Physician Profiling: A Source Book for Health Care Administrators

Physician Profiling
Under managed care, health care leaders are continuously searching for ways to address consumer demands, enhance the quality of patient care, and manage the bottom line.
Market forces have thrust the physician′s role into the middle of the managed care debate. In fact, at many organizations, physicians′ individual practice patterns have been placed under the microscope. This has forced many in the health care industry to ask, Can physicians still deliver quality care to patients in today′s highly competitive managed care environment? The answer is a resounding, Yes, and physician profiling–a breakthrough concept in health care delivery–will help them do it.
Sponsored by The Center for Research in Ambulatory Health Care Administration (CRAHCA), Physician Profiling brings together twenty–one of the most prominent physician researchers and executive medical group administrators, whose insight will give executives and clinicians a practical understanding of physician profiling and its impact on medical group practices. Rich in case studies and tips for success, Physician Profiling shows physician leaders and practice administrators how to use profiling data responsibly and accurately and how, in many instances how data can assist physicians in evaluating different treatment plans for a specific illness.
This powerful tool, integrating financial, administrative, and clinical information, has the power to transform health care delivery, unlocking an organization′s ability to
Manage available resources more efficiently
Lower costs through efficient and effective resource utilization
Identify specific areas for improvement–ultimately improving the quality of care and increasing patient satisfaction
As the demand for health care accountability continues to rise, so will the use of physician profiling. Physician profiling is a key evaluation technique in health care management whose time has come.
Demonstrate the Effectiveness of Care
Many health care leaders believe that defining and measuring physician work efforts and linking those efforts to practical and measurable clinical outcomes–physician profiling–will not only improve patient satisfaction and increase the quality of care, it will revolutionize the health care industry. Physician Profiling brings together twenty–one of the nation′s most prominent physician researchers and executive medical group administrators, giving health care leaders and physician practice administrators the tools they need to evaluate and implement a physician profiling system, unlocking this powerful technique for use in their own organizations.
"Reducing clinical variation among physicians is the name of the game in improving health care. This book provides an overview that you shouldn′t miss of the state–of–the–art in this rapidly developing field."—Dean C. Coddington, principal, McManis Associates and author, Making Integrated Health Care Work
"Covering clinical, administrative, and technical considerations, this publication offers exceptional insight for effective physician profiling."—Howard Smith, dean, University of New Mexico, Anderson Schools of Management


Spis treści:
METHODOLOGY.
1. Laying the Foundation for a Profiling System (Norman S. Smith).
2. What Data Are Needed for Physician Profiles? (Manon Spitzer Ruben, et al.).
3. Harvesting Data for Physician Profiling: The Administrative and Clinical How To′s (Norbert Goldfield).
4. Seeing the Forest Through the Trees: Developing Evidence–Based Profiling Reports (Suzanne Austin Boren, et al.).
5. Case Mix Adjusters: Theory and Praxis (Manon Spitzer Ruben, et al.).

Nota biograficzna:
NEIL F. PILAND, Dr.P.H., is the research director for the Center for Research in Ambulatory Health Care Administration (CRAHCA) of the Medical Group Management Association (MGMA). KERSTIN B. LYNAM is the contracts and grants officer and publications manager for CRAHCA.

Okładka tylna:
Physician Profiling
Under managed care, health care leaders are continuously searching for ways to address consumer demands, enhance the quality of patient care, and manage the bottom line.
Market forces have thrust the physician′s role into the middle of the managed care debate. In fact, at many organizations, physicians′ individual practice patterns have been placed under the microscope. This has forced many in the health care industry to ask, Can physicians still deliver quality care to patients in today′s highly competitive managed care environment? The answer is a resounding, Yes, and physician profiling–a breakthrough concept in health care delivery–will help them do it.
Sponsored by The Center for Research in Ambulatory Health Care Administration (CRAHCA), Physician Profiling brings together twenty–one of the most prominent physician researchers and executive medical group administrators, whose insight will give executives and clinicians a practical understanding of physician profiling and its impact on medical group practices. Rich in case studies and tips for success, Physician Profiling shows physician leaders and practice administrators how to use profiling data responsibly and accurately and how, in many instances how data can assist physicians in evaluating different treatment plans for a specific illness.
This powerful tool, integrating financial, administrative, and clinical information, has the power to transform health care delivery, unlocking an organization′s ability to
Manage available resources more efficiently
Lower costs through efficient and effective resource utilization
Identify specific areas for improvement–ultimately improving the quality of care and increasing patient satisfaction
As the demand for health care accountability continues to rise, so will the use of physician profiling. Physician profiling is a key evaluation technique in health care management whose time has come.
Demonstrate the Effectiveness of Care
Many health care leaders believe that defining and measuring physician work efforts and linking those efforts to practical and measurable clinical outcomes–physician profiling–will not only improve patient satisfaction and increase the quality of care, it will revolutionize the health care industry. Physician Profiling brings together twenty–one of the nation′s most prominent physician researchers and executive medical group administrators, giving health care leaders and physician practice administrators the tools they need to evaluate and implement a physician profiling system, unlocking this powerful technique for use in their own organizations.
"Reducing clinical variation among physicians is the name of the game in improving health care. This book provides an overview that you shouldn′t miss of the state–of–the–art in this rapidly developing field."—Dean C. Coddington, principal, McManis Associates and author, Making Integrated Health Care Work
"Covering clinical, administrative, and technical considerations, this publication offers exceptional insight for effective physician profiling."—Howard Smith, dean, University of New Mexico, Anderson Schools of Management