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VANDERBILT UNIVERSITY MEDICAL STAFF & VANDERBILT MEDICAL GROUP ANNUAL MEETING Thursday, June 28, 2012 4:30 – 6 pm 208 Light Hall. VANDERBILT UNIVERSITY MEDICAL STAFF ANNUAL MEETING AGENDA. Welcome C. Lee Parmley, MD Chair, Medical Center Medical Board (MCMB)
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C. Lee Parmley, MD
Chair, Medical Center Medical Board (MCMB)
Proposed Amendments to Medical Staff Bylaws, Rules & Regulations and Policies & Procedures
MCMB Membership Elections
Goals of Proposed Revisions:
To comply with evolving CMS, Joint Commission and NCQA standards
To streamline Medical Staff Bylaws, Rules & Regulations, Policies & Procedures and VUMC policies and to create internal consistency
To address and codify evolution of VUMC staffing and clinical practice
At-Large Members (3) elected annually
Andre Churchwell, MD
A. Alex Jahangir, MD
James “Pete” Powell, MD
Historically - an audit committee
Credentials Committee Report
Steven Meranze, M.D.
National Committee on Quality Assurance (NCQA) certified Credentials Verification Organization (CVO)
Presented by Meredith Marwill
Associate Director of Physician Billing Services
1. University of Pittsburgh Medical Center
2. UMass Memorial Medical Group
3. University of Minnesota Physicians
4. Massachusetts General Physician Organization
5. The Medical College of Wisconsin
6. University of Wisconsin Medical Foundation
7. Vanderbilt Medical Group
7. University of Texas Medical Branch (Galveston)
9. University of Virginia Physicians Group
10. Fletcher Allen Health Care/University of Vermont
Charges have increased 10.9% from prior fiscal year.
Collections have increased 7.9% from prior fiscal year.
Total RVUs have increased 8.7% from prior fiscal year.
Collections/RVU has decreased 0.7% from prior fiscal year.
UHC FY 2011 Survey
Days in A/R
25th percentile = 47.4 days
Median = 41.2 days
75th percentile = 36.9 days
Cost to Collect has remained stable this past fiscal year.
*2012 FYTD through May
2012 VMG Annual Faculty Meeting
June 28, 2012
of the people
in the communities we serve
evidence-based, personalized, compassionate
care, research and education.
Measure #2: Low Density Lipoprotein (LDL-C) Control in Diabetes % of Pts Aged 18-75 with Diabetes Mellitus who had Most Recent LDL-C Level in Control (<100 mg/dl)
Measure #3: High Blood Pressure Control in Diabetes% of Pts Aged 18 -75 with Diabetes Mellitus who had Most Recent Blood Pressure In Control (<140/90 mmHg)
Measure # 5: Heart Failure: ACE Inhibitor or ARB Therapy for LVSD% of Pts Aged 18+ with Heart Failure and LVSD (LVEF < 40%) who were Prescribed an ACE inhibitor or ARB Therapy
Measure #6: Oral Antiplatelet Therapy Prescribed for Patients with CAD% of Pts Aged 18+ with a Diagnosis of CAD who were Prescribed Oral Antiplatelet Therapy
Measure #7: Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) % of Pts Aged 18+ with a Diagnosis of CAD and prior MI who were Prescribed Beta-Blocker Therapy
Measure #8: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)% of Pts Aged 18+ with a Diagnosis of Heart Failure who also have LVSD (LVEF < 40%) and who were Prescribed Beta-Blocker Therapy
Margaret Head, RN, MSN, MBA
Chief Operating Officer/Chief Nursing Officer
Chief Operating Officer
Vanderbilt University Hospital
Redesign fundamental Care Processes to improve efficiency and effectiveness
Redesign the infrastructure to improve efficiency and effectiveness across all care transitions
Care Plan 1.0
Post Discharge Intermediate Care
Post Discharge Clinic Visit
Post Discharge Phone Call
246 FTE reductions were made through
attrition and repurposing of positions