Productivity, Compensation, & Quality

2017 AUPN Spring Chairs Session: Axon Registry
The AUPN invites Chairs of Academic Neurology departments to attend a Chairs session held in conjunction with the AAN meeting in April featuring Dr. Lyell Jones from the Axon Registry who will speak about Axon Registry and its implications for quality assurance and outcomes research. A panel discussion will follow the presentation.

2017 Fall Chairs Session: Challenges in Faculty Compensation
Salary disparities are increasing between procedural and cognitive subspecialties and between research- or education-oriented faculty and predominantly clinical faculty, while traditional salary differences between junior and senior faculty are shrinking. At the same time, funding for faculty salaries is challenged by declining reimbursement for clinical activity, the NIH cap on research salary support which prevents adequate reimbursement for research effort, the need to compete with salaries offered by the private sector, and the lack of support for educational activity.   In this environment, how can chairs effectively cross-subsidize the salaries of research- or education–focused faculty?  Are salary disparities disruptive to morale, or simply the new normal?  How can chairs argue effectively for institutional subsidies and support when other departments face the same challenges?  Are there novel revenue sources (philanthropy, concierge medicine, legal consulting, device and Pharma industry relationships) that can fill the gaps?

2016 Fall Chairs Session: Measuring Academic Productivity:  Implementation of An aRVU Model
Drs. Grant and Miravalle will present on their department’s implementation of an Academic RVU system for tracking non-clinical productivity.

2016 Fall Chairs Session: Neuroscience Service Lines in Academic Neurology
The questions envisioned for discussion include the following: 1. How has Neuroscience Service Line implementation affected; 2. What is your overall impression of the advantages and disadvantages of NSL structure for Neurology?; 3. What can we do as Chairs to adapt to and thrive in this new environment?

2015 Fall Chairs Session: Optimizing the Use of Mid-Level Providers in an Academic Neurology Practice
One often touted response to increasing patient demand for neurology services is for departments to hire mid-level providers as ‘physician extenders’. Dr. Gretchen Tietjen (University of Toledo) and Dr. David Good (Penn State) will present different models for the use of mid-levels, and discuss the pros and cons of ‘physician extenders’ in an academic practice environment. The session will include ample time for open discussion and sharing of experience from all participants.

2017 Fall Chairs Session: Winter is coming, but MACRA is here: Reimbursement for quality and the shift to population-based care
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which threatened massive reductions in Medicare payments, and replaced it with a program that bases reimbursements on quality and innovation.  How will this change affect academic Neurology departments? What are the implications of MACRA for academic neurology? How can we address the new MACRA requirements using either Advanced Alternative Payment Models (APMs) or the Merit-based Incentive Payment System (MIPS)? More broadly, how will population health measures including disease prediction, prevention, and early intervention, be incorporated into academic neurology practice?  Can such practices improve outcomes and reduce costs, and will they be adequately reimbursed.

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