FAQs COvID- LC y a a 4 3 6) a 3) aly Intermountain 19 Physician Compensation Piri) Ce baate- Te Why are we changing our Compensation Guidelines? ‘The COVID19 pandemic is affecting everyone in healthcare in Utah, our nation, and across the world. We need flexibility to change our models of care and where physicians work to: meet the needs of our patients and communities. How does this affect advanced practice providers (APPs)? There are a small number of APPS (as of March 27, a total of 29 APPs) who are compensated within the \WRVU model. Their compensation changes will be the same as physicians on this model. For APPS on salary, the changes in compensation are the same.as other salaried caregivers 'm on a WRVU compensation model, What does this mean for me? Based on current guidelines, a change of 20% or more in wRVU productivity can result in an immediate ‘change to averaging pay. Many physicians on the wRVU compensation model will experience a significant {>30%) decrease in wRVU production and subsequently, biweekly pay in mid-May. To soften the impact of this, we will keep you on your current wRVU averaging pay through May 30. We'lllhave an adjustment to physicians and APPs as early as May 31 to mitigate the impacts of reduced work. Vm ona shift-based compensation model. What does this mean for me? Most physicians on this model are not experiencing a decrease in clinical hours, We will continue to pay based on the shifts worked. We will reevaluate this regularly Vm a physician on salary. What does this mean for me? Uke physicians on shift-based madels, most of you ona salary are not experiencing a decrease in clinical hours ar change in job responsibilities. If you experience a sustainable decrease administrative work, then we'll adjust compensation accordingly. We'll reevaluate this regularly. ical work or How are Reimagined Primary Care (RPC) providers impacted by these compensation changes? Providers practicing in the RPC modet are salaried with some value-based performance incentives. As with other salaried providers, we are currently evaluating the impact of COVID on clinical hours and job responsibilities, f you expertence a sustainable decrease in clinical work or administrative work, then we'll adjust compensation accordingly. We'll reevaluate this regularly What will happen if | begin workingin telehealth, InstaCare, or hospital? Some areas, like these, are experiencing extremely high demand for increased clinical services. We are redeploying providers to these areas of greatest need, and providers will be compensated for that work Will wtVUs be tracked for telephone and teleheaith visits? Yes, Please see attached Telephone Visit documents for information on how to.cade for those visits. For more information on telehealth visits, use the TeleHealth Alternative Video Visits page. For questions, contact: ConnectCare! g,0F 801-842-2323.9) If the pandemic is subsided by this summer, could we make the decision before May 31 to go back to full pay and would that take effect in August? ‘The COVID19 pandemic is always changing and unpredictable. This is why we and many of our colleagues across the country are describing what the immediate next steps are for physician compensation and then reassessing every 2 months, 10) How can | be redeployed or ask for more provider support? This is a critical time for physicians and APPs to be flexible to the changing needs created by COVID-19. Some areas are experiencing extremely high demand for increased clinical support, and we will need your support ta meet these needs. Leaders are having conversations with providers to create and secure ‘opportunities for providers to continue to work and serve aur communities and organization in high: demand areas, Reach out to your leaders to support your needs, 11) Haw does this affect the compensation of provider leaders? Will they take a pay cut too? Intermountain is continuing to pay peopte for the work they are doing. fa portion of a provider's role is impacted by COVID-19 and the provider is unable to carry aut that function, then we will make adjustments. 12) Are any academic researchers or preceptors unable to perform their functions during this time? If so, how does this affect their compensation? Student rotations have been suspended and our graduate medical education programs are still functioning. We are reviewing this to make sure that there is the flexibility and the agility in this compensation made! ta respond to student and resident education needs and the need ta provide direct linical care in this dynamic environment 13) Can physicians and APPs be redeplayed to other facilities (e.g. rural) if needed and would their compensation structure change? Yes, Emergency credentialing has been implemented allowing physicians and APP to practice at any Intermountain facility. The change to our compensation guidelines provides flexibility to pay appropriately for this work. 14) Can physicians and APPs be redeployed to other states in our service area (Idaho, Nevada) if needed and ‘would their compensation structure change? ‘The Department of Health and Human Services issued regulation allowing physicians, APPs, and medical professionals to practice across state lines. The change to our compensation guidelines provides the flexibility to determine haw best to pay for this work, 15) | was under the impression that Intermountain is strong and on solid financial footing. Why do we need to make these changes to individuals’ personal pay? Intermountain remains on solid financial footing. Changes to camipensation are unrelated to Intermountain’s finances—changes to compensation are linked solely and directly to the work providers are and are not doing. We are doing everything possible to keep physicians and APPs working ta meet the ‘needs of our patients, the organization, and to keep providers engaged and financially stable, 16) How is call coverage compensated during this time? Call coverage will be compensated as it normally is.Ca AL Cl aM) (oe M elle ee lull ues cel) Ea erates A Intermountain: Pee Te) ‘+ Intermountain’s plan is to create flexibility far providers to respand to the COVID-19 pandemic and what that means for our work and compensation. ‘= We're in a dynamic and challenging environment with this pandemic, and we're mindful of the personal impact on everyone, especially on the thousands of physicians and caregivers whose daily work has been postponed, canceled, or seen a decline. ‘© This isa critical time for providers to be flexible to the changing needs created by COVID-19. Some linical areas are experiencing extremely high demand, and we will need your support to meet these needs. Now, more than ever, we need our provider leaders and teams tobe involved, tolead, and deliver care to people most in need. We can’t de this witheut you. ‘+ Our focus will be to keep all providers engaged in this fight and to keep working. We've been having discussions with physicians and APPs about new roles and opportunities throughout our integrated healthcare delivery system as we prepare for a surge in hospitalized and critically ill patients. We're encouraged by the response of so many who are willing to work on telehealth, urgent care, emergency department, hospitalist, and critical care teams, ‘+ Where your work is decreased by the COVID-19 pandemic, we will seek to redeploy you to areas of greatest clinical need, and you will be compensated for that work. Intermountain is taking steps to support providers in this situation and keep their compensation as stable as possible, + Here are the steps we are taking: 1) We're amending compensation guidelines and contracts to create flexibility 2) Physicians and 29 of our APPs who are on wRVU compensation models are seeing reductions in their clinical work of up to 30-50%. We'll have an adjustment to those physicians and APPs as early as May 31 to mitigate the impacts of reduced werk. 3) We are reviewing physician pay in shift-based and salary models and assessing the impact on clinical work, ‘* This isa dynamic environment that changes each day. We are continuously assessing the situation and will revisit these plans regularly (every 2 months). We will keep you informed of what is happening and be transparent about changes to clinical care models and compensation, © We're grateful for your care to our patients and communities. You may have heard from colleagues in other practices here in Utah and across the country. We're all in this together and facing the same challenges. For some, the challenges are even greater. ‘© Being part of Intermountain and a high-performing multi-specialty medical group is important in times like this. We're strong, we're prepared, and together we'll respond to this pandemicto meet the needs of ‘our patients, providers, and the organization, Stability through challenging times, continuity of benefits, and advocacy with private and government payers are all benefits of being in an employed model of care delivery at Intermountain.