Clinical Operations

This Census Sharing Tool is designed to help the MOD identify census sharing situations, but is not the official source of truth for triage agreements. The data input into the tool only calculates distribution but is not reported to any other source.

Process info coming soon!

The Division's philosophy is to encourage faculty to take on academic opportunities while ensuring stable clinical schedule. In order to ensure stable clinical operations and to support new academic opportunities, the Division will proceed each year with the following clinical effort and scheduling process.

Scheduling Timeline

• January: clinical effort survey for upcoming fiscal year sent, including holiday schedule preference.
• Early February: projected FY25 clinical effort sent to each faculty member. This will include a breakdown of your expected RIS, FIS, and other (i.e., ACT, ACE, or non-DHM) clinical commitments for upcoming fiscal year. By doing so, we would like to ensure that individual faculty and division leadership have a shared understanding of each faculty’s clinical and academic commitments for the upcoming year. There will be an opportunity for dialogue and clarification before the schedule is set.
• Mid-February: The Division will finalize faculty effort for Q1/2
• After Mid-February: Effort for the next fiscal year will be considered final for scheduling purposes.
• Early March: "Off" requests and other blocked times need to be entered by faculty into Lightning Bolt.
• Mid-March: Complete Q1-2 schedule posted into Lightning Bolt
• Mid-April: Complete Q3-4 schedule posted into Lightning Bolt
  • If you receive new funding between mid-March and mid-April, we will incorporate the changes into clinical expectations for Q3-4.

Clinical Buydown Policy

No changes in clinical effort will be allowed after mid-April, except for Childbearing/Childrearing leave/FMLA or other extenuating circumstances. If faculty receive new funding after mid-April, they will be responsible for finding coverage. Service leadership will help when possible, but ultimately the responsibility falls on the faculty.

When the Q3/Q4 clinical schedule is being developed in the late summer (typically early August), there may be a narrow window of opportunity to work with service leadership and Division Manager to decrease your cFTE expectations depending on the overall needs of the division. 

Our clinical shifts carry various clinical FTE rates and durations, which are outlined below:

UCSF follows a fiscal year that runs from July 1 to June 30, which includes faculty appointment terms and our general ledger reconcilation. The Division of Hospital Medicine's clinical year runs a little off cycle from the UCSF fical year in order to align with the Resident Inpatient Service schedule. Below are the date ranges for our clinical years:

FY25: June 22, 2024 - June 28, 2025
FY24: June 24, 2023 - June 21, 2024
FY23: June 25, 2022 - June 23, 2023
FY22: June 26, 2021 - June 24, 2022
FY21: June 27, 2020 - June 25, 2021

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As providers you are eligible for a waiver of the DEA application fee because you are employed by a federal, state, or local government institution. Click here for instructions on how to submit your DEA application for certification. The Division Manager for your home Department of Medicine division is your certifying official.

The SF Department of Public Health utilizes the Epic EHR system. For onboarding and access information, please contact the division Administrative Officer. You can view the onboarding and access information here.

The Division has compiled a comprehensive set of resources for our Faculty Inpatient attendings that include, but not limited to:

• Admitting & Transferring
• Care Coordination
• Consult & Co-Management
• COVID-19
• Distribution and Census Sharing
• Guides (Epic Tricks, Medical Students, Distribution template, and shift guides)
• Point of Care Ultrasound (POCUS) Resources
• Procedure Diagrams
   

Activation
When a faculty member is unexpectedly ill or a comparable emergency occurs that prevents a them from working their scheduled shift and a moonlighter is unavailable, then jeopardy will be activated. Only in exceptional circumstances would Jeopardy be activated due a known scheduling gap.

Payment
Two consecutive days of jeopardy activation are considered part of the Division's good citizenship and are not compenstated additionally. If a faculty member is activated for three consecutive days of jeopardy or more, then moonlighting compenstation will paid for the third day onward via the moonlighting reconcilation process.

Scheduling
Jeopardy shift targets are set based on each faculty member's cFTE for the year. The cFTE to jeopardy shift targets are based on three tiers as listed below:

• Tier 1 (<0.3) = 16 shifts  
• Tier 2 (0.3-0.74) = 12 shifts  
• Tier 3 (≥0.75) = 8 shifts 

Lightning Bolt is our clinical scheduling platform that is used to manage the Division's FIS scheduling. Each faculty member will have an account to access the system for:

• Off requests
• Review of their scheduled shifts
• Requests for shifts

If you need an account, please contact the Division's administrative officer.

Overview
The moonlighting and MSP rates for our Division are outlined below. In unique circumstances, some rates may be escalated due to higher census volume or urgency.

Current Rates
Effective July 1, 2023, the following per shift rates are approved by the School of Medicine Dean's Office and Human Resources:

• $900—Medicine Consult Service
• $900—Resident Inpatient Service
• $1,400—Day or Swing shift, Weekday, Faculty Inpatient Service
• $1,700—Day or Swing shift, Weekend, Faculty Inpatient Service
• $1,800—Night shift, Weekday, Faculty Inpatient Service
• $2,000—Night shift, Weekend, Faculty Inpatient Service
• $2,200—Night shift, Weekend Escalation (<48hr notice), Faculty Inpatient Service

Historical Rates
Our prior per shift rates were as follows:

• $900—Medicine Consult Service
• $900—Resident Inpatient Service
• $1,200—Day or Swing shift, Faculty Inpatient Service
• $1,500—Night shift, Faculty Inpatient Service

Reconcilation
The Division Adminstrative Officer will review the clinical schedule from Lightning Bolt for the prior month in the first week of each month. The Administrative Officer will send a confirmation email confirmation of the prior month's moonlighting and MSP shifts, then proceed with payment requests.

Information coming soon!

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Each year the Division updates the SFGH phone card, which lists the extensions for SFGH services and key contacts you may need while on service. 

ZSFG DHM faculty members will be provided with 2 white coats every 5 years. 

Per chart below, select a numeric size. Each order size contains 2 options. For example, if ordering a Ladies Medium jacket, size 14 will be a smaller size of Medium while size 16 will be a larger size.

Email your preferred size and the way you’d like to see your name/title embroidered on the coat to [email protected]. Allow 2 to 3 weeks for delivery.

All coats are sized as unisex.