Faculty Practice Plan Institutional Responsibilities Management Responsibilities 1
Faculty Practice Plan Institutional Responsibilities - Management Responsibilities: 1. Administration: direct responsibility for operations + Provider compensation 2. Accounting, Audit, and Payroll: manages finances, accounting, audit, and payroll 3. Human Resources: provides all human resource functions, to include hiring, firing, benefits, policy development, + manages clinician based complaints 4. Legal: contracts to provide direct oversight and management of all legal matters, including contracts, employee disputes, legal investigations, + regulatory compliance 5. Malpractice: manages malpractice including coordinating and controlling the defense of any malpractice claims and managing the UC Self Insured Trust + other insurance plans 6. Clinical Practice: directs clinician-based process improvement initiatives, implements medical staff and payor quality initiatives, + manages after hours on call scheduling 7. Clinical Operations: through a contract with UC Health, the FPP provides medical direction of clinical delivery systems, and then UC Health provides scheduling, credentialing, third party payor contracting, billing, marketing, website, referring physician relationships
Faculty Practice Plan Institutional Responsibilities – Clinical Department Responsibilities: The Chair of each academic department serves as the Chair of the corresponding FPP department, except for the Primary Care Network (“PCN”) which is led by a Vice President who reports directly to the CEO of the FPP. 1. Administration: oversee operations, budgets, serves on the board, and manages compensation plans. 2. Medical Care: provide medical care to patients. 3. Training and Education: provide education for medical students, fellows, residents, + health care professionals. 4. Research: conduct industry sponsored clinical research, health services research + outcomes research. 5. Quality and Safety: provide assistance or expertise with quality and safety improvement programs. 6. Compliance: comply with FPP policies, procedures, and regulations, including policies regarding residency programs + government billing regulations. 7. Recruitment and Retention: Departments recruit clinicians that are board eligible/certified in the primary specialty/sub-specialty of that department with the following exceptions: a. The Chair of the primary specialty supports the recruitment into the non-primary Department in writing and the FPP Board approves the recruitment with a formal vote. b. Hospitalists, non-faculty psychologists, and non-MD/DO clinicians may be recruited into any department. c. Primary care physicians that practice in a community practice will be recruited into the Primary Care Network (“PCN”) i. PCN clinicians can academic appointments in the Co. M with the appropriate academic department through Internal Medicine, Family Medicine, or Medical Education ii. PCN clinicians with academic appointments jointly report to the Vice President of the PCN through the FPP and the Chair through the Co. M.
Faculty Practice Plan- Primary Care Primary care physicians that practice in a community practice will be recruited into the Primary Care Network (“PCN”) i. PCN clinicians can academic appointments in the Co. M with the appropriate academic department through Internal Medicine, Family Medicine, or Medical Education ii. PCN clinicians with academic appointments jointly report to the Vice President of the PCN through the FPP and the Chair through the Co. M. Primary Care Hiring & RPT Process Document Collaboration with GIM, Family Medicine, Medical Education, & PCN Finalized - February 2020 Purpose - To define Primary Care hiring, RPT criteria, and day-to-day operations between the Primary Care Network and the corresponding Co. M academic departments. Formal Document – available on COM intranet
Faculty Practice Plan - Primary Care Hiring & RPT Process Document Collaborators included: Phil Diller, MD Mark Eckman, MD Bernie Lenchitz, MD Barb Tobias, MD Scope Includes: ü recruitment, ü offer letters, ü faculty appointments, & ü day-to-day management. Pat Bell Neil Holsing Lori Mackey Megan Sullivan Beth Terrill
Faculty Practice Plan - Primary Care The FPP employer between the Academic Department and the PCN is largely based on where the clinician spends the majority of their clinical time. 1) The PCN is the FPP employer when the majority of clinical time is spent in a freestanding outpatient clinic. When PCN clinicians have faculty appointments they are considered “community faculty” by their academic departments. 2) The Academic Department is the FPP employer when the majority of clinical time is spent in a mission based setting. These clinicians always have faculty appointments and are considered “integrated faculty” and mission based include: a) resident based clinic, b) hospital based clinic, c) student health clinic, d) Working as a Hospitalist, or e) serving in a settings like the homeless van or nursing homes. * If the COM Dean, a Sr. Associate Dean, the DIO, or a Department Chair is a primary care physician, by title they are always hired and managed by the academic department regardless of clinical practice site.
Faculty Practice Plan - Primary Care Clinical Practice: q Community Faculty practice clinically at PCN sites and bill and collect through the PCN q PCN employed clinicians practice clinically at PCN sites and bill and collect through the PCN q Integrated Faculty that practice clinically at a PCN site pay the PCN a session fee to cover clinical costs and their Academic Department bill and collect all professional fees. Compensation: q Community Faculty & PCN Clinicians – PCN Compensation Plan (Low base – P&L) q Integrated Faculty – Academic Department Compensations Plan (High Base – P&L) Departmental Taxation: q All PCN clinicians (community faculty + PCN only employment) q 2% of all net patient revenue q Capped at $10, 000
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