{"id":28268,"plugin_id":"plugins_6abebd1812108191a8292887f766cd78","kind":"skill","collection_source":"plugin_package","comparison_source":null,"observed_at":"2026-10-08T18:03:26.159Z","digest":"2f373d06cfcb4a6e2a5173a583b4574795424cacbd0512e24e8ccfb6c5190178","against":null,"payload":{"description":"Model staffing, travel or room capacity, equipment, supplies, and incremental operating costs for a healthcare service expansion or startup. Use when operational constraints or labor costs drive a feasibility decision.","included_files":[{"relative_path":"agents/openai.yaml","size_in_bytes":231}],"name":"design-healthcare-operations","skill_md_contents":"---\nname: design-healthcare-operations\ndescription: Model staffing, travel or room capacity, equipment, supplies, and incremental operating costs for a healthcare service expansion or startup. Use when operational constraints or labor costs drive a feasibility decision.\n---\n\n# Design operations and capacity\n\nRead [working rules](../../references/working-rules.md). Establish care patterns from qualified clinical input; label unvalidated hypothetical patterns. Exclude routine encounters furnished by other organizations from this service's visits, cost, and revenue unless it actually furnishes and bears them.\n\nUse mutually exclusive encounter profiles for different service combinations. Multiple service lines during one encounter consume encounter time once; combine them into a profile with separately justified payment assumptions rather than counting two visits. Use completed encounters consistently and account for cancellations in capacity or demand once.\n\nCalculate workable clinician minutes after administrative/nonclinical duties, leave, training, and other commitments. Per-encounter minutes include care, documentation, travel/turnover, and appropriate allowances. For a fixed site, separately check room/device bottlenecks. For mobile care, model actual route clusters, travel minutes and miles, facility access, and lost throughput. Do not substitute mileage cost for travel time.\n\nPrepare an itemized cost ledger: clinician compensation, employer burden or contractor terms, supplies, mileage, equipment/maintenance, billing, insurance, software, scheduling, and other genuinely incremental costs. BLS wages need local recruiting validation and applicable benefits/taxes. A salaried clinician's paid time belongs in fixed costs, while incremental per-visit compensation belongs in variable costs; do not put the same labor in both. Already available staff may have no new cash cost but still have opportunity costs and limited capacity.\n\nIdentify growth steps: extra scheduler hours, clinician sessions, vehicles, rooms, or equipment. Compare separate scenarios across each capacity/cost threshold. Show capital outlay, recurring operating costs, and accounting depreciation separately. If product waste is modeled, define whether waste is a percentage of purchased or used units; those denominators imply different cost formulas.\n\nReturn staffing and capacity tables, cost assumptions with quotes/proxies, constrained visit forecasts, and the binding bottleneck. For the packaged calculator, convert verified operational constraints into monthly available minutes; if a room or another resource binds first, use the corresponding conservative equivalent capacity or an expanded independently checked model. Explain the simplification.\n"},"changes":[],"summary":"First saved snapshot. No earlier version is available for comparison.","summary_kind":"deterministic","summary_metadata":{}}