摘要:

This article is the first of two studies conducted by the American College of Medical Practice Executives (ACMPE) that examines the perceived roles of medical practice executives. (Founded in 1956, the American College of Medical Practice Executives is the professional development and credentialing arm of the Medical Group Management Association (MGMA)). This study asked groups of physicians and nonphysician administrators to identify the competencies and associated skills and knowledge for administering group practices in today's changing environment. Those surveyed included administrators who are Fellows in ACMPE and 795 physicians who comprise the Society of Physician Administrators of the Medical Group Management Association. The responses were examined through a framework provided by the Managed Care Process Model. In this model, the focus is on the administrative and clinical processes required by different levels of managed care market penetration. The model progresses from a focus on relatively traditional practice management functions to those activities that are more complex with a greater focus on the integration of both clinical and business processes aimed at the health of populations. The analysis of the perceived competencies indicated that while both executive types perceived the importance of managing the health of populations, that task is not yet being incorporated into their professional roles.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This article describes an internal benchmarking process developed and used by the Marshfield Clinic targeting the interface between productivity and service quality. The benchmarking first identified “better performing” physicians using production and service quality measures as benchmarks. This was followed by detailed interviews of “better performers” to discover their “best practices.” Based on an analysis of the “best practices” information, a physician curriculum was designed and implemented to improve service quality and provider productivity. Optimal strategies for successful programs are discussed and, finally, recommendations for future research are identified.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Information technology permits revised patient management activities for high-quality, cost-effective care in ambulatory clinics. The electronic medical record is financially feasible for very small physician groups. Disease management for chronic and terminal care patients represents an expanding area of service in medical group management. The Internet provides access to health care information that has empowered patients and their families to approach patient-physician office visits from a new relationship. Data provided by this information technology permit benchmarking of activities by ambulatory care service, treatment modalities, specialty group, and physician.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Managing a group practice requires constant attention to financial and operational data to achieve a sustainable business concern. By identifying key performance areas, a group practice can gather, report, and analyze data that are readily available but often overlooked. Although performance indicators will not solve all management problems, the insight gleaned from historical and projected data trending, in addition to external comparison and benchmarking, can result in proactive analysis and problem identification, mitigating the troubling impacts of ignorance and surprise.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The challenge of tapping into the rich resource of population-based, aggregated data to inform and guide clinical processes remains one of the largely unrealized potentials of managed care. This article describes a multifaceted approach of using health-related data to support providers in clinical decision making as an adjunct to case management and primary care delivery. The goal is to provide data that can be used for clinical decision making that is population based, yet individualized for specific patient care situations. Information reporting holds great potential in the clinical care of patients because it can be used to identify persons who could benefit from early detection, intervention, or treatment. It has been suggested that one of the keys to success in managed Medicare is the timely use of information that is detailed, comprehensive, and real-time describing key parameters of clinical encounters.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Designing a physician incentive compensation plan that aligns the demands of managed care with the perceived fairness of income distribution is a key challenge for medical practices today. Rather than focus on traditional productivity measures, managed care requires physicians to demonstrate efficient practice of medicine. Physicians still need to be highly productive; however, they are now required to demonstrate efficiency related to clinical resource management, patient access and service, and evidence-based outcomes. Approaches to the development of physician incentive compensation plans and case examples are offered to assist practices that are transitioning physician compensation from volume-based to efficiency-based indicators.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

As claims data for physicians and groups of physicians has improved in quality and quantity, health information vendors have begun marketing information about medical groups' productivity, utilization, and quality. Based on interviews with product developers and our understanding of the evolution of their products, several methodological and practical issues remain.For now and the immediate future, health information vendors will continue to face the limitations of physicians' claims data. Vendors and purchasers should be aware of common data shortcomings such as inadequate monthly enrollment figures, possible physician upcoding to circumvent utilization management restrictions, and incorrect coding when a test is used to rule out a disease.In the longer term, several avenues seem likely to make medical groups' data better and richer because of computer-based medical records and efficiencies possible from the Internet.The field of benchmarking products for group practices is still an immature market. However, several trends suggest such products are highly desirable. Provider organizations which bear medical risk need benchmarking data to help improve their efficiency. There are many important nonprovider organizations that need good information on group practices' utilization patterns and outcomes to help them plan new products and negotiate with physicians.

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:2000

数据来源: OVID