Posts Tagged ‘physician trends’

Infographic: 2018 Physician On-Call and Telemedicine Compensation Survey

May 8th, 2019 by Melanie Matthews

Some 40 percent of hospitals and healthcare systems have physicians providing telemedicine on-call coverage, according to a new infographic by SullivanCotter.

The infographic examines highlights from SullivanCotter’s Physician On-Call and Telemedicine Compensation Survey, including details on hourly rates for trauma and non-trauma call coverage by specialty group, the average number of physicians on a call panel by specialty, the most difficult specialties in securing physicians to provide call coverage and trends in providing shift differentials for evening, weekend or holiday coverage.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics.

Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space.

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Infographic: Physician Supply and Demand Through 2032

May 3rd, 2019 by Melanie Matthews

The United States will see a shortage of up to nearly 122,000 physicians by 2032 as demand for physicians continues to grow faster than supply, according to a new infographic by the Association of American Medical Colleges (AAMC).

The infographic examines the expected physician shortfall and the factors contributing to it.

A 2015 adopter of Medicare’s Chronic Care Management (CCM) reimbursement program, The Center for Primary Care (CPC) quickly expanded its CCM initiative to qualifying Medicare beneficiaries at its nine locations. Today, with a detailed profile of its CCM population and the health improvements and revenue that resulted, the CPC is leveraging this Chronic Care Management experience for participation in MACRA.

Physician Chronic Care Management Reimbursement: Roadmap to MIPS Success Under MACRA describes how early adoption of Medicare’s CCM Reimbursement program enhanced the Center’s MACRA-readiness, laying the foundation for success under the Merit-based Incentive Payment System (MIPS) path.

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Infographic: 4 Drivers of a Sustainable Physician Workforce

April 3rd, 2019 by Melanie Matthews

The must sustainable and successful healthcare organizations employ physicians who, by and large, have “high” capability ratings—meaning they feel they have the tools, resources and latitude they need to work at the top of their license and provide high-quality care to their patients, according to a new infographic by athenahealth inc.

The infographic provides strategies to foster and support physician effectiveness.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: Conquer Small Physician Practice Billing Challenges

January 28th, 2019 by Melanie Matthews

Ninety-six percent of physician practice leaders report inefficient billing processes in their practices, according to a new infographic by Greenway Health.

The infographic examines how Mesa OB/GYN, a private practice with one biller, tackled substantial billing challenges.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM RevenueSince the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare’s existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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Infographic: Physician Shortage Trends

January 2nd, 2019 by Melanie Matthews

The United States could be short as many as 120,000 physicians by 2030, according to a new infographic by BoardVitals.

The infographic drills down on where the physician shortages are, how the aging of the United States population is impacting healthcare and the physician workforce, what specialties are experiencing shortages and the top-five shortage-fueled recruiting challenges.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: 5 Warning Signs of Disruptive Physician Behavior

December 24th, 2018 by Melanie Matthews

More than 95 percent of healthcare executives claim to witness disruptive physician behavior on a daily basis, resulting in increased turnover rates and lost productivity, according to a new infographic by VITAL WorkLife.

The infographic examines five warning signs that could be indicators of disruptive behavior.

Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action PlanUnityPoint Health has moved from a siloed approach to improving the patient experience at each of its locations to a system-wide approach that encompasses a consistent, baseline experience while still allowing for each institution to address its specific needs. Armed with data from its Press Ganey and CAHPS ® Hospital Survey scores, UnityPoint’s patient experience team developed a front-line staff-driven improvement action plan.

During Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action Plan, a 45-minute webinar, now available for replay, Paige Moore, director, patient experience at UnityPoint Health—Des Moines, shares how the organization switched from a top-down, leadership-driven patient experience improvement approach to one that engages front-line staff to own the process.

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Infographic: Physician Misery Index Climbs

December 7th, 2018 by Melanie Matthews

Eighty-nine percent of physicians say the “business and regulation of healthcare” has changed the practice of medicine for the worst, according to a new infographic by Geneia.

The infographic examines physician burnout and the physician burnout gender gap.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Guest Post: 3 Strategies for Combating Physician Burnout

September 20th, 2018 by James Korman

Physicians now find themselves under more stress and pressure from a variety of sources beyond their control.

Physicians call it “Pajama Time.” But it has nothing to do with curling up with a good book before heading off to bed. In medical parlance, Pajama Time refers to the several hours at night that many physicians must set aside to catch up on completing notes, tasks and orders that they simply don’t have a time to manage during the workday.

Pajama Time is symptomatic of a larger and growing problem throughout the medical profession: physician burnout. Dealing with a flood of medical data is a major cause of physician burnout. But it’s not the only one.

Physicians now find themselves under more stress and pressure from a variety of sources beyond their control. For example, stress is sparked by increased patient volume, wrestling with complex and time-consuming electronic health records (EHRs), merging practices that result in a loss of autonomy and peer-to-peer interactions, and a sharper emphasis on outcome metrics and benchmarks.

Although many of these changes are necessary as medicine moves away from fee-for-service and toward fee-for-value, the triple aim that is meant to fix the U.S. healthcare system only magnifies and perpetuates the stress experienced among the nation’s physicians.

Often difficult to detect, physician burnout takes on many forms. Chief among them is emotional exhaustion, detachment and insensitivity toward patients and a lack of feeling successful and accomplished in their work.

The severity of physician burnout often depends on the type of medical specialty being practiced.

Tait Shanafelt, MD, a nationally recognized expert in physician wellness, in 2014 administered the Maslach Burnout Inventory to a large national physician sample showing that approximately 50 percent of U.S. physicians were experiencing at least one symptom of burnout. In 2013, the first year of the “Medscape Lifestyle Report,” showed that emergency medicine had the highest rates of burnout, just above 50 percent. That jumped to close to 60 percent in 2017. It also showed that physicians working in primary care tended to struggle most with burnout.

The consequences of physician burnout run far and wide.

Picture a Venn diagram, with burnout overlapping the personal and the professional effects. Personal consequences include anxiety, depression, alcohol and substance abuse, family conflict and an increased risk of suicide, according to the Mayo Clinic. Professional consequences range from decreased quality of care to increased medical errors to decreased patient satisfaction.

The rising level of physician burnout is simply unsustainable, with repercussions negatively affecting nearly every facet of the healthcare system.

Summit Medical Group, the nation’s largest independent multispecialty physician group, recognized the concerning trend of burnout among doctors even before it was talked about openly, and is at the forefront of this issue. The group is combating physician burnout on multiple fronts:

  1. Improve communications. One way to help physician burnout is to give physicians an avenue to express what they see as causing their stress and have someone take it seriously. Summit Medical Group (SMG) has made this a top priority by having its board of directors, who are practicing physicians, meet with the group’s physicians to obtain their feedback, thoughts and suggestions. By having regular small group meetings with physicians these leaders gain a keener sense of the possible remedies that SMG can adopt to reduce burnout. Also, most of the interventions that the group has adopted to address burnout has come from these meetings. To further help with communication, SMG assigned lead physicians to geographic regions to ensure that accurate and timely information gets down to the individual physician and their feedback gets up to leadership. Another way SMG has strengthened overall communication is through various electronic newsletters that keep its physicians informed and engaged about the medical group and their colleagues. They have also created a dedicated email address and voicemail allowing their physicians to leave confidential feedback at any time.

  2. Bolster physician support services. It is well-known that physicians are excellent at helping others, but not very good at asking for help themselves. It’s not in their DNA. That’s why it’s incumbent upon medical groups to proactively offer support services to their physicians with minimal barriers. For example, SMG has trained 14 volunteer physicians from different specialties to speak with their colleagues during times of acute stress, unexpected outcomes or when dealing with a medical malpractice lawsuit. These volunteer physicians often have been though similar situations, making it easier for them to offer support and advice. SMG also does not wait for their physicians to ask for help but will reach out to them to offer support whenever one has had a stressful event or appears in need. SMG further understands that at times medical providers need more than a peer to speak to and does have professional psychological services available to them. There are also other support services that SMG has implemented, including ways to help physicians unplug when they are on vacation. Because many physicians receive hundreds of patient orders and tasks per week it is no wonder that many feel compelled to log on to the EHR when they’re supposed to be recharging their batteries. And if they choose not to log-on many experience anxiety on vacation knowing what they are going to return to when they head back to the office. To help, SMG has hired Advanced Practicing Nurses and Physician Assistants to manage their doctors’ EMR inboxes when they are on vacation. This not only helps the vacationing physician but also reduces the burden on the office staff who are often managing their own work along with that of the vacationing doctor.

  3. Foster a sense of community. The ‘Physician Lounge,’ a physical space where doctors could unwind and exchange professional information and give each other support, used to be a staple of the medical profession. No longer. Physicians simply do not have the time to go to the lounge during busy work hours and many medical systems have eliminated them in favor of more clinical space. However, medical groups do need to find alternative means for their physicians to interact with each other to avoid having them feel isolated and siloed. For example, this summer SMG adopted a social media platform called Yammer. Yammer has been described as an on-line “Physician Lounge” where doctors can exchange medical information, consult on general medical cases, share social pleasantries and provide each other support. Similar to Facebook, Yammer is set up for each medical department throughout SMG as well as for the larger physician group. Perhaps most important, Yammer offers physicians a sense of community—a place where they can share ideas, frustrations and solutions to the stresses they face. In addition, SMG holds regular networking events, which give providers who may feel isolated in their work the opportunity to interact with colleagues both professionally and socially.

James Korman

James Korman

About the Author: James Korman, PSYD, FACT, is the director of behavioral health and provider engagement at Summit Medical Group.

Infographic: Physician Lifestyle and Happiness 2018 Report

March 16th, 2018 by Melanie Matthews

Physicians struggle with many of the same issues that other people do—friendships, relationships, exercising and maintaining a healthy weight, according to Medscape’s Physician Lifestyle and Happiness report.

A new infographic by Board Vitals highlights some of the survey findings including what role spiritual beliefs play in physicians’ coping skills, whether physicians are in a committed relationship and physician vacation habits.

Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare IndustryHealthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry, HIN’s 14th annual business forecast, is designed to support healthcare C-suite planning as leaders react to presidential priorities and seek new strategies for engaging providers, patients and health plan members in value-based care.

HIN’s highly anticipated annual strategic playbook opens with perspectives from industry thought leader Brian Sanderson, managing principal, healthcare services, Crowe Horwath, who outlines a roadmap to healthcare provider success by examining the key issues, challenges and opportunities facing providers in the year to come. Following Sanderson’s outlook is guidance for healthcare payors from David Buchanan, president, Buchanan Strategies, on navigating seven hot button areas for insurers, from the future of Obamacare to the changing face of telehealth to the surprising role grocery stores might one day play in healthcare delivery. Click here for more information.

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Infographic: Patient Wait Time Trends

March 27th, 2017 by Melanie Matthews

Patients are spending less time waiting to see a doctor compared to six years ago, according to a new infographic by Vitals.

The infographic examines what has lead to decreased wait times, the effect of wait times on physician ratings and cities with the shortest and longest wait times.

Patient-centric interventions like population health management, health coaching, home visits and telephonic outreach are designed to engage individuals in health self-management—contributing to healthier clinical and financial results in healthcare’s value-based reimbursement climate.

But when organizations consistently rank patient engagement as their most critical care challenge, as hundreds have in response to HIN benchmark surveys, which strategies will help to bring about the desired health behavior change in high-risk populations?

9 Protocols to Promote Patient Engagement in High-Risk, High-Cost Populations presents a collection of tactics that are successfully activating the most resistant, hard-to-engage patients and health plan members in chronic condition management. Whether an organization refers to this population segment as high-risk, high-cost, clinically complex, high-utilizer or simply top-of-the-pyramid ‘VIPs,’ the touch points and technologies in this resource will recharge their care coordination approach.

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