RealActivity is a specialized healthcare services and solution advisory firm dedicated to the complexities of provider and staff administration, activity based costing, FTE management in Academic Medical Centers and Teaching Hospitals. Undergirded by a tested activity cost based attestation solution built on the versatility of the Microsoft Cloud platform, RealActivity offers tremendous value to the outdated methods and overwhelming burden in the management of physicians and staff at Academic Medical Centers and Teaching Hospitals.

1. Capturing Value in
Every Process
Simplifying the Complex
Illuminating What is Hidden

2. RealActivity
Inform – Empower – Liberate

3. “maximize stewardship of physician FTEs in the
complex teaching and research environments.”
Financial Analyst, AMC
“Within a couple of months, I was delighted
with the change.”
Clinical Director, Family Medicine
“RealActivity has…masterfully succeeded in producing a system that can truly bring
order out of chaos.”
Cardiothoracic Surgeon & Former Chief Medical Officer, AMC
“RealActivity will indeed be indispensable.”
CMO, leading Academic Medical Center
“Real-time and trustworthy, the tool itself keeps us current and keeps
attesters honest. This is the safety net I have been looking for…”
Director, Pediatric clinic and children’s hospital

4. GME Office
Practice
Management
Physician
Leadership
Clinical Leaders
IMAGINE…
Research
Infrastructure
Finance /
Budget
Human
Resources
Chief Officers
Payroll
Department
Leadership
Medicare Cost
Reporting

5. EVERYONE AT YOUR TEACHING HOSPITAL READING FROM THE SAME SCRIPT…

6. REAL TIME – ONE PLACE
RealActivity creates an environment in which all provider
time is managed REAL TIME and in ONE PLACE
o Informing Leadership
o Empowering Management
o Liberating Physicians

7. Teaching Children’s Hospital
Typical?
MD ORG /
CLINIC
MD $
Grant Funding
Grant Administration
TEACHING
HOSPITAL
PSA
MD Purchasing
MED
SCHOOL
MD $

8. RealActivity Process Review
ANCILLARY
Traditional Payroll
System
Clinical
Productivity
System
Budget &
Finance
System
Grant
Reporting
Systems
Grant Billing
Systems
Contracts
Mgmt System
Clinical FTE
System
Manual input for reporting /
decision-making / business
intelligence

9. RealActivity Process Review
ANCILLARY
Traditional Payroll
System
Clinical
Productivity
System
Budget &
Finance
System
Grant
Reporting
Systems
Grant Billing
Systems
Contracts
Mgmt System
Clinical FTE
System
Manual input for reporting /
decision-making / business
intelligence

10. RealActivity Service & Solution
ANCILLARY
Contracts
Mgmt System
and/or
Budget &
Finance
System
SHAREPOINT (via new processes)
Clinical
Productivity
System
Clinical FTE
System
Grant
Reporting
Systems
ONE
SOURCE OF
THE TRUTH
Minimal manual adjustments…but a system that accepts them!
Traditional Payroll
System

11. RealActivityReporting Inputs
Traditional Payroll
System
Provider Roles
Contracts (out)
Second
Payroll
System
Provider
Feed
Master
Feed
Contracted
Providers
Manual
Payroll
Process
Provider
Protected Time
Clinical Trials
Grants
(Sponsored
Projects)

12. RealActivityReporting Outputs
Meaningful
Use Measures
Master
Feed
AVF ( Activity
Verification
Form )
Monthly
Attested
A
d
j
u
s
t
i
n
g
E
n
t
r
i
e
s
Hospital
Administrative
Time Mgmt
Clinical FTE
Budget /
Planning
Productivity
Measures
Mission-based
Reporting
Inter-entity
Invoicing
Historical
Repository
Federal Grant
Reporting

13. Typical AMC Environment
• Federal Grant attestation, disconnected from Clinical FTE (usually manual, sometimes
automated, never integrated).
• Clinical FTE managed in excel, likely decentralized, self-reporting inaccuracies
• Part A reporting via time study without connection of strategy
• Inefficient Intra-entity transactions and management (repeated approvals, paper-based
communications)
• Missing –
–
–
–
–
Leadership visibility to committed $ for MD time.
Clarity regarding cost of research or academic missions
Centralized physician contract governance.
Individual physician accountability for clinical FTE.

14. RealActivity Environment
• One source of the truth for all physician and provider FTE-related data
(from committed time to meaningful use data, to incentive planning, to
RVU benchmarking, productivity measures, Part A management,
Grant Compliance, Annual budgeting of $ + FTEs)
• Standard-setting compliance goals
• Aligned and engaged physicians and providers
• Mission-based reporting (Business Intelligence)
• Administrative Entry online

15. RealActivity ROI
• Examples of ROI findings:
– Days Cash on Hand improvements (real-time billing)
– Clinical FTE Opportunity Costs
– FTE gaps in funding (huge opportunity)
– Staff efficiency ROI
– Physician Contract governance
– Employment / offer letter management & accountability

16. Service + Solution = Success
Constructive, value-driven SERVICE
+
Ground-breaking, bar-setting SOLUTION
=
SUCCESS – value in every process

17. Inform-Empower-Liberate
LEADERSHIP
MANAGEMENT
PROVIDERS
• Reliable information to the decision-makers.
• Centralized source for administrative and clinical leadership
• Delivers an increased flow of useful information.
• Analysis, Reframe, & Rebuild
• Real-time, on-time, all-the time
• Transparency without exposure
• Fewer separate reporting requirements
• Self-aware physicians are a huge asset
• Accountability without burden