Understanding cFTE in Healthcare Systems

Exploring the concept of cFTE (clinical full-time equivalent) in healthcare systems, which represents billable activities generating wRVUs. Examples showcase how physicians like Zack Morris, Tori Scott, Samuel Powers, and Mary Bliss allocate their time, highlighting the calculation and application of cFTE in various clinical and research settings.

• Healthcare
• cFTE
• Clinical
• Physician
• Healthcare Systems

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1. U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E S Y S T E M cFTE Documentation

2. cFTE Definition & Formula U N C H E A L T H C A R E S Y S T E M cFTE Definition cFTE represents the portion of time spent in billable inpatient and outpatient activities where wRVUs are produced. Does not include time where a patient bill was not generated. cFTE Formula 1. Funded non-RVU generating activity 2. Unfunded non-wRVU generating activity 1.0 full cFTE (1.0 Appt FTE) cFTE 1. Examples 2. Examples Department Administration (if buying out time) Department Funded Education Unfunded Research Program codes counting towards cFTE Funded Research Cost Share SOM Department Admin role SOM MD Education Contracts ACGME Residency Director (hospital contract) MC205 (Hospital Contracts RVU s) MC231 (Inpatient) MC232 (Outpatient) MC245 (Clinical) MC310 (Off Site RVU s) 2

3. cFTE Examples U N C H E A L T H C A R E S Y S T E M Physician Zack Morris is 1.0 FTE and 1.0 cFTE. Below is an example of a normal week: Office (1 day/week) In clinic (2 days/week) Operating Room (2 days/week) Type Amount % Total Fund Source Account Program Code 350,000 1.0 28542 17237 511120 Clinical MC245 3

4. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Tori Scott is .50 FTE and .50 cFTE. Below is an example of a normal week: Office (.25 day/week) In clinic (2.5 days/week) Type Amount % Total Fund Source Account Program Code 75,000 1.0 28542 17237 511120 Clinical MC245 (.50 Appointment FTE * 1.0 Salary Funding Grid FTE = .50 cFTE) 4

5. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Samuel Powers is a 1.0 FTE and a .10 cFTE, and has additional duties. Below is an example of a normal week: Clinical Contract with the Department of Public Safety (4.5 days/week) In clinic/on-call (.5 days/week) Type Amount % Total Fund Source Account Program Code 157,500 .90 28542 17818 511120 MC234 Clinical External Contract 17,500 .10 28542 17260 511120 Clinical MC245 5

6. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Mary Bliss is a .50 FTE and a .325 cFTE, and has funded research. Below is an example of a normal week: Funded Research ( 1 day/week) Clinical (1.5 days/week) Type Amount % Total Fund Source Account Program Code 33,817 .12 25210 49000 511120 MC202 Research 63,259 .23 28542 17260 511120 MC303 Research Cost Share 90,000 .32 29101 15191 511120 Clinical MC245 95,507 .33 28542 17260 511120 Clinical MC245 (.50 Appointment FTE * .65 Salary Funding Grid FTE = .325 cFTE) 6

7. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Richard Belding is a 1.0 FTE and a .95 cFTE, and has additional duties. Below is an example of a normal week: Clinical work performed in High Point, billed through EPIC (4.5 days/week) Director (.5 days/week) Type Amount % Total Fund Source Account Program Code 300,000 .95 28542 17358 511120 Clinical Off-site MC310 30,000 .05 28542 17358 511120 MC243 Admin 7

8. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Lisa Turtle is a 1.0 FTE and a .70 cFTE, and has additional duties. Below is an example of a normal week: Hospital Contract at Chatham (.5 days/week) In clinic (3.5 days/week) Education/Program Director (1 days/week) Type Amount % Total Fund Source Account Program Code 30,000 .10 28542 17884 511120 MC234 Clinical External Contract 60,000 .20 28542 17084 511120 MC236 Education Program Director 210,000 .70 28542 17084 511120 Clinical MC245 * External Contract sources should begin with a 178XX. 8

9. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Jessie Spano is 1.0 FTE and a .8 cFTE, and has additional duties. Below is an example of a normal week: Cover inpatient (1.25 day/week) Cover outpatient (2.75 days/week) Clinical contract (1 day/week) Type Amount % Total Fund Source Account Program Code 134,000 .58 28542 17676 511120 Clinical* Outpatient MC232 70,000 .22 28542 17719 511120 Clinical* Inpatient MC231 45,000 .2 28542 17719 511120 MC237 Clinical Contracts Non-RVU s * Clinical can be reflected by MC245 or broken out by Outpatient/Inpatient if a department would like that level of detail. 9

10. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician Kelly Kapowski is a 1.0 FTE and a .41 cFTE, and has numerous other duties. Below is an example of a normal week: Center Director/Admin (1.75 days/week) Clinical Contract in Wake Forest (.25 days/week OR 1 day/month) In clinic (2 days/week) Funded Research (1 day/week) Type Amount % Total Fund Source Account Program Code 19,000 .05 25210 49000 511120 MC202 Research 18,000 .04 28542 17216 511120 MC303 Research Cost Share 33,000 .09 29242 46514 511120 MC216 Research External Departmental 46,000 .13 21101 13001 511140 MC243 Admin Center Director 82,000 .22 21101 13001 511120 MC243 Admin External Department 152,000 .41 28542 17216 511120 Clinical MC245 23,000 .06 28542 17823 511120 MC234 Clinical External Contract 10

11. cFTE Examples, cont. U N C H E A L T H C A R E S Y S T E M Physician AC Slader is a 1.0 FTE and a .64 cFTE, and has a few other duties. Below is an example of a normal week: Vice Chair (1 day/week) In clinic (1.1 day/week) Operating Room (2 days/week) Funded Research (.4 days/week) Educating Medical students (.5 days/week) Type Amount % Total Fund Source Account Program Code 11,000 .03 25210 49000 511120 MC202 Research 10,500 .03 28542 17237 511120 MC303 Research Cost Share 81,000 .20 28542 17237 511140 MC243 Admin Vice Chair 265,000 .64 28542 17237 511120 Clinical MC245 41,000 .10 21101 13001 513120 MC240 Education Medical Education * 1 week a month Slader trades his VC day for an extra OR day 11

12. FAQs U N C H E A L T H C A R E S Y S T E M A provider produces wRVUs at an Offsite location. Does this count towards their cFTE? Yes, if the wRVUs map to UNCFP in Epic. If you need to verify this, please contact your UNCFP Business Analyst or Revenue Cycle Analyst. Do we account for start or termination date? What about Job FTE? No, these items are not a component of cFTE. However, when we use cFTE in Funds Flow or the Faculty Productivity report we do account for these various components in a calculation outside of the regular cFTE calculation. 12