Metrix Matrix: A Cloud-Based System for Tracking Non–Relative Value Unit Value-Added Work Metrics

Education Value Units in Medical Education: A Scoping Review

“…4,5,7,13–23,26,28,29,32,33,35–39,46,48,50,58–62,64,65 The most common types of activities included in the EVU systems were clinical activities (e.g., billing accuracy, clinical productivity, on-call time), educational activities (e.g., lecturing, mentoring or advising, completing learner evaluations, recruitment), scholarship activities (e.g., research or scholarly works, editorial services, grants), and administrative leadership activities (e.g., program or course director, committee service, scheduler). 3–7,13,15–65 A few systems incorporated measurements of citizenship, such as timely completion of medical documentation, faculty meeting attendance, displays of teamwork, professional behavior, and promotion of departmental well-being. 34,35,39,41,59 Educational activities that were incentivized commonly spanned a variety of learner levels, including both undergraduate and graduate medical education (both residency and fellowship), 3,5,6,14–29,31–33,36–38,40–42,45–50,52–54,57,58,64,65 and occasionally extended to graduate students, 19,21,50,58 advanced practice providers, 19,49 or faculty.…”

“…For the majority of EVU systems, all faculty members within the sponsoring department or division were eligible to participate, 6,14–17,19–21,23,24,27,32,37,38,40,45–47,49,51,54,60,64 whereas only a few required participants to meet certain thresholds in terms of percentage of clinical shifts worked, 5,48 academic rank, 52 participation in a particular academic track, 38,50 or duration of employment. 5,52 Some programs excluded participants from participating in the EVU system if they were receiving outside funding or contracts 48,52 or held leadership positions, such as department or division chief.…”

“…The most common issue raised by programs focused on the data collection process. Issues in this domain involved concerns about the validity of faculty self-reported data 16,22,47,[50][51][52] and about the lack of knowledge surrounding the impact of activities being reported and collected due to the concerns about the metrics themselves or the lack of metrics in general. 22,26,37,45,47,58,61,65 The next most discussed concerns with EVU systems involved those inherent to the system itself.…”

“…Consider including local departmental values (e.g., citizenship) and individual goals for promotion. Develop a committee to develop and build consensus 20,43,51 Consider diversity of roles, backgrounds, and seniority.…”

“…Ensure buy-in from all parties 19,30,42,51,57,58,60,62 Generally focused on faculty and also consider medical school or institutional buy-in as needed.…”