11:00 | 11:00–15:00 | 15:00–19:00 | 19:00–07:00 | |
|---|---|---|---|---|
| Mon | 11 | 9 | 6 | 2 |
| Tue | 12 | 10 | 5 | 2 |
| Wed | 12 | 11 | 6 | 2 |
| Thu | 11 | 10 | 6 | 2 |
| Fri | 10 | 8 | 5 | 2 |
| Sat | 3 | 2 | 2 | 1 |
| Sun | 2 | 2 | 2 | 1 |
Counts are average requests per month in that block. Demo assumption
Where the hours go
Direct technologist hours per week by work type, before the indirect multiplier.
- Outpatient routine EEG20.9 h
- Inpatient routine EEG13.1 h
- cEEG monitoring days10.7 h
- cEEG hook-ups4.6 h
- STAT / urgent EEG3.1 h
- Ambulatory starts2.3 h
- 2+ tech case surcharge2.1 h
- Ambulatory disconnects1.7 h
Direct hours per week58.6
With indirect ×1.3 (documentation, QC, cleaning)76.1
Available staffed hours per week103.8
Current state vs proposed state
Proposed state is "Recommended: staggered + 1.0 FTE + Saturday block". Open the scenario builder to change it.
Staffing gap analysis
Required FTE is driven by whichever binds harder: total workload hours, or the hours the coverage model must be staffed.
- Workload hours per week (loaded)
- 76.1 h
- Coverage requirement (span + overlap)
- 62.5 h
- Binding requirement + reliability buffer
- 87.6 h
- Productive hours per FTE per week
- 34.6 h
- Required FTE (current model)
- 3.0
- Required FTE (recommended model)
- 4.0
- Filled FTE today
- 3.0
- Gap to recommended model
- 1.0 FTE
Overtime and callback burden
Premium pay is the clearest financial signal that the coverage model no longer matches demand.
Overtime hours / month
22
Callback activations / month
4.3
Paid callback hours / month
12.9
Standby hours / month
60
Annual overtime cost
$10,157
Annual callback cost
$8,824
With a three-person rotation, the reported callback rate works out to roughly one callback per technologist every three weeks — the pattern most often cited in exit interviews for this role.
Wait time and access
Outpatient access is the metric the service line is judged on.
Current wait
42 days
Target wait
14 days
Queued studies
72
Cancellation + no-show
19.2%
Room and equipment bottlenecks
Utilization above roughly 85% means no slack for variation, sick calls or equipment failure.
EEG rooms (1)
40%
21.0 of 53 open room-hours per week used by outpatient routine.
Ambulatory kits (4)
36%
2.3 starts per week against ~6.4 kit turns per week at 72-hour studies.
cEEG carts (3)
68%
2.0 concurrent monitored patients on average against 3 carts.
Portable units (2)
39%
Inpatient routine plus STAT volume against ~14 portable studies per unit per week.
Scenario summary
Each modeled option at a glance. Full detail and editing in the scenario builder.
| Scenario | Coverage h/wk | OP slots/wk | Required FTE | Callbacks/mo | Wait (days) | Annual labor |
|---|---|---|---|---|---|---|
| Current state | 53 | 12 | 3.0 | 4.3 | 42 | $329,335 |
| Staggered coverage, no new FTE | 70 | 17 | 3.5 | 3.6 | 30 | $329,932 |
| Recommended: staggered + 1.0 FTE + Saturday block | 78 | 20 | 4.0 | 3.4 | 25 | $428,558 |
| Staggered + 0.5 FTE + PRN hybrid call | 70 | 18 | 3.5 | 2.6 | 28 | $402,420 |
| Scheduled evening shift (callback conversion) | 90 | 18 | 4.5 | 1.0 | 28 | $474,353 |
Administrative draft — not clinical authority
This output is operations and administration software. It does not interpret EEG, does not provide diagnostic decision support, and carries no clinical authority. Clinical criteria and local policy require review and approval by your physician and medical leadership.