Research and Markets : Physician Profiling and Performance: Assisting in Implementing Reliable Risk-Adjusted Physician Profiling and Reporting Systems.
Analyzing practice patterns to determine physicians' performance is not new. But changing physicians' behavior remains a challenge for most health systems that are working to improve quality of care. Some key questions that arise include:
- When profiling, how do you cut costs and improve service while working effectively with physicians?
- Technological advances will drive the future of profiling in managed care. How can you make best use of computerized medical records and tap into integrated data from disparate sites such as the pharmacy, laboratory, hospital, and office?
- Can clinical and financial profiles of physician practices be tailored to meet the needs of small- and medium-sized practices?
- How do you get them to buy in to your directives so that you can remain comfortably within your managed care contract payments?
- How do you collect, analyze, and present data that physicians will believe?
The answers to these questions and much more can be found in the in the newest edition of Physician Profiling & Performance: Changing Practice Patterns Under Managed Care, Volume II. This report will help you:
- implement reliable, risk-adjusted physician profiling and reporting systems;
- collect and distribute cost, utilization, and outcomes data that support your organization's goals and break down your physicians' natural resistance to change;
- identify best practices and benchmarks to show "it can be done" and motivate physicians to higher levels of performance.
This one-of-a-kind, hands-on advisory is jam-packed with usable, tried and true strategies that you can put to work in your organization today, including sample profiling reports.
Contents include the following:
- 'Scorecard' increases accountability for coding, documentation
- Touchpoint docs respond to feedback data
- Use claims data to spotlight weaknesses in delivery of care
- System uses profiling tool to raise the bar on clinical practice
- Combine profiling, best practice to improve outcomes
- Data interface bridges the gap between hospital and physicians
- When it's better not to case-mix your outcomes data
- Wrestle down drug costs with profiling, education
- Medicaid HMO uses provider profiling to boost quality
- Use these simple formats to develop financial profiles
- Involve nurses and patients to change physician behavior
- Conduct physician outlier analysis to gain control of costs
- Enhance profiling with new risk adjustment tools
- Physician profiles just a starting point to encourage behavior changes
- IN group uses profiling to succeed at capitation contracting
- Failure to gain acceptance of clinical guideline sheds light on barriers to implementation
- Boost physician productivity with performance data
- Retooled physician report card drills deeper into referrals, case mix
- Training, benchmarking focus doctors on boosting customer service skills
- Use these examples to set up your physician profiles
- Combine profiling reports, education to help change docs' prescribing patterns
- 'Clinical roadmaps' emphasize evidence, teamwork
For more information visit http://www.researchandmarkets.com/reports/c22210
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|Date:||Aug 9, 2005|
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