The Department of Medicine clinical activity reporting tool is an application server where patient care productivity data is downloaded directly from the APeX the medical record system.
PB & HB Summary
• Summary by date range, provider, cost center, DEP, division (most useful source of necessary data). Monthly analysis and distribution of productivity reports to chief and to faculty essential.
HB Detail
• HB only, including division, cost center, CPT code, charges, wRVU, provider, service date.
PB Detail
• PB only, including division, cost center, CPT code, charges, wRVU, provider, service date.
Target Setting
- Provides a summary of Visits and Net Eligible wRVUs per cost center per provider. Data used for wRVU PSA target setting as well as the funds flow fiscal year budget projections.
HB Summary
- HB only, including division, cost center, charges, wRVUs.
PB Detail
- PB only, including division, cost center, CPT code, charges, wRVU, provider, service date.
PB Summary
- PB only, including division, cost center, charges, wRVUs.
Performing Provider
- PB or HB detail per division per cost center.
- Displays performing provider, billing provider, charge, payment, wRVU, net eligible wRVU, units performed.
Physician Dashboard
- The physician dashboard is a one page summary report for individual providers that displays visual tiles, including wRVU targets, YTD net eligible wRVUs, CPT coding summary, open encounters, OP visit cancelations, new and follow up visit data. The report should be generated monthly/quarterly by DMs and sent from the DOMBO dashboard via email to individual faculty.
Productivity Reports
- Chair Report - Provides overview of the wRVU productivity for all divisions and comparison against budget, prior-year actuals, and variance.
- Division Report – Provides overview of YTD wRVU productivity for respective division per provider and comparison against the fiscal year budget as well as the prior year actuals. Data can be grouped based on provider, cost center, inpatient, and outpatient activity.
- Provider Report - Report includes number of open encounters, closed encounters, YTD wRVU productivity, prior-year wRVU productivity, and budget/expected wRVU. Features a one-click send button that Division Manager can use to email PDF report directly to provider.
Visits
- Detail – Arrived visit data per cost center or per provider, includes cost center, DEP, visit number, patient ID#, date of service and time, provider, and visit type.
- DEP Summary Report – Provides divisional trend data per DEP and the number of units completed per month.
- Provider Summary Report – Visit provider summary report per date range provides cumulative divisional DEP and/or cost center visit data by provider for date range, the data can be further summarized by provider trend to display monthly data (rather than cumulative YTD) per provider for the date range.
- Open Encounters – Displays open encounters per division per provider for the date range.
Definitions
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Term |
Definition |
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AAIM |
The Alliance for Academic Internal Medicine is a national organization for academic internal medicine professionals and enhances health care through professional development, research, and advocacy. |
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AAMC |
Based in Washington, DC, the Association of American Medical Colleges is dedicated to health care through medical education, patient care, and medical research. The AAMC membership comprises all 147 accredited US and 17 accredited Canadian medical schools, teaching hospitals and health systems, including Veterans Affairs medical centers; and academic societies. |
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ABIM |
The American Board of Internal Medicine is one of 24 medical specialty boards that make up the American Board of Medical Specialties (ABMS). Through ABMS, the boards work together to establish common standards for physicians to achieve and maintain board certification. The ABIM can be used to verify physician board certification in internal medicine as well as in respective specialties in medicine. |
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AMA |
The American Medical Association (AMA) is the largest association of physicians, including MD, DO, and medical students, in the United States. The AMA mission is "to promote the art and science of medicine and the betterment of public health." The Association publishes the Journal of the American Medical Association (JAMA). The AMA also publishes a list of Physician Specialty Codes, which are the standard method in the US for identifying physician and practice specialties. |
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APeX |
Advanced Patient-Centered Excellence (APeX) is the patient care medical record and billing system used by UCSF. |
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cFTE |
Clinical Full Time Equivalent (cFTE=100%) is the percent effort a faculty member dedicates to clinical care, including the number of scheduled hours of patient care and volume that would be expected of a full-time faculty member. |
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CPT Codes |
The Current Procedural Terminology (CPT) code is a medical code established by the AMA. The CPT describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for billing and analytical purposes. New editions are released each October. |
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DEP |
In the DOMBO system, DEP is used to identify the “department” location within the cost center. For example, an OP practice may have an outreach clinic the falls within the cost center. The DEP will help identify OP clinical activity at Parnassus as well as outreach locations that fall within the respective practice in Fresno, Walnut Creek, etc. |
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DM |
Division Manager. |
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E/M |
Evaluation and management coding (E/M or E&M coding) is a medical coding process in support of medical billing for reimbursement by Medicare, Medicaid programs, or private insurance for patient encounters. E/M codes are based on CPT codes established by the AMA and are used as standard guidelines for determining type and severity of patient conditions to document and bill for reimbursement for provider services. |
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HB |
Hospital fee billing activity for inpatient care. |
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IP |
Inpatient activity. |
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MGMA |
Medical Group Management Association is a national group membership program for health care professionals, which provides, data, insight, and advocacy throughout the United States. The MGMA provides information for standard wRVU productivity measures and benchmarks for medical specialties. |
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Net eligible wRVU |
Performing provider wRVU, not including shared visits, which are assigned manually year-end during true up. |
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OP |
Outpatient activity. |
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PB |
Professional fee activity for outpatient care. |
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PSA |
Physician Services Agreement to provide patient care in the medical center. |
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RVU |
Relative Value Units (RVUs) are a national standard used for measuring productivity, budgeting, allocating expenses, and cost benchmarking. RVUs have been shown to be statistically valid and reliable, they are closely tied to coding, thus making accurate coding essential for data analysis. |
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Target Setting |
Provides a summary of Visits and Net Eligible wRVUs per cost center per provider. Data used for wRVU PSA target setting for respective cFTE as well as the funds flow fiscal year budget projections. |