We just use the # of pt's seen per hr. We rotate the tasks in the ER evenly (intake, procedures, reassessment, etc) so unless someone is really working hard to avoid time-consuming cases it should all average out over the quarter. With a small group of people that get along well it seems to work just fine, and has the advantage of being very simple.
Banner Children's Hospital
Mesa, AZ> Date: Thu, 29 Jan 2009 19:46:05 -0500> From: [log in to unmask]> Subject: Re: RVU compensation> To: [log in to unmask]> > [log in to unmask] wrote:> > Our multi-hospital group has gone to a (partially) RVU based compensation > > structure. We have one Children's hospital in the system. There is discussion in > > the group about the fairness and equitableness of using RVUs for > > compensation when the population of patients is so different in the children's v. mixed > > EDs. Does anyone have experience with this issue?> > I have a fair amount of experience with RVUs in private peds offices> (i.e., not hospital-based) and there are three big issues that come up> there:> > - immunizations themselves don't have RVUs yet they represent ~20% of> the overhead of a typical peds office. Depending on the patient mix> for the provider (lots of newborns? lots of girls, 9-13?), this can> skew results.> > - cognitive CPT codes, particularly well visits, are notoriously> under-valued. It's not at all surprising to have a 45m teen girl> physical...yet generate <$100 in revenue for it.> > - finally, although I think RVUs (particularly the physician portion)> make an excellent measure of productivity, they don't tell the> entire picture when it comes to practice value. The guy who cranks> out 40 kids in a day and racks up the RVUs is not necessarily as> valuable to the practice as the one who sees only 4 kids in the> afternoon because the latter might focus on special needs kids and> keeps them out of the former's schedule.> > Hope this makes sense and helps.> > > -- > Chip Hart - Pediatric Solutions * Physician's Computer Company> chip @ pcc.com * 1 Main St. #7, Winooski, VT 05404> 800-722-7708 * Confessions of a Pediatric Practice> f.802-846-8178 * Consultant - http://chipsblog.pcc.com> > For more information, send mail to [log in to unmask] with the message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://listserv.brown.edu/ped-em-l.html
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