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is a new compliance report offered by HMS Associates to provide you with
your own data and a penetrating analysis of your inpatient 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 hospital, in your region, and across the state. Demand
analyses provide data and norms for assessing the potential for growth and
identifying underutilized services.
Compliance Reports utilize inpatient data on attending and operating 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 2 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 hospital or health system
both as an admitter and revenue generator
2. Efficiency relative to your use of resources
as measured by length of stay and charges by DRG
3. Importance to your community as a source of
4. Principal geographic market, market share, and
competitors or colleagues
5. Emerging and potentially saturated geographic
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 ALOS, operating room time
and 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.
This profile will help you see and understand both
the absolute and relative magnitude of your inpatient practice in terms
of patient discharges and total hospital charges. For example, the chart
below shows that Dr. Merchant's patients were billed in excess of $1.5 million,
more than all but five other attending physicians at his hospital. As such,
he is a key generator of revenue for the hospital. This is a strong negotiating
factor for him in matters pertaining to his relationship with the hospital.
This profile examines inpatient efficiency through
a comparison of your DRG-related data with average length of stay "norms"
for other physicians in your hospital, physicians in the county in which
your hospital is located, and for physicians throughout the region of state.
This report can be used to document your efficiency or point to areas where
improvements in efficiencies may be warranted. It will be useful in discussions
with hospitals and payers.
This profile identifies your service area and your
corresponding market share through a compilation of patient ZIP codes. You
will see maps of your market share for high frequency DRGs by ZIP code in
both actual numbers and percentages. A listing of other physicians treating
those DRGs in the communities you serve is also provided.
This report 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.
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.
This profile will help you understand the payer
mix of your inpatient population. It provides data for all of your discharges
by payer compared with payer mix data for other physicians in the hospital
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.
This profile lists data from selected fields on
each patient for whom you were the attending physician. It provides the
basis for your own audit of data available on public records about your
Sample Fields for Each Inpatient Record:
1. Discharge Number
3. Admit Weekday
4. Discharge Year
5. Discharge Month
6. Discharge Weekday
7. Patient County
8. Patient ZIP Code
9. Patient Sex
10. Patient Race
11. Type of Admission
12. Admit Diag. Code & Desc.
13. Prin. Diag. Code & Desc.
14. Other Diag. Code & Desc.
15. Prin. Proc. Code & Desc.
16. Other Proc. 1 Code & Desc.
17. Other Proc. 2 Code & Desc.
18. Fed. DRG Code & Desc.
19. Fed. MDC Code & Desc.
20. Patient Status /Disposition
21. Length of Stay
22. Reimbursement Source
23. Total Inpatient Charge
24. Attending Phy'n. License
25. Operating Phy'n. License
26. Other Phy'n License
Actual listings vary by state.
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
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.
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, 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 hospital inpatient utilization. Physician Analytics
Compliance Reports on ambulatory surgery are also available.
is a ready reference on your practice patterns which will give you:
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.
HMS AssociatesSuite B, Box 3742280 Millersport HighwayGetzville, NY 14068
Tel. (716) 688 - 8448Fax (716) 688 - 0395Toll Free (877)
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