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UPDATE ON Faculty Productivity. Steven J. Barker, PhD, MD University of Arizona Amr Abouleish, MD University of Texas, Galveston November, 2002. SESSION GOALS. To develop and explain methods for assessing the clinical productivity of academic faculty & departments.
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UPDATE ONFaculty Productivity Steven J. Barker, PhD, MD University of Arizona Amr Abouleish, MD University of Texas, Galveston November, 2002
SESSION GOALS • To develop and explain methods for assessing the clinical productivity of academic faculty & departments. • Make comparisons between clinical departments and with private practice; use to determine needed department resources (FTE & $).
OUTLINEof session • Steve Barker: • Review of “Perfect Storm” productivity measures. A very crude start. • Use productivity to determine number of faculty & resources; contracts. • Amr Abouleish: • Refined, more accurate measures of clinical productivity. • What does all this mean to me?
Practice Overheadfor various specialties Message: Anesthesia overhead expense is less than other depts.
Anesthesiologist Clinical Productivity:RVU/provider/yr & $/RVUfor all anesth (MGMA-00) & acad anesth (MGMA-01) *“Work-RVU” data reported to MGMA survey are ASA units.
By the way: • How do you measure your services in critical care and pain in RVU? • Closest approximation: Divide total charges in pain & CCM by your usual/customary charge per unit. e.g.: $1,200,000 in [CCM + Pain] charges, $60/unit 20,000 RVU’s.
How to determine your faculty salary budgetin an academic practice group, using clinical productivity: • Find equivalent # of private practice MD’s:Ideal FTE = (Dept. RVU)/(MGMA median) Ideal FTE(UAz): = 320,000/8,963 = 35.7 FTE
How to determine your faculty salary budget (2) • Find the “ideal” budget for this #FTE using MGMA median salary:Ideal Sal Budget = (#FTE) X (MGMA$) (UAz): = 35.7 X $280,353(2000 data) = $10,008,602.
How to determine your faculty salary budget (3) • Divide total clinical practice income (all depts), less overhead, by total of ideal budgets; get “practice adjustment factor.” Multiply by ideal budget: Actual budget = (Ideal budget) X (Adj. factor) (UAz) = $10,008,602 X 0.56 = $5,604,817.
CONTRACTS: What Is YourMAGIC NUMBER? • It’s your cost for one anesthesia unit, or the conversion factor below which you should never accept a contract. • To calculate it:Divide the total department expense for clinical care by the total number of RVU produced: (total cost)/(total RVU) • But first . . . . .
MAGIC NUMBER (2) • You should subtract both the income (from numerator) and the RVU’s (from denominator) from contracts you cannot control, i.e., Medicare and Medicaid: • Modified Magic Number (MMN) = ($7.6M - $1.53M)/(320,000 – 95,667) = $27.05/RVU
Special Deal:“We’ll give you 120% of Medicare” • OK, that’s 1.25 X $17.85/unit = $22.31/unit • SO, you are losing only $27.05 - $22.31 = $4.74/unit • Make it up in volume? DO NOT ACCEPT CONTRACTS BASED ON CMS!!!!
References: • Barker SJ: “Lord or Vassal? Academic Anesthesiology Finances in Year 2000” Anesthesia and Analgesia 2001; 93: 294-300. • Also: “The Perfect Storm” SAAC/AAPD, 2000.
How to measure ACADEMIC PRODUCTIVITY • What do you want to value? • Grants. • Publications: papers vs. books? • Teaching. • Service: university, public, national. • How do you assign a “value” to these? • How to compare grants vs. national office?
CONCLUSIONS • There are benchmarks for clinical productivity and compensation – use these as tools. [More detail in next talk.] • Compare your clinical productivity with other depts by this method – anesthesiology will look very good! • Figure how to measure academic productivity – then call me!
