Case Volume Query?

[David E. Craig]

Folks,
An unusual and specific request. We were recently denied a complement increase. We were told that although we had checked off all of our justifications, that the RRC was concerned with low patient volume in oncology, humerus/elbow and closed reduction. Our counts look good from the perspective of leadership here but clearly the RRC did not feel the same. ACGME did not provide any context or comparison so I was asked to reach out to other programs/institutions and see what your volume looks like. Can anyone who has this data please share with me.
I am at The University of Virginia in Charlottesville, VA but am interested in this data from any and all programs.
***************************************
David Craig
Graduate Medical Education Coordinator
Department of Orthopaedic Surgery
University of Virginia Health System
400 Ray C. Hunt Drive, Suite 330
PO Box 800159
Charlottesville, VA 22908
Phone: 434-243-0265
Fax: 434-243-0242
dec2a@hscmail.mcc.virginia.edu

[Anonymous]

These are the numbers for my 2019 graduates:
Oncology – 512
Hum/Elbow – 169
Closed Red – 1,726

[David E. Craig]

As a clarification, the numbers the ACGME asked for were not resident case logs. It was more fun than that!
These were the instructions:

All institutional cases for each participating site for the most recently completed academic year must be included. (Do not limit cases to those in which a resident has participated.) Limit the report on institutional cases to the number of patients in each category, not the number of billable procedures, as the latter would artificially inflate the number of available cases. Add columns for additional participating sites as needed.

[Monica Welsh]

I have been through a couple of requests for increase in complement. You have to go to each site that your residents go to and find out who to contact to get the number of procedures that institution does for specific CPT codes. It is a big pain. It is usually an IT person in administration, but it depends. Good luck!
Monica Welsh, C-TAGME
University of Louisville

[Kim Reising]

This was a very hard task to tackle at our institution when we were applying for our trauma fellowship – probably the hardest part of the entire application process. As Monica mentioned you will probably have to work with your hospital administration or billing/coding department to get these numbers.

[David E. Craig]

Sorry, I wasn’t clear I think. I got our stats for our institution, for both Site 1 and Site 2. And we did have to work with hospital administration/billing/coding. It was a HUGE pain.

What I’d like to know is what is considered average. If our numbers were too low, then what should they be? They didn’t give that number for context.

[Author]

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