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Achieving Productivity Expectations Among General Internal Medicine Clinicians at an Urban Safety-Net Academic Medical Center

Achieving Productivity Expectations Among General Internal Medicine Clinicians at an Urban Safety-Net Academic Medical Center


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Jason Worcester, MD, Joanna D’Afflitti, MD, MPH, Christine Pace, MD, MPH, Kristen Lee, MD, and Karen E. Lasser, MD, MPH
 
Urban safety-net medical centers face challenges in achieving productivity expectations. This article describes an innovative multicomponent intervention to improve clinician (physician and nurse practitioner) relative value unit (RVU) productivity in a general internal medicine medical group. The intervention spanned a five-year period and included outlining productivity expectations clearly; distributing dashboards; group training on coding, audit, and feedback to underperforming clinicians by a clinician coach; and promoting culture change regarding the importance of productivity. Positive and negative incentives were used. Over the intervention period there was an 11% increase in RVU productivity, correcting for the number of FTEs that was not associated with faculty turnover.