Post on 09-Jan-2017
Thriving as an Independent
PracticeS. Craig Tidwell, M.D.
Associates in Obstetrics and Gynecology, PC
This event is live as of XY
Survey of the Epocrates user base. February 2015.
Answered: 2,144 Skipped: 642
I would prefer to be employed by
a larger group
58.14%
Given the opportunity, doctors want to stay independent
3
20.10%
11.75%
I would prefer to practice
independently
I am not
sure
4
Source: Bureau of Labor Statistics; NCHS; and Himmelstein/Woolhandler analysis of CPS
3500%
3000%
2500%
2000%
1500%
1000%
500%
0%1970 1975 1980 1985 1990 1995 200 2005 2009
Physicians
Administrators
Growth of Physicians and Administrators 1970-2009
5
Clinical Transformation: New Business Models for a New Era in Healthcare. Accenture, 2012. http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Clinical-Transformation-New-Business-Models-for-a-New-Era-in-Healthcare.pdf#zoom=50
Business Costs & Expenses
Prevalence of Managed Care
EMR Requirements
Maintaining/Managing Staff
Number of Patients Required to Break Even
87%
61%
53%
39%
53%
Top Concerns That Influence Decision to Seek Employment
6
Source: athenahealth’s addressable market (physicians) based on athenahealth analysis using SK&A, HIMSS, and self-collected data
% Employed Physicians 800
700
600
500
400
300
200
100
-2011 2012 2013 2014
650K 676K 684K 692K
44% 50% 57% 57%
56% 50% 43% 43%
EmployedIndependent
7
First signs that physician consolidation has leveled off
Care is moving out of the hospital while outpatient visits continue to rise
8
35
30
25
20
15
10
5
0
-5
-10
-15
-20
v vv v v
v
vv
vv
vv 33%
-17%
Outpatient services per FFS Part B beneficiary
Inpatient discharges per FFS Part A beneficiary
v
v
v
v
Fiscal year
Cum
ulat
ive
perc
ent c
hang
e
vv
20062007
20082009
20102011
2012 2013
9
Independent providers see
16% morepatientsthan employed providers
Independent practices see5.9% fewerno-showsthan owned practices
5.9%
Source: athenahealth Data, 2015
10
Patients wait
4 days longerto see an employed PCP than an independent PCP
Source: athenahealth Data, 2015
What’s the Solution?
12
Obstetrics & Gynecology 6 physicians 6 certified nurse
midwives 32 staff members 1 office in Dalton, GA 510 patient visits per
month/doc 3,074 patient visits per
month/practice On the network since
2012
Associates in Obstetrics and Gynecology
13
14
Before athenahealth
15
Needed an EHR to stay current and achieve Meaningful Use
Dealing with self-pay problems & collection issues
Challenges with managing billing department
Wanted better outreach and communication
Before athenahealth
16
Hunting for charts
17
On-Boarding
“With the assistance of training modules, templates, and project managers, the implementation was much
easier than we thought.”
18
athenahealth Solutions
1 athenaClinicals
athenaCollector2
athenaCommunicator3
Click here!
Meaningful Use
19
Flexibility in the Cloud
20
www.aogdalton.com
21
Measurable Practice Results
1.1 charge entry lag days
96.3% same day encounter close rate
3.4 minutes Provider documentation time:
36 days days in Accounts Receivable
$160,000 in Meaningful Use incentives22
Increased Visibility and Management Control Reports – Capture and Track Key Metrics Claims
First Pass Resolved Rate = 93.3 % Easy Submission Less Work Rules Engine
Positive Impact on Accounts Receivable: 10.97% decrease in Days in Accounts Receivable
Efficiency of the front office Staffing Improvements Practice Growth
athenaCollector – 2012
Access anywhere, anytime Document encounters more efficiently Spending more time with patients Integrated care capabilities Easy workflow Coordinating patients’ care
Exporting chartsEasy to read, relevant information, minimal records
athenaClinicals – 2012
Improve staff efficiency Call backs by Athena Group Call options:
ReminderCall GroupCall ResultsCall
Improved communication & Scheduling Patient visits increased 2.93% No show rate decreased 16.2% Participation in their medical care
Patient Portal - 24/7 Access
Patient Satisfaction
athenaCommunicator – 2012
26
Unmeasurable Results
27
After athenahealth
28
Work/Life Balance
Thank YouS. Craig Tidwell, M.D.