Some Suggestions Darcys Way Cheryls Way Annettes Way

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Some Suggestions • Darcy’s Way • Cheryl’s Way • Annette’s Way

Some Suggestions • Darcy’s Way • Cheryl’s Way • Annette’s Way

Darcy’s Way FMC Patient encounters PGY 1 have 2 clinics per week PGY 2

Darcy’s Way FMC Patient encounters PGY 1 have 2 clinics per week PGY 2 have 4 clinics per week PGY 3 have 6 clinics per week INPATIENT 4 months Inpt – PGY 1 2 months Inpt – PGY 2 1 month Inpt – PGY 3 165 MUST BE 60 OR OLDER 165 MUST BE 10 OR YOUNGER Total encounter 1650 EHR 600 HRS/SIX MNS AND 750 ENCOUNTERS EHR 100 hours/ 1 month OR 15 ICU patient encounters Online Mgmt Software by logged hours 200 hours/ 2 months OR 250 Adult ED patients Online Mgmt Software by logged hours GERIATRICS 1. 5 months of Geri rotation 100 hours/ 1 month OR 125 Older patient encounters Online Mgmt Software Logged Nursing Home visits PEDIATRIC Inpatient encounters: 1 month PEDS Inpatient rotation PEDS ED is part of ED rotation 200 hours/ 2 months AND 250 ill child encounter 75 Inpatient 75 ED PEDIATRIC Outpatient encounters: 1 month PEDS outpatient rotation Resident FMC patients 200 hours/2 months OR 250 Child/Adolescent ambulatory setting EHR encounters Newborn patient encounters 1 month new born nursery rotation 40 Newborn, pts. including well and ill (3% ill) ICU patients 1 month ICU rotation ED Adult patient encounters 200 Hours 24 Hours in Acute Care month 176 Hours during ED rotation EHR

Surgical Patient encounters PGY 2 surgical rotation work with DOC of the week in

Surgical Patient encounters PGY 2 surgical rotation work with DOC of the week in hospital o o o Primarily spend time in the OR as first assist for a variety of cases. Participate in Acute Surgical Patient Evaluations/Consultations. Participate in inpatient Pre- and Post- Op care 100 hours/1 month surgical pt. encounters including hospitalized Online Mgmt Software Logging hours 200 hours/2 months Online Mgmt Software Logging hours Surgical Patient encounters -continued: PGY 3 surgical rotation – o o 25% Pre- and Post-Op care in clinic 50% Outpatient Procedures Sports Medicine/ Musculoskeletal patient encounters PGY 2 and PGY 3 1 month Sports Medicine rotations Gynecology PGY 2 1 month GYN rotation OB patient encounters PGY 1 6 week rotation PGY 2 2 week rotation Plus our program requirement is: 40 non-continuity deliveries 10 continuity deliveries 1. Continuity delivery counts if you deliver the baby 2. If not at delivery you must see baby and mother while they are in hospital and manage post-delivery care. 3. We require this for two reasons: We have a lot of residents interested in OB and the fellowship We fill a need in our community for the “adopt a mom” program 100 hours/1 month OR 125 Patient encounters Care of women 200 hours/ 2 months dedicated to Prenatal Care, Labor management, delivery system New Innovation document deliveries

Health System Management PGY 3 Community Medicine Faculty are developing a new Practice Management

Health System Management PGY 3 Community Medicine Faculty are developing a new Practice Management curriculum with a component of Direct Primary Care Elective time PGY 2 - I month elective time PGY 3 - 2 months elective time Scholarly Activity 1 QI project - required Journal Club, PEDS presentations, Case conferences 100 hours/ 1 month 300 hours/ 3 months 2 Online Mgmt Software Logging hours for rotation Online Mgmt Software Tracking hours for rotation Resident schedule Online Mgmt Software enter data in Scholarly activities section NOTES: Encounters: are based on signatures. 2 residents can get credit from one patient encounter. PGY 1 does H&P and signs; UL amends and signs. Both residents get to count this encounter. These encounters are counted in the Department where visit occurred. EHR: writes programs to capture the needed data (typically numbers) so the resident does not have enter the encounter in EHR and then in Online Mgmt Software for tracking. Online Mgmt Software: is used for logging hours, procedures and scholarly activities.

Resident Productivity Reporting Period: 11/1/2014 to 11/30/2014 Adult IP Adult ED Adult ICU Newborn

Resident Productivity Reporting Period: 11/1/2014 to 11/30/2014 Adult IP Adult ED Adult ICU Newborn Peds ED Peds IP All Peds All Encounters Provider Notes ADAMO, ELENA BRADSHAW, SAMUEL L COOK, JAYCE G GRUNZ, RYAN HAIRFORD, AMBER M HESS, BRYAN R HONIG, ERIN J HUNTER, STEPHEN O JOYNER, JAMES KARAMALEGOS, ALEXANDER KUNEFF, RENEE A LOSQ, STEPHANIE E MARSH, MELANIE MCINTYRE, BRITTANY J MERRELL, DAVID J NETTEY, RALPH PILOTO DE LA PAZ, DAYARMYS RIGBY, MICHAEL D SCHMITZ, JEREMY E SONNENBERG, ERIC G STREET, CHRISTOPHER M THEKKEKANDAM, MARIA T WIGHT, ANDREW WILLIAMSON, EDWARD V 0 54 17 93 49 86 6 17 168 0 12 87 64 81 49 156 12 24 2 14 10 96 1 35 0 157 0 0 2 1 9 0 1 2 1 4 0 6 1 2 0 0 1 1 0 0 0 4 0 83 0 1 1 0 0 1 1 3 0 2 0 1 0 0 0 86 0 0 2 0 0 0 0 6 1 0 2 0 0 3 0 62 0 3 0 0 1 7 14 0 0 0 0 1 1 0 0 0 0 1 1 0 0 5 120 1 1 0 2 1 2 35 2 0 0 0 2 7 14 1 1 0 0 5 121 2 1 0 2 1 2 36 2 0 0 0 2 7 68 20 94 49 86 6 17 173 121 20 89 64 85 50 158 16 26 100 16 13 96 1 38

Patient and Visit Volume Report by Level of Service Moses Cone Family Medicine Center

Patient and Visit Volume Report by Level of Service Moses Cone Family Medicine Center 11/1/2014 – 11/20/2014 Patient Count Visit Count ADAMO, ELENA 23658 PR OFFICE OUTPATIENT VISIT 10 MINUTES 23660 PR OFFICE OUTPATIENT VISIT 15 MINUTES 23662 PR OFFICE OUTPATIENT VISIT 25 MINUTES 43 1 41 1 Patient Count Visit Count BRADSHAW, SAMUEL L 240 PR SUBSEQUENT PRENATAL CARE 242 PR POSTPARTUM CARE VISIT 23648 PR OFFICE OUTPATIENT NEW 20 MINUTES 23660 PR OFFICE OUTPATIENT VISIT 15 MINUTES 23662 PR OFFICE OUTPATIENT VISIT 25 MINUTES 23860 PR PREVENTIVE VISIT, EST, INFANT < 1 YR 35 2 2 1 27 1 3 36 2 2 1 27 1 3

Cheryl’s Way…

Cheryl’s Way…

Sciarra Rivas-Orozco Richards Pechon Johnson Daji Cooper Ballew Stringam Sitafalwalla Madani Jensen Jamison Grenwood

Sciarra Rivas-Orozco Richards Pechon Johnson Daji Cooper Ballew Stringam Sitafalwalla Madani Jensen Jamison Grenwood Cooke Bajwa Pascual Novales Manivannan Lester Gelou Bahia Ahmed Visits/Encounters Clinic 1302 1479 1406 1398 1392 1687 1598 649 668 610 577 654 735 605 652 105 103 125 178 156 77 Pt > 60* 255 288 326 383 324 366 383 145 160 176 140 160 172 140 197 24 28 14 28 29 32 38 22 Pt < 10* 67 58 51 50 41 67 69 39 39 21 26 47 49 17 32 7 9 6 2 7 4 7 5 Adult Inpt 10 302 376 251 21 68 105 70 329 53 340 194 457 429 185 216 255 191 580 443 ICU 45 Inpt Peds ER 10 NB 11 18 54 17 36 46 19 1 12 20 128 18 102 17 40 50 47 19 1 61 2 54 3 22 27 9 33 24 30 53 2 2 1 5 64 5 14 11 11 23 13 93 106 131 4 9 35 20 5 15 13 15 7 5 19 10

Dear Resident, FYI, below are your patient visit statistics as of December 31, 2014.

Dear Resident, FYI, below are your patient visit statistics as of December 31, 2014. The top number is the total number of clinic patients you have seen since the beginning of residency. The three numbers below are percentages that show you where you stand in comparison to the number of visits you need to graduate and to your peers. Remember that a total of 1975 visits are required to graduate. These numbers reflect the "official" count per Jennifer Powell, Business Office Manager, and are based on office visits and charges. No other counting of visits will be used or acknowledged. Also included below are the number of the required patient encounters you have documented. Remember that regardless of your training level, all residents are required to document these encounters. In this graphic, the numbers show the required number, the number of encounters you have documented and the average number of encounters logged by your class. Encounter numbers as a whole are reported to the ACGME as a measure of resident progress and program quality. For this reason, you are required to document all encounters, even after you have achieved the requisite individual requirement. Let me know if you have any questions. Cheryl

Class Average 5 750 255 345 15 14 10 40 7 12 75 93

Class Average 5 750 255 345 15 14 10 40 7 12 75 93 81 Required Adult Inpt ICU Newborn Peds Inpt Your Average Expected Average Clinic Percentage Pechon 125 5 6 Your Count Class Average Visits/ Encounters

Annette’s Way

Annette’s Way

What do we do with the data once the beans have been counted?

What do we do with the data once the beans have been counted?

ACGME Web Ads Annual entry of encounter numbers for each resident

ACGME Web Ads Annual entry of encounter numbers for each resident

Residency Performance Index Resident outpatient experience-On the survey, you may answer these 4 questions

Residency Performance Index Resident outpatient experience-On the survey, you may answer these 4 questions for up to 5 separate FMC sites. Describe your FMCs Certification Level (1, 2, 3) Average # of patient visits in the FMC for your graduating residents over the last 3 yrs % of pts over the age of 60 seen by your residents in the FMC % of pts under the age of 10 seen by your residents in the FMC

Residency Performance Index Resident inpatient and ER experience Average # of personally managed adult

Residency Performance Index Resident inpatient and ER experience Average # of personally managed adult medicine inpatients for your residentsduring their 3 year residency Average # of personally managed ICU pts for your residents during their 3 year residency Average # of personally managed pediatric ER pts for your residents during their 3 year residency Average # of personally managed pediatric inpatients for your residents duringtheir 3 year residency

Thank you! Cheryl. Haynes@sr. Darcy. Hitz@conehealth. com ahec. org asheets@susquehannahealth. o rg

Thank you! Cheryl. [email protected] Darcy. [email protected] com ahec. org [email protected] o rg