Transcript Slide 1

Faculty Orientation
Overview of Clinical Enterprise
University System
of Maryland
University of Maryland
Medical System
University of
Maryland, Baltimore
University of Maryland
Medical Center
School of
Medicine
Clinical Departments
.
.
.
+ 8 Others
University of Maryland
Faculty Physicians, Inc.
Professional Associations
“PA”s
.
.
.
Each PA has its Own Tax ID
Chairman
President
Chief of Service
University of Maryland School of Medicine
FPI vs. State Structure
Separate 501(c)3
Practice Plan Structure
As defined in the Medical
Service Plan (MSP)
FPI Administration
(oversees MSP)
Services
Fee
For
Service
Purchases
MSP Services (examples):
Medical School
Enrichment
Fund
Assessments:
MSP Trust
Clinical Redesign
Business
Development
Contingency
Reserve
School of Medicine
Dean’s
Tax
Clinical Departments
Neurology P.A.
Department of
Neurology
Surgery P.A.
Department of
Surgery
•Contracting (Managed Care & Legal)
•Real Estate
University
State Structure
•Internal Audit
•Oversight
Fee for Service Services (examples):
•HR Recruitment
•PA Accounting
•Practice IT
•Temporary Help
etc.
etc.
•Compliance
PA’s:
•Must comply with MSP
•Lease staff from UPI
•Do their own billing
•Have their own P & L
•Separate corporations
•Run their own ambulatory
care
Departments:
Firewall
•Grants
•State funding
•PSC revenue
•State employees
University of Maryland
Faculty Physicians, Inc.
University of Maryland Faculty Physicians, Inc.
 Created by the University System Board of Regents through
the Medical Service Plan (MSP)
 Support the clinical care mission of the School of Medicine and
the activities of the faculty practice groups
 Provide the mechanism through which professional fee income
is billed, collected and distributed for the benefit of the faculty
and the School of Medicine
 Assure compliance with the Medical Service Plan (MSP)
University of Maryland Faculty Physicians, Inc.
Organizational Structure
 All Full-time and Part-time clinical faculty participate in the
Plan
 The Board of Trustees, comprised of the SOM clinical
department chairs and the Dean of the SOM, governs the
organization
University of Maryland Faculty Physicians, Inc.
Practice Locations
University of Maryland Faculty Physicians, Inc.
Downtown Practice Locations
 The Medical Center and its Clinics
 419 West Redwood – the Professional Building
 Eutaw Street – the Frenkil Building
 Family Medicine
 Penn Street – OB/Pediatrics
Volumes and Growth
University of Maryland Faculty Physicians, Inc.
Patient Care Statistics
FY11
Total Patient Volumes
(includes office and
inpatient/outpatient
visits)
Admissions
(UMMC only; includes
newborns and trauma)
Inpatient Surgeries
(UMMC only; includes
trauma)
FY12
% Change
1,131,405
1,169,079
3.3%
39,585
37,899
-4.3%
14,896
15,729
5.6%
University of Maryland Faculty Physicians, Inc.
Total Clinical Revenue FY 2008 – FY 2012
$280
$240
$200
$160
194.5
210.0
212.7
227.2
244.3
56.4
33.6
38.5
48.1
168.3
176.4
174.2
179.1
187.9
FY08
FY09
FY10
FY11
FY12
26.2
$120
$80
$40
$0
Professional Fee Revenue
Clinical Revenue (Non Fee for Service)
Major Initiatives
and
Challenges
University of Maryland Faculty Physicians, Inc.
Major Initiatives
Ambulatory Electronic Medical Record (EMR)
 Accelerated Implementation
 11 Departments
 420 Faculty
 Approximately 2/3 complete with implementation
 Meaningful Use
 Federally defined standards
 Changes to work flow in practices
 Physician committee leading the transition
 Medical System
 Moving to outpatient and inpatient implementation
 FPI considering revenue cycle conversion as well
University of Maryland Faculty Physicians, Inc.
Major Initiatives
Increased Integration and Efficiencies
 Performance Based Incentive Compensation (PBIC) Plan Roll-out
 Moving to a Phase II, Multi-mission Plan
 Developed a Mechanism to Invest Cash in UMMS Operating Pool
 Professional management
 Significantly greater returns
 Applies to balances in excess of 90 days cash on hand
 Used GE Consultants to Review the GE Revenue Cycle System
 Changed Name to University of Maryland Faculty Physicians, Inc.
 Standardized use of logo and use of PA names
 Consolidated More Administrative Services in 250 W. Pratt
University of Maryland Faculty Physicians, Inc.
Fiscal Year 2013 and Beyond
Challenges Ahead
• Decant Appropriate Cases to Maryland General Hospital
 To be Re-named and Re-branded
• Rebuild St. Joseph Medical Center
• Hospital Rate Pressures
• At a Minimum, Have a Plan for Success in New Healthcare
Delivery Models
• Eroding Payer Mix and Reduced Professional Fee
Reimbursement
University of Maryland Faculty Physicians, Inc.
Payer Mix
5 Year Trend - Charge Payer Mix
100%
90%
80%
5.0%
4.7%
5.2%
3.6%
5.2%
3.3%
5.2%
2.6%
4.6%
3.4%
25.8%
26.2%
25.4%
25.3%
24.8%
20.1%
20.5%
23.6%
25.0%
26.3%
44.4%
44.5%
42.5%
41.8%
40.9%
2008
2009
2010
2011
2012
MEDICAID
MEDICARE
70%
60%
50%
40%
30%
20%
10%
0%
COMMERCIAL
RESPONSIBLE PARTY
MISC
University of Maryland Faculty Physicians, Inc.
Fiscal Year 2013 Initiatives
• Service Excellence
• Epic Implementation with Meaningful Use Reporting
• Pursue Off-Campus Growth Opportunities
• Work with UMMS on New Delivery Models and Incentives
• Phase II Performance Based Incentive Compensation
• Collaboration with College Park on a Magnet Sports Medicine
Program
Thank You