UAPD and AHS reached an agreement on a successor MOU. The new MOU is a three-year agreement from June 27, 2014 through June 30, 2017.
For the Dentists, there will be a 5% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees. Market surveys will be conducted by AHS for wage reopeners in year two, July 2015, and year three, July 2016, for implementation of appropriate salary adjustments, if necessary. Market surveys will include information from Kaiser, salary.com, and the surrounding counties.
For the Benefited Psychiatrists and for the Night Emergency Psychiatrists covering the 1900-0700 psychiatric emergency room shift, there will be a 2.5% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees. The SAN Psychiatrists previously negotiated rate increase of 24% will be made permanent. Market surveys will be conducted by AHS for wage reopeners in year two, July 2015, and year three, July 2016, for implementation of appropriate salary adjustments, if necessary. Market surveys will include information from Kaiser, salary.com, and the surrounding counties.
Additionally, psychiatrists will participate in a two-part incentive pay program, all based on when the psychiatrist documents a PES patients’ progress towards disposition (admit, discharge, further observation, etc.). The psychiatrists will all be treated as one group.
Psychiatrists will all receive a 1% across the board increase on July 1, 2016 if the pooled average of time, in the 6 month period preceding July 1, 2016, between a patient’s arrival time in psychiatric emergency and the time that the psychiatrists document their dispositional thinking is 18 hours or less. The second part of the incentive pay is a bonus, which does not become part of base pay. There will be four measurement periods: 7/1/15-12/31/15; 1/1/16-6/30/16; 7/1/16-12/31/16; and 1/1/17-6/30/17, with bonus payment to be paid within 60 days of the end of a measurement period based upon the time between a patient’s arrival in psychiatric emergency and the time that the psychiatrists documents their dispositional thinking, as follows:
4%, above 15 hours-16 hours;
3%, above 16 hours-17 hours;
2%, above 17 hours-18 hours; and
1%, above 18 hours through 19 hours.
These bonuses will be based on hours worked for the given measurement period for SANs and base pay for benefited psychiatrists.
Consulting Psychiatrists will be included in the pool for the first two measurement periods and thereafter AHS/UAPD will develop an incentive plan for these consultants.
For the SAN Ambulatory & SAN non Ambulatory Physicians, there will be a 5% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees. For the Benefited Ambulatory/non Ambulatory Physicians, there will be a 2% across the board increase dating back to the pay period closest to October 1, 2014, meaning that you will receive a retroactivity check once the MOU is approved by the AHS Board of Trustees. Market surveys will be conducted by AHS for wage reopeners in year two, July 2015, and year three, July 2016, for implementation of appropriate salary adjustments, if necessary. Market surveys will include information from Kaiser, salary.com, and the surrounding counties.
Additionally, Ambulatory Physicians will participate in a two-part incentive pay program. Part one is a 1% across the board increase payable July 1, 2016 if the physician amasses 5 points out of a possible 12 points; this point system will be detailed below. Part two of the incentive pay is a bonus, which does not become part of base pay. There will be four measurement periods: 7/1/15-12/31/15; 1/1/16-6/30/16; 7/1/16-12/31/16; and 1/1/17-6/30/17, with bonus payment to be paid within 60 days of the end of a measurement period, based on a point system as follows:
1%, 2-4 points;
2%, 4-6 points;
3%, 6-10 points; and
4%, 10 points up to a maximum of 12 points.
These bonuses will be based on hours worked for the given measurement period for SANs and base pay for benefited physicians.
Points are based on three criteria:
1. Quality metrics (adults)
1.5 points when women aged 50-74 receive a mammogram within 24 months based on reaching set benchmarks and pooled by individual clinic; and
1.5 points for FIT ordering on patients aged 50-75, based on reaching set benchmarks and pooled by individual clinic.
Quality metrics (pediatrics)
1.5 points for children aged 2 whose immunizations are up to date and pooled by individual clinic; and
1.5 points for children aged 3-17 whose BMI was over the 85th percentile and who then were nutritionally counseled or referred to such counseling and pooled by individual clinic.
2. Patient Satisfaction Survey
1 or 3 points based on meeting benchmarks and measured by clinic.
3. Patient Encounters
| Average # of Encounters per day pooled by all clinics for the first two measurement periods | Average # of Encounters per day by individual provider for the last two measurement periods | Points |
| Less than 14.5 | Less than 15.5 | 0 |
| 14.5 up to 15 | 15.5 up to 16 | 1 |
| 15 up to 15.5 | 16 up to 16.5 | 2 |
| 15.5 up to 16 | 16.5 up to 17 | 3 |
| 16 up to 16.5 | 17 up to 17.5 | 4 |
| 16.5 up to 17 | 17.5 up to 18 | 5 |
| 17 and up | 18 and up | 6 |
Average number of encounters per day by all clinics together in the first two measurement periods. For the first measurement period during the NextGen rollout, the Highland Continuity Clinic Physician will receive maximum points for patient encounters.
Non-Ambulatory Physicians (Same Day Clinic, Fairmont SNF) will receive the same cash bonuses for the first two measurement periods as the Ambulatory Highland Physician. Thereafter AHS/UAPD will develop an incentive plan for these physicians.
Highland Continuity Clinic Physician and the Same Day Clinic Physicians will receive a 1% one-time cash bonus not on base effective upon ratification of the MOU.
Ambulatory Patient Care Administration Time
Full-time benefited ambulatory physicians shall have 4 hours of non “face-to-face” patient care time to manage aspects of patient care needs (i.e., forms, calls, etc.). This administrative time shall be prorated for physicians working less than full time.
Panel Size
AHS will assure accurate panel size by January 2016 with an ongoing goal of panel sizes ranging from 1000-1250 after this date.
New Committee to Remedy Clinic Problems
AHS (Chief Administrative Officer and Lead Medical Director) will meet with UAPD and up to three Ambulatory doctors from the freestanding clinics as often as monthly to discuss and remedy issues that could affect productivity, quality, and patient satisfaction in the clinics. This committee will report out its activities and, if need be, send a clinic physician to the Human Resources Subcommittee of the Board of Trustees that meets every other month.
Education Leave
Effective June 28, 2015, educational leave will be expanded from 56 hours to 64 hours for all classifications and prorated as always for those working less than full time.
Continuing Medical Educational Stipend
For those working 2/5 time or more, the fiscal year maximum amount has been increased from $1000.00 to $1500.00 and for those working less than 2/5 time the maximum amount has been increased from $500.00 to $750.00. Additionally, the language has been broadened to include meals, travel, and lodging.