Recorded presentation

James J. Potyraj, School of Medicine, Virginia Commonwealth University, 1001 East Broad Street, Old City Hall, Suite 330, Richmond, VA 23219, 804-648-1705, jpotyraj@mcvh-vcu.edu

Faced with mounting financial changes and patient access issues, Virginia Commonwealth University, an urban medical center in downtown Richmond, embarked on a major overhaul of their ambulatory clinical programs. The vision called for significant changes in all aspects of the program, some of which have already been successfully implemented, while others will be implemented in FY05. The Group Practice Governance structure was realigned to allow faster decision making; the budget process was radically upgraded to allow for highly accurate allocation of revenues and expenses among the various missions of the University; a benchmarking program was developed and implemented to manage staffing levels and operational costs; the clinical information systems were overhauled with the implementation of CERNER and IDX Visit Management; and the organizational structure of the clinics is being modified to facilitate a migration to Provider Based status.

Learning Objectives:

• To better understand how one inner city medical school analyzed the major components of its ambulatory organziation, and then implemented a
• multi year plan to systematically address each component.
• To understand the importance of accurate funds flow monitoring, and information systems support.

Keywords: Ambulatory Care, Access to Care

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation