Exploring Productivity Measurement Practices in Healthcare Settings
Delve into the intricate world of measuring productivity in healthcare with insights from Kirsten L. Rounds, RN, MS, and other experts. Learn about the considerations, continuous improvement, and key metrics for evaluating clinical, financial, research, and educational activities. Discover the challenges and strategies in determining what, how, and who to measure in healthcare productivity.
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Presentation Transcript
Productivity: Not Just Numbers Kirsten L Rounds RN, MS Senior Executive Administrator UEMF Department of Emergency Medicine Alpert Medical School, Brown University
Measurement Considerations Should we measure it? What should we measure? How should we measure? How should we manage the info?
Continuous Improvement Measurements should adapt and evolve over time to most accurately reflect the needs
Should we measure it? Relevance Congruence with mission Understood
Clinical Productivity: the Easy Part
What we measure: Clinically 72% total RVUs 84% RVUs/Hr 60% RVUs/Pt 88% Pts/Hr
Floors: Base Expectations for Clinical Productivity 24% RVUs/Pt 60% RVUs/Hr 60% Pts/Hr
Who do we measure: Attending Physicians: 100% Residents: 20% Fellows: 36% Midlevels: 52%
Financial Metrics Incomplete Charts Down coded charts- Admitted Patients less than 99285 Chart Query completion rate & timeliness Collections/Patient Service Revenues
Measuring Research Activity Grant $/yr Grant Applications/yr Number of Active Projects Number of Peer-Reviewed Publications Number of Total Publications
Measuring Educational Activity Resident Evaluations Medical Student Evaluations Hrs spent Teaching Didactics Hrs spent Teaching Medical Students Number of Students Precepted Grand Rounds Attendance
MEDICARE TIME REPORT FISCAL YEAR 2013 SECOND QUARTER: JANUARY, 2013 THRU MARCH, 2013 WEEKS TO RECORD: 02/03/13 - 02/16/13 Due Date: 04/08/13 IF NEW, DATE OF HIRE: Physician Name: Department: SUN MON TUE WED THU FRI SAT SUN MON TUE WED THU FRI SAT TOTAL REMARKS Direct Medical Education: Approved Intern & Resident Programs Approved Paraprofessional Programs Administration: General Administration Duties On-Site teaching of Medical Students Off-Site teaching of Medical Students - - - - - - Direct Patient Care: - Psych Unit Patient Care ONLY: Research: Funded by External Sources - Hospital Funded Other (Non-Funded or Practice Funded) Other Non-Approved Time (Specify) - - - - - - - - - - - - - - - - - - TOTAL Physician Signature Date Administrative Signature Date PLEASE SIGN and DATE ABOVE AND FORWARD TO YOUR DEPARTMENT ADMINISTRATOR FOR SIGNATURE
References Silich, Bert A., MD, MS and Yang, James J, PhD (2012). Factoring in Clinical Hours, Patients Seen, and Relative Value Units Into 1 Metric. Western J Emerg Med. 13(2): 176-180. Duszak Jr, Richard MD, and Muroff, Lawrence R., MD (2010). Measuring and Managing Radiologist Productivity, Part 1: Clinical Metrics and Benchmarks. J Am Coll Radiol. 7:452-458. Duszak Jr, Richard MD, and Muroff, Lawrence R., MD (2010). Measuring and Managing Radiologist Productivity, Part 2: Beyond the Clinical Numbers. J Am Coll Radiol. 7:452-458. Berger, Joseph R., MD and Maher, Jr. Richard F. (2011). An Innovative Approach for Calculating the Work Relative Value Units of Clinical Activities Otherwise Concealed. Acad Med. 86:853-857. Johnson, Tricia, MA, PhD, Shah, Mitul MS, Rechner, John MBA, and King, Gerald MHA (2008). Evaluating the Effect of Resident Involvement on Physician Productivity in an Academic General Internal Medicine Practice. Acad Med. 83:670-674. Cheriff Adam D., Kapur, Akshay G., Qiu, Maggie and Cole, Curtis L. (2010). Physician productivity and the ambulatory EHR in a large academic multi- specialty physician group. International Journal of Medical Informatics. 79:492-500
