Overview

1
(No Transcript)
2
Overview

• Benefits of Using a Business of Medicine
  Kneeboard (Snapshot)
• Keys to Success
• Essential elements of the Kneeboard
• Essential elements of a Heads up Display
• How to obtain data for these tools

3
Key Items in a SnapshotStrategic View
Business of Medicine
4
Two Page Product
5
RVUs by Product Line
https//sgegl.afmoa.af.mil
6
RWPs by Product Line
https//sgegl.afmoa.af.mil
7
Outpatient Visits by Clinic
https//sgeglva.afmoa.af.mil
8
Average RVUs per Outpatient Visit by
Clinic
M-2
9
TOP Referrals by Volume
10
Referrals Requested by Flight
11
TOP 5 Procedures Leakage
https//sgegl.afmoa.af.mil
12
Outpatient Prime Leakage
https//sgegl.afmoa.af.mil
13
MTF Enrollment
14
Appointment Line Average Wait Times
15
APPOINTMENT FORECAST
16
Service Delivery Assessment Ease of Making an
Appointment
17
Business of Medicine Review
18
Business Plan Enrollment
https//sgegl.afmoa.af.mil
19
Business Plan Revenue
Data Source BP Radar
20
Performance Metrics
EGL
21
Keys Items in a Snapshot

• The kneeboard can be changed to fit any facility,
  market, or high headquarters function
• Key elements for facilities Actual RVUs/RWPs by
  product line current enrollments Outpatient
  Visits per clinic to meet Service product line
  total RVUs by clinic (at clinics) Average RVU
  either by clinic or product line primary care
  product line supply versus demand appointment
  line call volume and average hold times
  specialty care referral tracking data outpatient
  Prime leakage by supplier business plan
  enrollment analysis inpatient and medical
  management statistics top external referrals
  by volume outpatient Prime leakage by procedure
  Service specific metrics

22
Keys Items in a Snapshot

• The document adjusted for a market view
  Business Plan Performance total market
  enrollment and eligible population by facility
  appt hold times for centralized appt system
  access to mental health services funding for
  contracts (MHSSI, VCIs, etc.), Top 10 deferrals
  to network by facility right of first refusal
  acceptance rates for market MTFs
• Healthcare is local so adjust the tool to fit
  your needs
• With decreasing staffing key tools can help us
  better focus our efforts

23
Keys to Success

• Processes to facilitate communication
• Policies and Template Management
• Set processes for minimum manning levels
• Establish process on who can block schedules
• Have a patient overflow process for urgent care
• Establish a Forum
• Seek provider/staff buy-in
• Provide them the tools to help manage
• Strategic Business of Medicine
• Tactical Heads up Display on Staffing/Appointmen
  ts
• Utilize push reports

24
Keys to Success

• Utilize GPMs/coders to the fullest extent
• Facilitate ongoing dialogue
• Have GPMs/coders present
• Template for Weekly/Monthly Reporting
• Each section receives a monthly report on clinic
  providers
• Global report only shows data by clinic
• Ensure proper support staff
• Work staffing issues early
• Know contracts that affect clinics
• Heads up Display Staffing Board

25
Benefits of a Business of Medicine Kneeboard

• Provides Leaders at all levels quick reference
  tool
• Buy-in
• Work Smarter not Harder
• Managing templates
• Customer Service is the Top Priority
• Teamwork Success

26
Heads Up Display

• Business Plan Tactical View

27
Heads Up Display(Excel Product)

28
Heads Up DisplayAccess to Care
29
Travis AFB Heads Up Display

30
A tactical capacity management tool designed to
improve patient access to care by identifying
appointment supply/demand and available provider
resources
Heads-up Display (HUD)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
HUD Highlights

• Number of Days into Future Appts are Open for
  Booking 35 Day Standard for all Clinics
• Drill Down Capability from Flight to PCE We
  looked at FPC RED Element
• Sub-Drill Down Capabilities (T P) identify the
  appointment types, quantity and number booked, as
  well as provider schedules
• Visit Delta visually demonstrates the daily
  supply/demand relationship
• Visit Targets are based on a utilization demand
  analysis and approved by leadership
• Provider Availability is easily seen
• Number of appointments (Open Slots) available
  shows daily access

38
How to obtain data for tools

39
How to obtain data for tools

• TRICARE Management Agency
  http//www.tricare.osd.mil/tools/Tat/TOC/TAT.htm
• Template Analysis Tool
• MTF standardization appt utilization report
• Data pulls (utilize existing push reports)
• M-2
• CHCS
• ICDB
• Pull data with a purpose
• Always put data in context

40
How to obtain data for tools

• Navy
• Training site is available after formal training

41
How to obtain data for tools

• Assess Current Performance Command Management
  System
• - https//mods.cms.army.mil/cms/secured
• Strategic Metrics (Defense Health Program)
• Operational Metrics (Manage the Business,
  Provider Scorecard, Population Health)
• Trip Books (Organizational Overview)
• Forecast Demand Enrollment-Based Stationing
  Model (EBSM)
• Supports Army Transformation
• Supports Base Realignment and Closure (BRAC)

42
How to obtain data for tools

• Forecast Capacity Business Variables for
  Officer Distribution Plan (ODP)
• Productivity per available and assigned Providers
  and Nursing personnel
• Forecast Health Care Delivery Plan MTF Business
  Plans
• Impact of Health Care Delivery Army Provider
  Level Satisfaction Survey (APLSS)
• Focus on Clinical Outcomes HEDIS, Pneumovax
• Ad-Hoc and Strategic Analysis Behavioral
  Health, Pharmacy, MTF Specific

43
How to obtain data for tools

• AF Knowledge Exchange https//kx.afms.mil/kxweb/h
  ome.do
• Need login and password
• Under either
• KX Forums (Data modeling and analysis) then
  select funded product lines
• Functional (medical) then select Group Practice
  Management
• Products Executive Global Look BP Radar,
  Access Improvement Module, SG EGL Virtual
  Analyst Service Delivery Assessment

44
RVU Execution

• Proctology - BBH
• Background
• Staffing 1 authorized / 1 assigned
• Production (Jan May) 39-99
• Monthly Target 99 RVUs
• Analysis
• Provider also sees pts in General Surgery (BBA)
• No backlog of patients/Lack of cases referred
• Action Plan
• Discussed at July HOSG
• Provider deploys Sept 07
• Need to review BBH vs BBA coding
• Will generally require network referrals for 4
  months
• Get Well Date Feb 08

Embedded Drill Down
45
RVU Execution (MDOS)

• Internal Medicine (BAA)
• Background
• Staffing 7/8
• Production 68-92
• Monthly Target 1484 RVUs (1187 RVUs at 80)
• Previously addressed at May 17 HOSG
• Analysis
• Business Plan over-inflated by 20-25
• 5/8 (62) of authorized (two deployed/one PCS)
• Action Plan
• Improve Schedule Discipline to meet supply/demand
  gap
• 2 Gapfill positions due in Oct 07
• Get Well Date Nov 07

Embedded Drill Down
46

• Questions?