Physician Profiling: A Source Book for Health Care AdministratorsNeil F. Piland, Kerstin B. Lynam Many health care leaders believe that defining and measuringphysician work efforts and linking those efforts to practical andmeasurable clinical outcomes-physician profiling-will not onlyimprove patient satisfaction and increase the quality of care, itwill revolutionize the health care industry. Physician Profilingbrings together twenty-one of the nation's most prominent physicianresearchers and executive medical group administrators, givinghealth care leaders and physician practice administrators the toolsthey need to evaluate and implement a physician profiling system,unlocking this powerful technique for use in their ownorganizations. "Reducing clinical variation among physicians is the name of thegame in improving health care. This book provides an overview thatyou shouldn't miss of the state-of-the-art in this rapidlydeveloping field."--Dean C. Coddington, principal, McManisAssociates and author, Making Integrated Health Care Work |
Contents
Laying the Foundation for a Profiling System | 3 |
What Data Are Needed for Physician Profiles? | 17 |
The Administrative | 31 |
Copyright | |
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Common terms and phrases
ACGs Ambulatory analysis appropriate assessment asthma average Balas behavior change benchmark cian claim and encounter claims data clinical trials codes compared control group cost days Dr decision diagnosis diagnosis codes diagnosis-related groups DRGs effect evaluation evidence example fee-for-service financial incentives group practice health care health maintenance organizations health plan health status hospital ical identify implementation important individual physicians inpatient Internal Medicine Journal length of stay measure Medicaid medical group Medicare ment meta-analysis methods mix adjustment outcomes outpatient overall patient satisfaction payment peer comparison feedback percent performance physi physician behavior physician profiling populations prac practice patterns primary care physicians procedures profiling data profiling effort profiling physicians profiling system provider profiles QFES quality improvement rates RBRVS resource utilization Risk Adjustment RVUs satisfaction data satisfaction questionnaire scores specialists specific staff tests tion valid visits