How to Measure Faculty Productivity Steven J. Barker, PhD, MD Amr Abouleish, MD John R. Feiner, MD
OUTLINE -- Goals • Department vs. individual productivity • Focus on department for now. • Amr Abouleish will refine, and John Feiner will discuss individual productivity. • Comparative measures of productivity. • Use of such measures to determine salary budget & individual compensation. • Clinical vs. Academic productivity.
Anesthesiologist Clinical Productivity:RVU/provider/yr & $/RVUfor all anesth (MGMA-99) vs. acad anesth (MGMA-00) *“RVU” data reported to MGMA survey are ASA units.
How to determine your faculty salary budgetin an academic practice group, using measured dept. clinical productivity: • Find equivalent # of private practice MD’s:Ideal FTE = (Dept. RVU)/(MGMA median) Ideal FTE(UAz): = 320,000/8,748 = 36.6 FTE
By the way: • How do you measure your services in critical care and pain in RVU? • Closest approximation: Divide total charges in pain & CCM by your usual charge per unit. e.g.: $1,200,000 in CCM + Pain charges, $60/unit 20,000 RVU’s.
How to determine your faculty salary budget (2) • Find the “ideal” budget for this #FTE using MGMA median salary:Ideal Sal Budget = (#FTE) X (MGMA$) (UAz): = 36.6 X $250,200(old number!) = $9,157,320.
How to determine your faculty salary budget (3) • Divide total clinical practice income (all depts) by total of ideal budgets; get “practice adjustment factor.” Multiply by ideal budget: Actual budget = (Ideal budget) X (Adj. factor) (UAz) = $9,157,320 X 0.56 = $5,128,099.
Reference: • Barker SJ: “Lord or Vassal? Academic Anesthesiology Finances in Year 2000” Anesthesia and Analgesia 2001; 93: 294-300.
How to measure ACADEMIC PRODUCTIVITY • What do you want to value? • Grants. • Publications: papers vs. books. • Teaching/educational • Service: university, public, national • How do you assign a “value” to these? • How to compare grants vs. national office?
CONCLUSIONS • There are national norms for clinical productivity and compensation – use these as tools. • Compare your clinical productivity with other depts by this method – anesthesiology will look very good! (Remember the parking lot test.) • Figure how to measure academic productivity – then call me!
What Is YourMAGIC NUMBER? • It’s your cost for one anesthesia unit, or the conversion factor below which you should never accept a contract. • To calculate it: Divide the total department expense for clinical care by the total number of RVU produced.But first . . . . .
MAGIC NUMBER (2) • You should subtract both the income (numerator) and the RVU’s (denominator) from contracts you cannot control, i.e., Medicare and Medicaid: • Modified Magic Number (MMN) = ($6.6M - $1.43M)/(320,000 – 95,667) = $23.05/RVU
MEASURING FACULTY PRODUCTIVITY: How? Steven J. Barker, PhD, MD Professor and Head, Anesthesiology University of Arizona