Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1)...

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Department of Dermatology Algin B. Garrett, MD, MSHA Professor and Chairman Mary Cate Griffith, MSHA, CCS, CMPE Clinical Administrator

Transcript of Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1)...

Page 1: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Department of Dermatology

Algin B. Garrett, MD, MSHAProfessor and Chairman

Mary Cate Griffith, MSHA, CCS, CMPEClinical Administrator

Page 2: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Small, but BIG Aspirations

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Clinical Faculty – 3.7 Affiliate Faculty – 10Residents – 6 Fellow - 1

Page 3: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Suburban Site Opening November 14, 2016:Approx 30,000 square feet for dermatology

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• 24 medical dermatology examination rooms• Phototherapy center, including Daavlin ML24000 pure UVA 1• Contact dermatitis laboratory and testing services• 2 procedural dermatology pods of 4 procedures rooms each• Histology laboratory• Dedicated dermatopathology service• 6 procedural dermatology examination rooms• 4 room laser suite• Central sterile on site• Physician office and administrative space• Conference space for 50 attendees

Page 4: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

More details…..

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• Non provider based billing model• All building overhead and expenses are borne by the practice plan• All employees work for the practice plan

• 14 medical dermatology• 22 procedural dermatology • 4 administrative staff – administrator, associate administrator, coordinator, financial

analyst

• Moving from a dyad management model to a triad model

Page 5: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Performance Statistics

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Payor Mix

BCBS

Indigent

Managed Care

Medicaid

Medicare

Other

Self Pay

0

20,000

40,000

60,000

80,000

100,000

120,000

1 2 3 4 5

Anticipated Visit Growth

Page 6: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Downtown Urban Campus

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Page 7: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Downtown RichmondLevel I Trauma Center on major interstate Safety net hospital with Ambulatory Clinics

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• Provider based billing model• Staff employed by VCU Health• Approx 6 employees• Medical dermatology only• Inpatient consults• 3,600 - 4,000 visits annually• Transitioning to resident practice

BCBS

Indigent

Managed Care

Medicaid

Medicare

Other

Self Pay

Payor Mix

Page 8: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Employment Entities and Models

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1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan).

2. Offering practice plan-only employment more frequently for those with only clinical focus.

3. Mid levels are employed by the practice plan only.4. Residents are employed by VCU Health.

Page 9: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Productivity Metrics

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• cFTE = clinical sessions + funded time

• Separate salary funding for administrative roles, UME teaching, research.

• ALL participants in the Compensation Plan have 10% funding for Citizenship, UME teaching (<10hrs) and GME teaching.

• Productivity measured in FPSC work RVUs with annual updateFY17 benchmarks:

Medical dermatology 7,202 wRVUsMohs 14,472 wRVUs

• Nurse practitioners are salaried, productive and provide expedient access

Page 10: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Administrative Organizational Structure

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VCU VP for Health Sciences

DeanVCU School of Medicine

PresidentMCV Hospitals

PresidentMCV Physicians(Practice Plan)

Sr Assoc Dean for Finance and Executive Director of MCV Physicians

Clinical Administrators

DepartmentChairs

Page 11: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Strengths, Opportunities and Threats

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Strengths• Clinical productivity and revenue

generation• Strong Mohs program with

fellowship• Community extension = better

payor mix• Physician compensation plan• Universal dedication to

education• Minimal administrative expense• Lack of dependence on

alternative funding

Opportunities• Research• Faculty recruitment

• Attracting and retaining millennials• Culture shift

Threats• Retirement• Reimbursement• Community competition• VA competition

Page 12: Department of Dermatology · 10/7/2016 8 1. Traditional faculty employment model is dual: 1) University and 2) MCV Physicians (practice plan). 2. Offering practice plan-only employment

Psoriasis and Inflammatory DisordersOctober 14 - 16, 2016

Richmond, Virginia

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40TH ANNUAL SOUTHEASTERN CONSORTIUM FOR DERMATOLOGY

Virginia Commonwealth University Department of Dermatologyand

Eastern Virginia Medical School Department of Dermatology

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