WEST VIRGINIA UNIVERSITY PHYSICIANS OF CHARLESTON

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WEST VIRGINIA UNIVERSITY PHYSICIANS
OF CHARLESTON

• CHALLENGES OF 2007-2009
• REVENUE CYCLE
• BALANCE BUDGET
• ENHANCE PRACTICE
• MAINTAIN AFFILIATION
• RELOCATE TO MEMORIAL
• MAINTAIN OUR VALUES
• ANTICIPATE EMR

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WVU-HSC-CHARLESTON MUST ORIENT TO
WVU CAMC

• STRATEGIC PLANS / VISION
• BOTH INSTITUTIONS WANT TO BE THE BEST
  THEY CAN BE SO CONFLICT ARISES
• CAREER DEVELOPMENT
• FACULTY AND/OR PROFESSIONAL
• AUTONOMY OR EMPLOYMENT
• POLICY PROCEDURES
• WVU, WVUPC, CAMC COMPLIANCE
• THE BEST OF BOTH WORLDS??

3
SCHOOL OF MEDICINE CHALLENGES

• INCREASE IN STUDENTS
• INCREASE IN RESEARCH
• CORE COMPETENCIES-TOOLS
• MOVE TO MEMORIAL
• INSTITUTION OF FELLOWSHIPS
• DUAL TRACT RESIDENCIES
• EDUCATION FINANCING

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Medical Students CAMC/WVU Campus

• 50 third year
• 40 WVU
• 10 WVSOM
• 50 fourth year
• 25 WVU
• 15 WVUSOM
• 10 OTHER
• Next year WVSOM will increase 15/yr

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Research

• WVU has increased due to
• RRC requirements
• Faculty participation
• CAMC Institute support
• Technical
• Grants
• Research assistance
• ALTERNATIVE REVENUE POTENTIAL

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Core Competencies

• Need to learn the language
• System Based Evidence Based
• Need to understand the tools
• Innovations, Simulation, Virtuals
• Need to measure progress
• continuum concept of medical school through
  residency

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Move to Memorial

• IM, FM, Surg., Behavioral
• Training and Practice
• Group Practice concept
• Eventual EMR
• Anticipate confusion
• CAMC ½ WVU ½ ownership

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Residencies

• Dual Tract Allopathic/Osteopathic
• IM, FM, Peds
• Next OB, Behavioral, Surgery
• Osteopathic
• Urology EM
• Next Orthopedic
• Fellowships
• Cardiac, ICU, Endovascular
• Geriatric

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WVUPC PRACTICE PLAN

• MISSION-SUPPORT WVU-SOM
• REVENUE CYCLE FUNCTION IS MOST IMPORTANT FEATURE
  OF THIS COMMERCIAL DIVISION OF THE WVU-HSC.
• QUALITY MULTIDISCIPLINE HEALTH SERVICE AND
  EDUCATION IS THE PERFORMANCE EXPECTATION

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WVUPC PRACTICE PLAN

• ENCOUNTERS / YEAR
• OUT-PATIENTS 140,000 VISITS
• IN-PATIENTS 70,000
• EDUCATION 120,000
• (200 LEARNERS X 2 ENCOUNTERS/day
• X 300 DAYS?
• REVENUE
• SERVICE 20 MILLION
• EDUCATION 7 MILLION (GME UGME)
• - 80 FACULTY 130 STAFF -

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WVUPC PRACTICE PLAN 2007 FOCUS

• REORGANIZE CENTRAL OFFICE
• PERRY HALEY KAMPSNIDER TEAM
• HANSBARGER-COO
• COLLABORATE WITH CAMC
• AMBULATORY CLINICS / PRACTICES
• PHYSICIAN RECRUITMENT
• PROGRAM DEVELOPMENT
• COMPLIANCE OFFICE - SAXE
• EMPLOYEE HEALTH CONCERNS

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WVU-CHARLESTON ACCOMPLISHMENTS

• MAINTAIN BALANCED BUDGET
• RENOVATIONS / UPGRADING
• PUBLIC RELATIONS / IMAGE
• DEVELOPMENT ACTIVITY
• GROWTH OF FACULTY
• CAREER PROMOTIONS

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WVUPC PRACTICE PLAN RESULTS

• REDUCED COST
• INCREASED REVENUE
• BALANCED BUDGET / 300,000
• CONTINUING UHA LINK
• CHALLENGES
• BRANDING PRACTICE
• ESTABLISHING EMR SYSTEM
• ADDRESSING REVENUE CYCLE
• BE PATIENT CENTERED

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WEST VIRGINIA UNIV. PHYSICIANS
OF CHARLESTON

• PARTICIPATION OF FACULTY
• Board Member at large-Dr. Hall
• Committee membership
• Finance
• Wellness Benefits
• Compliance
• Credentials
• Information Technology
• Standing invitation to Board Meetings
• Chair feedback to faculty meetings

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SALARY BASE

• MAINTAIN / AVOID REDUCTION
• EQUITY / 25th Percentile (25)
• COMPENSATION PLAN / INCENTIVE?
• REMAIN COMPETITIVE
• FAIRNESS TO ALL EMPLOYEES
• TRUE SALARY IS BASED ON
• BASE SALARY, BENEFITS, COST
• (RETIREMENT PLAN SOLVENCY)

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WVUPC FACULTY OPTIONS WITH CAMC

• PHYSICIAN OPERATED-PED,IM, SURG.
• WVUPC Bill TOTAL OPERATION
• PROVIDER BASE-FAM.MED
• WVUPC PROFESSIONAL SERVICE
• CONTRACT
• CAMC OPERATIONAL SERVICE AND
• BILLING (GLOBAL)
• HYBRID-TEACHING CLINICS
• PHYSICIAN CAMC BILLING

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PROVIDER BASED HYBRID

• WVUPC PROVIDERS ARE CONTRACTED TO CAMC FOR
  PROFESSIONAL SERVICE COST
• CLINICAL OPERATIONAL LEADERSHIP IS THE WVUPC
  DIRECTORSHIP CONTRACT
• CAMC ASSUMES AMBULATORY INFRASTRUCTURE INCLUDING
  BILLING RESPONSIBILITIES

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GROUP PRACTICE

• INTERNAL REFERRALS OF TIME SENSITIVE
  CONSULTATIONS
• CENTRALIZED SYSTEMS
• ANSWERING SERVICE
• REVENUE CYCLE
• BRAND NAME IDENTITY
• COMMON VALUES PURPOSE
• CREW ATTITUDE MEETINGS

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Group Practice Improvement Strategy

• Meet often / function as a team
• Chair Administrator Councils
• Adopt best practice approach
• Recognize leadership expertise
• Set priorities with goals
• Establish process timelines
• Report progress frequently
• Think out of the box.

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What can we expect in 2008?

• SUCCESS WILL DEPEND ON US
• REVENUE CYCLE
• ACCOUNTABILITY
• MAINTAIN EFFICIENT APPROACH
• ROLE OF TECHNOLOGY
• NO HELP IS ON THE WAY
• ONLY REGULATION EVERY DAY
• SO DONT GET IN ANYONES WAY
• THAT HAS THE ANSWER THAT DAY

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What can we expect by 2009

• Medicare / Medicaid / Commercial
• Reduction in fees
• Emphasis on outcomes/quality
• Penalty for complications
• Hospital Affiliation
• Institute / Center Concepts
• Employment / Contract Service
• Ambulatory Growth

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• QUESTIONS