HUNTER BYRNES KATHRYN GOODRIDGE SARAH LEADBEATER BEN MENNIS PUJAN PATEL Improving Physician Productivity in the Emergency Department at VCU Community Memorial Hospital
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Agenda Final Take Limitations Recommendations Results Methodology Background Introduction
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Introduction Community Memorial Hospital (CMH) Community-owned, non-profit Serves South-Central VA & Northern NC One of the largest employers in the area Joined VCUHS on July 1st, 2014
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Introduction Uncertain and Low Patient Volume Lower-level Acuity Patients Physician Productivity Issues AIM: Improve overall physician productivity of VCU-CMH by increasing patient volume & utilizing resources available to them through VCUHS. CMH Emergency Department Inefficiencies
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Background Productivity Measures the efficiency a person or system has in converting inputs into useful outputs We focus on Physician Productivity Forms a basis for comparison between physicians Able to Calculate the Productivity of: Single Operation DepartmentOrganization
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Background Successful Use of Productivity Measurements Consistently Defined Realistic Expectations Publicizing Improvements Creates Healthy Competition Compare to Benchmarks
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Background Variables that Impact Physician Productivity Time of Shifts Worked Patient Volume Organization Characteristics Patient Characteristics & Case Mix Physician Productivity
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Methodology Mr. Scott Burnette, CEO CMH Dr. Kathy Baker, Director of Resource Management for LifeEvac and the Emergency Department for VCU Health System Data Sources Medhost Monthly/Hourly volume: March 1, 2014 to February 28, 2014 Duva-Sawko Yearly volume:
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Results
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Results Hourly Productivity
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Results Regression Statistics Multiple R R Square Adjusted R Square Standard Error Observations4 Forecasting Yearly Volume
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Results
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Recommendations CMH must increase patient volume to address physician productivity Level III Trauma Center Designation “Golden hour” care Utilization of Telemedicine with VCUHS 200 vs 30 specialties Physician Dashboard Encourage healthy competition and increase physician productivity
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Limitations Absence of permanent ED Director & Data Analyst Lack of complete data Leading to assumptions Inability to retroactively obtain data Financial constraints Physician productivity benchmark data Comparison between Pediatric ED & General ED Physician’s Views Physician Availability Distance between CMH & VCU Time constraints WARNING! LIMITATIONS AHEAD
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Increase volume by 1,100 patients annually Meet benchmark of 2.0 in four years Future Projections
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Increase Patient Volumes Level III Trauma Center Telemedicine Physician Dashboard
AgendaIntroductionBackgroundMethodologyResultsRecommendationsLimitationsFinal Take Questions & Answers