[MCOH-EH] EH Productivity Measure

[Robert Filler]

I would advocate for a starting point of year over year analysis comparing
your local operation to yourself. External benchmarking is remarkably
difficult as each EHS has different responsibility sets. If you are talking
purely about employee health visits: respirator fit, onboarding, sick leave
management and vaccine administration type tasking your monthly volumes
would vary considerably with events like flu season so that should be baked
into any productivity measurements. Understanding the time per task and
adding a buffer for emergency tasking is critical to getting staffing
levels right.

If you are self insured and include worker's compensation visits; more
visits aka more rVUs might reflect underperformance in work comp
management or an external increase in injurious work. This is critically
important for budget and admin folks to understand. DART from your OSHA
log, occ claims data and total WC costs are a more intuitive measure of the
health of a WC program than some of the EMR derived productivity measures.
I was admonished for having 1.47 or so rVUs in a quarter in a prior role
because the system only counted commercial non-work comp billing towards
productivity which might have been an improper measure for a WC clinic
generating very substantial YoY savings and that 1.47rVU of commercial
billing.

Getting the metrics right for an org will take some iterative development
in my opinion given EHS interdependencies with other units (for example -
HR for onboarding volumes).

Thanks,
Rob

Rob Filler, MD, MBA, MPH
robert.filler at gmail.com


On Wed, Mar 20, 2024 at 7:04 PM Carole Domin <cadomin at crhc.org> wrote:

> We are heading into budget season and I'm wondering what other hospitals
> use for a productivity measure for Employee Health.
> Do you have a budget/target number of visits per month or do you use an
> FTE/# of employees measure?
>
> I appreciate any information related to productivity that people are
> willing to share.
>
> Thanks,
>
> Carole
>
> Carole Domin, RDN LD CDCES MBA
> Practice Administration Director for Specialty Services
> (603) 225-2711 x85626
>
>
>
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