Ramesh K. Shukla, Ph.D.

Professor

Department of Health Administration
School of Allied Health Professions
Medical College of Virginia Campus
Virginia Commonwealth University
PO BOX 980203
1008 East Clay Street
Richmond, VA 23298

804.828.5222 (V)
804.828.1894 (F)
Email Address: shukla@hsc.vcu.edu

Education

University of Wisconsin, Madison

Doctor of Philosophy, Systems Engineering

Faculty Bio

Dr. Shukla's areas of expertise include manpower utilization and productivity, decision support systems and hospital information systems. He has conducted extensive research on evaluating various strategies for improving manpower productivity without reducing quality of care or employee satisfaction. His recent research focus is on assessing and separating the effects of people, structures, and systems on manpower performance and productivity in nursing services. Dr. Shukla has developed a systems model of nursing performance that has been implemented and evaluated in several hospitals. He is a member of several professional associations, is a frequent speaker at national and international meetings, is a consultant to several large health care corporations, and has published extensively in his areas of scholarly interest. 

Research

Research Grant And Contract Awards:

1999- "Longitudinal Analysis of Small Area Variations of Ambulatory Care Sensitive Conditions (ASCs) in Virginia-1994-98" $50,000.00, Department of Health, Commonwealth of Virginia, Richmond, Virginia.

1998- "Development of risk-adjusted outcomes assessment of Virginia hospitals" funded by VHI, direct cost of more than $100,000.00 per year

1995-96 "Small Area Analysis of Primary Care Sentinel Events in Virginia" $30,000, Department of Health, Commonwealth of Virginia, Richmond, Virginia.

1993-95 "Develop Mark II: Enhance the Methodology for the Measurement and Review of the Efficiency and Productivity of Health Care Institutions in Virginia using patient level data.", $ 175,000.00 funded by the Virginia Health Services Cost Review Council, Commonwealth of Virginia, Richmond, Virginia.

1992-94 "Develop a Methodology for the Measurement and Review of the Efficiency and Productivity of Health Care Institutions in Virginia." $285,000.00 funded by the Virginia Health Services Cost Review Council, Department of Health, Commonwealth of Virginia, Richmond, Virginia.

1990-1992 "Nursing in the 90s : Total Quality Management Project." $ 15,000 in direct cost by the Riverside Regional Medical Center, Newport News, Virginia.

1990-1991 "Development of a Case Study for Improving Productivity and the Quality of Nursing Services at Virginia Beach General Hospital." $10,000 in direct cost by the Tidewater Healthcare Corporation, Virginia Beach, Virginia.

1987-1989 "Productivity Improvement Program at Virginia Beach General Hospital." $35,000 in direct cost by the Tidewater Healthcare Corporation, Virginia Beach, Virginia.

1986-1987 "Productivity Improvement Program at St. Mary's Hospital." $15,000 in direct cost by St. Mary's Hospital, Richmond, Virginia.

1985-1986 "Proposal to Study the Virginia Medicaid Nursing Home Reimbursement System." Co-investigator with Dr. Arling and Dr. Rossiter; funded $98,422 by the Department of Medical Assistance Services, Commonwealth of Virginia.

1984-1986 "Design of Integrated Clinical, Financial, and Manpower Management Information Systems." Awarded $15,000 in direct cost by Riverside Hospital, Newport News, Virginia.

1984-1985 "Analysis of Nursing Skill-Mix in Humana Hospitals." $5000 in direct cost for data analysis, Humana Corporation.

1981-1984 "Cost/Benefit Evaluation of Nursing Care Structures." Awarded $488,000 in direct cost, by National Center for Health Services Research, Department of Health and Human Services, Washington, D.C.

1982-1983 "Factors Affecting Recruitment and Retention of Nursing Personnel in long-term Care Institutions," with Jerry L. Norville. $20,000 in direct cost, American Health Care Association, Washington, D.C.

1978-1979 "Quasi-Experimental Approach to Evaluate Cost-Benefits of Primary and Team Nursing Care Modalities." Jointly funded by A.D. Williams Research Program ($2,970) and Riverside Hospital, Newport News ($40,000).

Other Honors, Awards, And Fellowships:

1962-1967 Received national scholarship at the Indian Institute of Technology, Kharagpur.

1968-1970 Scholarship from Graduate School at the University of Wisconsin, Madison, Wisconsin.

1972 Received Second National Lambert's Award for designing innovative system of Nursing Care Delivery at St. Mary's Hospital, Milwaukee, Wisconsin during 1970-1971.

1974-1977 Fellowship at the University of Wisconsin, Department of Industrial Engineering, Madison, Wisconsin.

1982 Received the second best paper award in 1982 from the American College of Hospital Administrators, for "Nursing Care Structures and Productivity." Hospital and Health Services Administration, November, 1982.

1984- 90 Nominated to the Council of the Operations Research Society of America, Health Division.

1993-94 Chaiman Operations Research Society of America, Health Application Section.

Bibliography:

"A Comparative Analysis of Revenue and Cost Management Strategies of Not-for-Profit and For-Profit Hospitals" (co-authors John Pestian and Jan Clement) Hospital and Health Services Administration (accepted July 31, 1996).

"Deming-Another Health Care Demise?" Invited paper by the Strategies for Healthcare Excellence, to be published in May 1993.

"The Effects of Competency-based Targeted Staff Development Program on Nursing Productivity" (with Yasar Ozcan) Journal of Nursing Staff Development, (accepted in Feb. 1992).

"Factors and Perspectives Affecting Nursing Resource Consumption in Community Hospitals, Health Services Management Research, vol 5 No 3, Nov. 1992.

"Declining Productivity in Hospitals : Diagnosis of External Threats" in Hospital and Health Services Administration, (accepted, 1991)

"Impact of Admission Monitoring and Scheduling System on Productivity and Employee Satisfaction," Hospital & Health Services Administration, October, 1989.

"Comparison of Subjective Versus Data based Approaches for Improving Efficiency of O.R. Scheduling" (with Ketcham, J.S., and Ozcan, Y.A.), accepted for publication in Health Services Management Research, September, 1989.

"Contextual and Organizational Correlates of the Quality of Hospital Nursing Care." (with T. T. H. Wan) Quality Review Bulletin, Vol. 13, No. 2, February 1987.

"AM Admissions and PM Discharges to Improve Hospital Efficiency." Hospital and Health Services Administration, Vol. 31, No. 4, Fall 1986.

"Structural Measurements of Integration and Continuity of Nursing Care: A Longitudinal Approach." Inquiry, Vol. 22:426-432, Winter 1985.

"Admission Monitoring and Scheduling to Improve Work flow in Hospitals." Inquiry, Vol. 22: 92-101, Spring 1985.

"Patients' Perception of Care under Primary and Team Nursing." Research in Nursing and Health, Vol. 7, No. 2, 1984.

"Technical and Structural Support Systems and Nurse Utilization: System Model." Inquiry, Vol. 20, Winter, 1983.

"All-RN Model of Nursing Care Delivery: A Cost-Benefit Evaluation." Inquiry, Vol. 20, Summer, 1983.

"Utilization of Physical Therapy Personnel in One Hospital: A Work Sampling Study." (With M. Domenech, O. Payton, and J. Hill), Physical Therapy, Vol. 63, No. 7, July, 1983.

"Influence Structures in Community Hospitals: A Decision? Contingency Model." (with Charles L. Breindel), Hospital and Health Services Administration, Aug., 1983.

"Influence of Power Bases in Organizational Decision-Making: A Contingency Model." Decision Sciences, Vol. 13, No. 3, 1982.

"Primary or Team Nursing? Two Conditions Determine the Choice." The Journal of Nursing Administration, November, 1982.

"Nursing Care Structures and Productivity." Hospital and Health Services Administration, Vol. 27, No. 6: 45-58, 1982.

"Organizational Philosophy and Nurse Staffing: Three Step Decision Process." Journal of Long Term Care Administration, Vol. 10, No. 3, 1982.

"People vs. Structure in Primary Nursing: An Inquiry." Nursing Research, July/August, Vol. 30, No. 4, 1981.

"Policy Analysis of Evaluation of Gonorrhea Control Programs: A Simulation Approach." (with Yasar Ozcan), Proceedings of 1981 Winter Simulation Conference sponsored by AIIE/ORSA/TIMS/IEEE, December, 1981, pp. 1-9.

"Integrated Staffing and Scheduling System of Nurses in Hospitals: An Evaluation." TIMS/ORSA Bulletin, November, 1980.

"System Dynamic Simulation Model for Policy Analysis of A Gonorrhea Control Program." American Institute for Decision Sciences, Proceedings of the Annual Conference, 1980. "Targeted Continuing Education: A Model Application to Nursing in Hospitals."Training in Human Services, October, 1980.

"V.D. Simulation Modeling for Policy Analysis." (with Yasar Ozcan), TIMS/ORSA Bulletin, May, 1980. "Bases of Power in Organization Decision-Making." (with Richard Leifer), American Institute of Decision Sciences, Proceedings of the Annual Conference, New Orleans, 1979.

"Decision-Theoretic Approach to Nurse-Staffing in Nursing Homes." ACNHA, 5th Symposium Proceedings, New York, 1979.

"Opportunities of Improvement of Health Systems Engineering." (With Gustafson, Rose, and Howes), Inquiry, March 1976.

"A Comparative Study in Subjective Likelihood Estimates Made by Individuals, Interacting Groups, Delphi Groups, and Nominal Groups." (With D. H. Gustafson, A. Delbecq, and W. Walster), Organizational Behavior and Human Performance, Vol. 9, No. 2, 1973.

"A System of Patient Care Based on Patient Needs." (with Kraegel, Schmidt, and Goldsmith), Nursing Outlook, Vol. 20, No. 4, 1972.

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