Table 2. Provider productivity, efficiency, and performance measurements comparison between attendings working solo and attendings working with residents.
ProductivityNumber of New Patients per HourMedian (IQR)Mean (SD) | EfficiencyProvider to Disposition Time (Hours)Median (IQR)Mean (SD) | Performance*Attending Performance IndexMedian (IQR) | |
---|---|---|---|
Total Patients Before Propensity Score Matching (N = 111,154) | |||
Attendings Working Solo | 3 (2, 4) a | 2.4 (1.4, 3.6) c | 0.16 (0.08, 0.36) e |
2.9 (1.6) a | 2.7(1.8) c | ||
Attendings Working with Residents | 3 (2, 4) | 2.7 (1.7, 3.9) | 0.17 (0.09, 0.34) |
3.3 (1.9) | 3.0 (2.0) | ||
Total Patients After Propensity Score Matching (N = 14,074) | |||
Attendings Working Solo | 3 (2, 4) b | 2.4 (1.4, 3.6) d | 0.16 (0.08, 0.36) f |
2.9 (1.6) b | 2.7 (1.8) d | ||
Attendings Working with Residents | 3 (2, 4) | 3.0 (1.9, 4.1) | 0.15 (0.08, 0.27) |
3.1 (1.7) | 3.2 (1.9) |
a: p < 0.001 (productivity comparison between Attendings Working Solo and Attendings Working with Residents)
b: p < 0.001 (productivity comparison between Attendings Working Solo and Attendings Working with Residents) using propensity score matching.
c: p < 0.001 (efficiency comparison between Attendings Working Solo and Attendings Working with Residents)
d: p < 0.001 (efficiency comparison between Attendings Working Solo and Attendings Working with Residents) using propensity score matching.
e: p = 0.037 (performance index comparison between Attendings Working Solo and Attendings Working with Residents)
f: p < 0.001 (performance index comparison between Attendings Working Solo and Attendings Working with Residents) using propensity score matching.
* Attending Performance Index (API) refers to formula: API = (number of new patients per hour seen by a provider)/((patient acuity level determined by ESI)2 x (provider to disposition time in hours)).
Abbreviations and definitions: IQR, Interquartile Range; Provider to Disposition Time, time interval between initial provider encounter to disposition (i.e., admit, discharge, transfer) in hours