Medical Group Management: Strategies for Enhancing Performance

by Valentine, Steven T.; Jacobs, Laura P.

• ISBN13: 9781567261028
• ISBN10: 1567261027
• Format: Hardcover
• Copyright: 2003-01-14
• Publisher: Jones & Bartlett Learning
• More Book Details
• Purchase Benefits

Summary

In the last decade, medical group practices have been hit hard by reduced reimbursement, increased regulatory requirements, and rising staffing costs, not to mention a host of other challenges. As a result, virtually all medical group practices are seeking ways to enhance their performance. In this practical guide, leading experts from The Camden Group share their proven methods for group practice success through improved strategic planning, better organizational structures, new physician compensation plans, additional sources of revenue, benchmarking, dynamic information systems, enhanced patient satisfaction, and more. Whether you want to completely restructure your practice for success or simply sharpen performance, Medical Group Management has the tools and strategies you need to lead your group toward positive change.

Table of Contents

Foreword	ix
Preface	xiii
Looking to the Future: Developing Strategic Direction	1	(22)
Laura P. Jacobs
The Strategic Planning Process	2	(16)
Evaluating Strategic Alternatives	18	(3)
Avoiding the Traps	21	(2)
Improving Operational Performance: A Process That Works	23	(18)
Mary J. Witt
Medical Group Success Factors	23	(2)
The Performance Improvement Process	25	(10)
Leading the Process: Who Should Do It?	35	(2)
Challenges to an Effective Process	37	(1)
Strategies for Achieving Success	38	(3)
Medical Group Leadership	41	(36)
Benjamin S. Snyder
The Need for Effective Leadership	42	(1)
Organizational Structures	43	(5)
The Role of Physician Leadership	48	(3)
The Role of Lay Administration	51	(1)
Required Leadership Competencies	52	(3)
Avoiding the Traps During an Operational Improvement Effort	55	(22)
Performance, Benchmarking, and Reporting Tools	77	(24)
Mary J. Witt
Benchmarking Overview	78	(2)
Benchmarking Process	80	(5)
Limitations to Benchmarking	85	(1)
Potential Revenue Indicators	86	(7)
Potential Expense Indicators	93	(2)
Ongoing Monitoring	95	(6)
Designing an Effective Compensation Plan	101	(34)
Laura P. Jacobs
Compensation Trends	102	(2)
When Is It Time to Change the Compensation Plan?	104	(2)
Factors Influencing Compensation Plan Design	106	(4)
Keys to Designing a Successful Plan	110	(1)
Compensation Structures	111	(10)
Redesigning the Plan	121	(2)
Introducing a New Plan	123	(1)
Case Study 1: Using RVUs	123	(6)
Case Study 2: Percentage of Net Revenue	129	(6)
Improving Provider Productivity	135	(16)
Mary J. Witt
Defining Productivity	136	(2)
Accessibility and Schedules	138	(9)
Rewards for Improved Productivity	147	(4)
Managing Costs in Today's Environment	151	(20)
Mary J. Witt
The Budget Process	152	(5)
Identifying Areas for Improvement	157	(10)
Hospital-Owned Practices or Integrated Delivery Systems	167	(4)
Keeping a Focus on Quality and Service	171	(20)
Karen E. Dunbar
Benjamin S. Snyder
Preparing for a Quality Initiative	174	(10)
Measuring and Monitoring Quality of Care	184	(7)
Effective Staffing: What Does It Take?	191	(28)
Karen E. Dunbar
Benjamin S. Snyder
Personnel Management Strategies	191	(5)
Job Descriptions and Performance Standards	196	(1)
Benchmarking Employee Staffing	197	(4)
Other Suggestions for Reducing Staffing Costs	201	(18)
Accounts Receivable Management	219	(44)
Robin G. Wallace
Karen E. Dunbar
Business As Usual Doesn't Work	220	(1)
Medicare Pulled the Trigger	221	(1)
The Impact of Managed Care	222	(2)
Connecting the Core Elements through Communication	224	(1)
Building a Solid Foundation	224	(10)
Information Systems	234	(3)
Performance Measures	237	(6)
Key Functions and Their Interrelationships	243	(20)
Managed Care and Capitation: Strategies for Success	263	(18)
Michael E. Harris
Laura P. Jacobs
Critical Success Factors	264	(1)
Managed Care Assessment	265	(11)
Implementing Change	276	(5)
Enhancing and Finding New Sources of Revenue	281	(20)
Benjamin S. Snyder
Maximizing Payments from Payers	282	(4)
Expanding Current Service Lines	286	(2)
Marketing	288	(4)
Introducing New Service Lines	292	(3)
Offering Contract Services for Corporate Clients	295	(1)
Conducting Clinical Research	296	(2)
Exploring Other New Revenue Sources	298	(3)
Choosing the Right Information Systems	301	(30)
Timothy C. Henderson
Richard Friedland
Align IS Expectations with Business and Operational Strategies	305	(1)
Conduct a User Needs Assessment	306	(3)
Evaluate the Current IS Environment	309	(3)
Determine Whether a New System Is Required	312	(3)
Determine and Prioritize New IS Requirements	315	(3)
Conduct the RFP Process	318	(9)
Negotiate Vendor Contracts	327	(4)
Key Success Factors and Case Studies	331	(14)
Michael Manansala
Mary J. Witt
Organizational Challenges	332	(3)
Case Studies	335	(10)
A Final Word	345	(2)
Acronyms	347	(2)
About the Authors	349	(10)
Index	359