Transcript Bean Counting 101: Add *Accountant* to the coordinators Job

•Darcy’s Way
•Cheryl’s Way
•Annette’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
EHR
1650
600HRS/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
100hours/ 1month 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
200hours/ 2months AND 250 ill child encounter

75 Inpatient

75 ED
PEDIATRIC Outpatient encounters:

1 month PEDS outpatient rotation

Resident FMC patients
200 hours/2months OR 250 Child/Adolescent ambulatory
setting encounters
EHR
Newborn patient encounters

1 month new born nursery rotation
40 Newborn, pts. including well and ill
(3% ill)
EHR
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 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
100 hours/1 month surgical pt. encounters
including hospitalized
Online Mgmt
Software
Logging hours
Online Mgmt
Software
Logging hours
200 hours/2months
Online Mgmt
Software
Logging hours
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 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/ 3months
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
Adult ICU
Newborn
Peds ED
Peds IP
All Peds
All
Encounters
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
Adult ED
Reporting Period: 11/1/2014 to
11/30/2014
Adult IP
Provider Notes
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
2
1
9
0
1
2
1
4
0
6
1
2
0
0
1
1
0
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
0
0
2
0
0
0
0
0
0
0
6
1
0
2
0
0
3
0
62
0
3
0
0
1
7
14
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
0
0
0
0
5
120
1
1
0
2
1
2
1
2
35
2
0
0
0
2
7
14
1
1
0
0
0
0
5
121
2
1
0
2
1
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
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
43
1
41
1
Patient Count Visit Count
BRADSHAW, SAMUEL L
35
36
240
PR SUBSEQUENT PRENATAL CARE
2
2
242
PR POSTPARTUM CARE VISIT
2
2
23648 PR OFFICE OUTPATIENT NEW 20 MINUTES
1
1
23660 PR OFFICE OUTPATIENT VISIT 15 MINUTES
27
27
23662 PR OFFICE OUTPATIENT VISIT 25 MINUTES
1
1
23860 PR PREVENTIVE VISIT,EST, INFANT < 1 YR
3
3
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 649 668 610 577 654 735 605 652 105 102 105 103 125 178 156 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
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. 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 81
Required
Adult Inpt
ICU
Newborn
Peds Inpt
Your Average
Expected
Average
Clinic
Percentage
Pechon
125
5
6
Your Count
Class
Average
Visits/
Encounters
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
3yrs
% 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
Resident inpatient and ER experience
Average # of personally managed adult medicine inpatients for your residents during
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 during their 3
year residency
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