An Analysis of Primary Care Provider Productivity in the Department of Family and Community Medicine at Carl R. Darnall Army Medical Center

Abstract

The Military Health System (MHS) uses relative value units per provider per day (RVU/PP/PD) to measure the productivity of its primary care providers. The purpose of this Graduate Management Project (GMP) is to look at productivity in the Department of Family and Community Medicine (DFCM) and determine whether a reason can be found as to why the RVU/PP/PD fell below the Army goal of 15.4 RVU/PP/PD for five months in fiscal year 2006. The data analyzed consists of 1252 primary care provider months from eight MEPRS in the DFCM. Logistics regression revealed that provider skill set pediatric and pediatric nurse practitioner lends to a 94% and 186%, respectively increase in the likelihood of meeting the RVU/PP/PD productivity goal and that provider type GS lends to an 82% increase in the likelihood of meeting the RVU/PP/PD productivity goal. Of the 1252 primary care provider months only 36% met the Army RVU/PP/PD goal. Two main factors found during the analysis that lend to a lower rate of meeting the goal are the electronic medical record (AHLTA) that was implemented at the beginning of fiscal year 2006, and the reliability and validity of UCAPERS data that is required to compute the RVU/PP/PD formula.

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Document Details

Document Type
Technical Report
Publication Date
Jun 08, 2007
Accession Number
ADA477448

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  • Steven J. Richter

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  • Business Administration
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  • Medicine

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