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Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDivision Managers (DMs) are responsible for all administrative and business functions of the division and faculty affairs. Their scope includesphysician recruitment, funding, performance management of MSP Staff Physicians, faculty, fellows, and residents, and compliance withguidelines/training, as mandated by campus.There are a number of specialties in Medicine that have inpatient and consult services at UCSF Health but do not have an assignedAdministrative Director to assist the faculty physicians with the administrative responsibilities of these patient care services. This document(available online as part of the DOM-UCSF Health Clinical Manager Manual) attempts to capture best practices and key partners at UCSF Healthfor the DMs to work with when they do not have an Administrative Director assigned to their inpatient and/or consult services.DIVISION MANAGERFISCAL BUDGET Manages and/or plans the budget forinpatient/consult service that mayinclude confirming staffing levels andother expenses for cost center budget,reviewing cost center budget in EPSi,and confirming data for annualoperating budget. Requests salary support (physicianstaffing plan) for faculty effortassociated with inpatient serviceWorks with Service Chief to estimatevolume and wRVU projections ifapplicable.Page 1 of 7MED CENTER CONTACT/ KEY PARTNERKay Obermeier, Finance Director, UCSFFaculty PracticeRESOURCES/TOOLSCampus, Medical Center, and Faculty Practice each have aseparate budget process that links together after budgetsare Some inpatient & consults services have an AdministrativeDirector who oversees the FPO/Medical Center budgetprocess for their cost center.Andrea Ratti is responsible for thecreation of agreement # and budgetingof funds.Mark Dorshkind, Finance Analyst, assists with year-endtrue-ups/reimbursement and physician incentives/MedicalDirector IAP goals.Staffing plan/strategic support agreements submitted toDOM Finance appear on cost center budget as physicianservices.wRVU projections submitted in annual Division budget.DOM Finance submits to Med Ctr to enter into cost centerbudget.Last Updated 6/28/2019

Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDIVISION MANAGERBILLING AND REVENUE MANAGEMENT Requests DEPs and cost centers fornew servicesMED CENTER CONTACT/ KEYPARTNERFPRMO Revenue ManagersMarlene Herrera & Maura TempleView DOM website for revenuemanager assigned to your nio51kquf86936l0qgkggaxnd06efDM needs to be listed as point of contact for cost center tomake sure they receive budget instructions/emails. Manages the division fiscal year budgetand /wRVU paid to the division as perthe funds flow/staffing planagreement. Develops corrective actionplans to address wRVU gaps or deficits. Reviews clinical documentation issuesand other reports that relate tophysician compliance/performance andcommunicates results to DivisionChiefs/Service Chiefs/Faculty andcommunicates provider roster changes(e.g., new providers) to RevenueManagement.FPRMO Associate Director Sheri Yauand Revenue ManagerMarlene Herrera & Maura TempleView DOM website for revenuemanager assigned to your division.FPRMO Works closely with physicians toimprove billing & revenue managementincluding completion of provideraddendums, and coding levelperformance.FPRMO Associate Director Sheri Yauand Revenue ManagerMarlene Herrera & Maura TempleView DOM website for revenuemanager assigned to your division.FPRMO provides monthly reports. If you are not receivingthis information, ask the FPRMO revenue manager assignedto your division.Page 2 of 7DOM Business & Finance Officehttps://dombo.ucsf.edu/Billing/Last Updated 6/28/2019

Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDIVISION MANAGERHUMAN RESOURCES Oversees payment of physicians forinpatient services. Faculty Physician, MSP Staff Physician& AHP recruitment (campus hire),credentialing, onboarding, payrollfunding changes. MED CENTER CONTACT/ KEYPARTNERPhysician recruitment: DM workswith Division Chief, Academic Affairs& campus HRAHP: Mitch Erickson, RN, MS, ANP,Director of Advanced Practice, UCSFHealth, ph. -353-8054 & medicalcenter HRMedical Staff Credentialing for bothphysicians and AHP: Medical StaffAffairs & GovernanceJoshua Nafta, ph. 415-353-7608, LeadManages Medical Center staffCompensation Analystrecruitment for Medicine IP services,Amy Ng, Talent Acquisitioncreation of job descriptions, ERF,onboarding, training, working with Med Vivian Lam, ph. 415-514-6715, HRAnalystCtr HR.Sylvia Diehl, HR Supv 2, ph. 415-3534627Recruitment: jobs@ucsf.eduBenefits: MCBenefits@ucsf.eduLER: 415-353-4012Page 3 of 7RESOURCES/TOOLSPhysicians report to Division Chief for academicappointment and Service Chief for clinical responsibilities.Service Chief reports to Adrienne Green, MD, Chief MedicalOfficer for UCSF Medical Center and Vice President forPatient Safety and Accreditation for UCSF new web/Send job descriptions to CompensationMC@ucsf.edu forclassification and posting after ERF is approved.Once position is classified, submit ERF to request approvalfrom Dave Morgan & Susan Smith to recruit new staff toFPRMO cost center.Some inpatient & consults services have an AdministrativeDirector who manages AHP recruitment.Cardiology Heart & Vascular Center InpatientAdministrative Director: Joanna DelongLast Updated 6/28/2019

Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDIVISION MANAGERHUMAN RESOURCES CONTINUED DM is the administrative managerassisting the service chief with HRcompliance (performanceevaluations, required vaccinations,mandatory trainings), HBS timesheetapproval, performance issues,payroll funding changes, leaves,updates/changes to job description,layoffs. Service chief/administrative director(if one is assigned to the service)manages Med Ctr staff dailyresponsibilities/performance. Partners with health systemleadership to ensure adequatestaffing for the service, includingplanning and requesting support.EQUIPMENT/SUPPLY PURCHASES & INVENTORY Orders medical equipment (e.g.,ultrasound machine) and othersupplies (e.g., patient educationmaterials) that are needed for bothcampus and clinical services. Variesby service and division.MED CENTER CONTACT/ KEYPARTNERLeave Management: mcloa@ucsf.eduPh. 415-353-4545 x6HBS S Support: hbsproctr@ucsf.eduPh. medicalcenter.org/Compliance/IndexSome inpatient & consults services have an AdministrativeDirector who manage Med Ctr staff on the IP/Consult services.Cardiology Heart & Vascular Center Inpatient AdministrativeDirector: Joanna DelongOccupational ealthprogram.ucsf.edu/ohpClin.aspWork with appropriate COO forservices: James Bennan for AdultServices; Jamie Phillips for Pediatrics;Laurel Bray-Hanin for Cancer; EvaTurner for LPPHC; David Morgan forFPO.Strategic partnership between the Division (Division Chief, DM)and Medical Center leadership. In Cancer, this is betweenLaurel Bray-Hanin and the division chiefs to discuss based onneeds-based assessment tools (access, patient satisfaction,visit metrics).Obtain appropriate approval for costcenter.Order med center capital equipment using the appropriateform on the Supply Chain website: eqFor questions about order form,contact Todd Myers, ph. 415-3533208, Capital Accountant, HospitalAccounting.Some inpatient & consults services have an AdministrativeDirector who orders supplies/equipment for IP services.Cardiology Heart & Vascular Center Inpatient AdministrativeDirector: Joanna DelongPage 4 of 7Last Updated 6/28/2019

Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDIVISION MANAGERMED CENTER CONTACT/ KEYPARTNEREQUIPMENT/SUPPLY PURCHASES & INVENTORY CONTINUEDRita Ogden - for Medical Center Manages IT purchase and set-up,including equipment purchases (e.g, owned computers only.hardware and software updates forcomputers kept in hoteling areasowned by the division), software,licenses, network, and submits ITtickets for repairs and replacementof all computers owned by facultymembers (laptops and desktops). Orders pagers for physicians, AHPand staff as needed. Adds newphysicians/AHP to PagerBox.RESOURCES/TOOLSMedical Center computers/laptops/pagers can be orderedthrough ITFS.For all PagerBox requests (add, update existing data,deactivate), please initiate a UCSF Service Now ticket by usinga UCSF network connected computer and going to:https://ucsf.service-now.com/ess/order voice.doand select "Pagerbox Requests" option OR call the UCSF ITService Desk to initiate a ticket : 415-514-4100.Set up Medical Center staff email and network logins New Voalte communication system being rolled out 20182019.Some inpatient & consults services have an AdministrativeDirector who orders computers/pagers for IP services.APEX – ELECTRONIC HEALTH RECORD Ensures that physicians, AHP, andstaff hired through Medicine IPservice complete required Apextraining. Provides information onavailable resources forindividualized APeX training needs.Page 5 of 7https://myapex.ucsf.edu/Some inpatient & consults services have an AdministrativeDirector who manage AHP & Med Ctr staff and make sure theyreceive the appropriate training and APEX access.Last Updated 6/28/2019

Best Practices for Managing Inpatient & Consult ServicesUCSF Health DOM DivisionsDIVISION MANAGERMED CENTER CONTACT/ KEYPARTNERAPEX – ELECTRONIC HEALTH RECORD CONTINUED Submits APEX access requests forphysicians, AHP and staff hired throughMedicine IP service. alcenter.org/Re-directs physicians, AHP, and staffhired through Medicine IP service toappropriate resources for furtherclinical application training needs (i.e.,specialized software for specialtyareas).SPACE AND RENOVATIONS Identifies and manages space needs formedical center staff and clinicalprovidersSCHEDULING & GENERAL OPERATIONS Manages the development anddistribution of all inpatient schedulesand outreach clinic schedules.(Not all divisions are the same. Insome, physician leaders manage theschedule and UCSF Health staffmaintain the schedule in AMiON.) Manages residency/trainees schedules.Page 6 of 7Complete UCSF Health Space Request form and send to LisaMogannam and Andrew Bird.Some inpatient & consults services have an AdministrativeDirector who submit space requests.The Health System is responsible forAMION license fees; other schedulingsoftware will have to be paid for bydivisions.To view division’s schedules, go to www.amion.com and usedivision-specific login.To learn how to manage Amion, the homepage (beforelogging in) includes a “help” link with information on how touse and manage schedules.To request a new account, email lee@amion.com.Other physician scheduling software used by MedicineDivisions:Qgenda (Nephrology)Lightning Bolt (Hospital Medicine)Last Updated 6/28/2019