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AMBULATORY SURGERY

Providing Data and Unique Insights About Your Medical Practice

Physician Analytics is a new compliance report offered by HMS Associates to provide you with your own data and a penetrating analysis of your ambulatory surgery practice patterns, and your significance to your hospitals, communities and payers. Using authoritative data from licensed facilities, HMS extracts information relevant to your practice, and provides unique and useful insights specific to you. Physician Analytics provides data on admissions, procedures, physicians, and other indicators for your individual practice and offers a comparison with other physicians at your ambulatory surgery center, in your region, and across the state. Demand analyses provide data and norms for assessing the potential for growth and identifying underutilized services.

Physicians Analytics Compliance Reports utilizes ambulatory surgery data on operating or performing physicians covering all payers and all licensed facilities in selected states. The Compliance Report is an improvement over many existing systems that provide data and analyses only on a particular hospital, payer or practitioner. Compliance benchmarks are based upon a more extensive and comprehensive set of data, over 1 million records per year in selected states, and hence less subject to bias and standard error. The Compliance Report can be used to demonstrate your practice's:

1. Importance to your health system or hospital both as an admitter and revenue generator

2. Efficiency relative to your use of resources as measured by the number of secondary procedures by procedure for ambulatory surgery

3. Importance to your community as a source of medical care

4. Principal geographic market, market share, and competitors or colleagues

5. Emerging and potentially saturated geographic markets

6. Quality of care as measured by volume thresholds

7. Importance of payers and their relative importance to your practice

8. Data in statewide databases.

Predictably, physicians' own records are often at variance with the data in the state database. Yet, many of the analyses have relevance by providing benchmarks from which you can review your own performance. For example, "norms" on number of secondary procedures and charges by DRG or procedure by hospital, county and region, unmet demand by procedure and market share provide insights on your practice and may help you negotiate better with hospitals, payers, better manage your practice and better plan for expansion of services.

In addition, the source data set is becoming more accessible to the general public. In these days of health related data explosion, we strongly believe that physicians need their own capacity to verify or refute what's being said about them.

Physician Analytics can provide valuable insights for physicians, and especially physician groups, practicing at licensed ambulatory surgery centers who need a timely, and cost efficient review of data on their ambulatory surgery practice patterns.

 

Physician Analytics Includes:

Profile 1 - Facility Significance

This profile will help you see and understand both the absolute and relative magnitude of your ambulatory surgery practice in terms of all patient stays and stays for your principal procedures. This report pinpoints your standing among all ambulatory surgeons and similar specialists at the ambulatory surgery center.

 

Profile 2 - Operating Room Efficiency or Intensity of Surgical Charges

This profile examines efficiency through a comparison of principal procedure "norms" for other physicians in your center, physicians in the county in which your center is located, and for physicians throughout your state. This report can be used to document your efficiency or surgical intensity and may point to areas where improvements may be warranted. It will be useful in discussions with hospitals and payers.

 

Profile 3 - Community Significance

This profile identifies your service area and your corresponding market share through a compilation of patient ZIP codes. You will see your market share for high frequency principal procedures by ZIP code in both actual numbers and percentages. A listing and ranking by volume of other physicians performing similar procedures in the communities you serve is also provided.

This profile will be useful in discussions with providers and payers to demonstrate the significance of your practice to communities they may treat or seek to enroll. It is also useful for assessing the market position of practitioners with which you currently partner or are contemplating partnering with.

 

Profile 4 - Unmet Demand

This profile compares age / sex adjusted utilization levels in your principal market area with other market areas. It identifies degrees of potential "overservice" or "underservice" and thereby helps you to identify the potential for growth of your practice and assess claims of overutilization by payers.

 

Profile 5 - Payer Significance

This profile will help you understand the payer mix of your population. It provides data for all of your stays by payer compared with payer mix data for other physicians in the center where you practice, and in your county. This report can show if you either over-serve or under-serve patients in particular payer groups and may suggest areas in which you may wish to expand or reduce emphasis.

 

Profile 6 - Your Actual Data Set

This profile lists data from selected fields on each patient for whom you were the operating or performing physician. It provides the basis for your own audit of data on records about your practice availble under Freedonm of Information (FOI)..

Sample Listing of Ambulatory Surgery Fields for Each Patient:

 1. Stay Number

2. Facility

3. Admit Year

4. Admit Month

5. Admit Hour

6. Procedure Year

7. Procedure Month

8. Discharge Hour

9. Patient County

10. Patient ZIP Code

11. Patient Sex

12. DOB Year

13. DOB Month

14. Calculated Age

15. Princ. Diag. Code & Desc.-ICD-9

16. Other Diag. 1 Code & Desc.-ICD-9

17. Other Diag. 2 Code & Desc.-ICD-9

 18. Other Diag. 3 Code & Desc.-ICD-9

19. Other Diag. 4 Code & Desc.-ICD-9

20. Prin. Proc. Code & Desc.-ICD-9

21. Other Proc. 1 Code & Desc.-ICD-9

22. Other Proc. 2 Code & Desc.-ICD-9

23. Other Proc. 3 Code & Desc.-ICD-9

24. Other Proc. 4 Code & Desc.-ICD-9

25. Proc. 1 Code & Desc.-HCPCS/CPT4

26. Proc. 2 Code & Desc.-HCPCS/CPT4

27. Proc. 3 Code & Desc.-HCPCS/CPT4

28. Proc. 4 Code & Desc.-HCPCS/CPT4

29. Method of Anesthesia

30. Patient Disposition

31. Type of Bill

32. Principal Reimbursement

33. OR Time or Charge

34. Operating Physician License

Actual listings vary by state.

 

Trend Analyses

Physician Analytics will give you a year to year comparison across all the indicators tracked. Use this data to access your changing market position, spot trends in utilization or reimbursement, or evaluate the impact in changes in your practice such as new office locations or affiliations. Reports for 1997, 1998 and 1999 will be available with subsequent years to follow. Each new year's report gives you a clearer perspective on key trends. More current quarterly reports also will be available. Profile content and availability may vary by state

 

Cost

Physician Analytics fees range from $549.95 for an annual Compliance Report which includes all 6 profiles, to $1,149.95 for two consecutive annual Compliance Reports and Trend Analyses. Reports are available for individual physicians and groups of physicians. Discounted rates are available for group purchases. Individual profiles are also available.

Physician Analytics saves you time and money. A rapid scan provides relevant information at a fraction of the cost of acquiring and analyzing the data yourself.

 

HMS Associates

HMS Associates, a Buffalo New York-based health care consulting firm was established in 1990. HMS Associates has conducted numerous analytical studies for health care institutions, practitioners, academia, and branches of local, state and federal government. Gregory Bonk, founder of HMS Associates, has been a clinical instructor at the State University of New York at Buffalo, School of Medicine and Biomedical Sciences since 1989 and has authored a variety of publications.

Information sources for Physician Analytics are hospital reports in state databases. Although not warranted or guaranteed by HMS Associates, this data set is among the most authoritative information available on ambulatory surgery utilization. Physician Analytics Compliance Reports for inpatient service are also available.

 

Physician Analytics

Physician Analytics Compliance Reports are ready references on your practice patterns which will give you:

  1. An annual summary of key statistics on your ambulatory surgery practice patterns.
  2. Comparative data which describe your relative efficiency as well as your market position in the hospitals where you are operating, in the communities you serve, and with the payers you bill.
  3. A succinct interpretation of comparative data which can be used when negotiating contracts with hospitals, provider groups or payers.
  4. An authoritative and independent basis for evaluating statements made by hospitals, provider networks, or payers regarding your utilization of resources.
  5. Measurements of unmet demand for services in your community to assist in business planning.
  6. A patient origin geocoded map of your service area.
  7. Actual data in hard copy or electronic format so you can review directly and in detail information about your practice.

Physician Analytics also comes with a money- back guarantee. If you are not satisfied with the report, return it within 30 days of receipt and receive a full refund.

Order Form


HMS AssociatesSuite B, Box 3742280 Millersport HighwayGetzville, NY 14068
Tel. (716) 688 - 8448Fax (716) 688 - 0395Toll Free (877) 889-6519

E-mail: Consulthms@aol.com



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