on October 30, 2012 |
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Topics: Utilization, Efficiency, Performance Improvement, Quality, Oncology, Service Lines
Deirdre Fuller, Oncology Roundtable
We recently attended the Institute of Medicine’s National Cancer Policy Forum workshop, "Delivering Affordable Cancer Care in the 21st Century," and we wanted to bring you some of the highlights.
Nothing new: America spending too much on health care
One of the workshop panelists was Dr. Ezekiel Emanuel, Chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania’s Perelman School of Medicine. During his presentation, Dr. Emmanuel noted that the U.S. spends $2.8 trillion on health care, which is roughly equivalent to the total GDP of France. While it is true that richer countries spend more on health care, America’s spending is incomparable to that of other developed nations.
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Where are the costs in cancer care?
on April 27, 2011 |
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Topics: Oncology, Service Lines, Staffing, Efficiency, Performance Improvement
For some reason, we've seen a big spike this week in questions about mid-level providers. Given that this is such a hot topic, I thought it might be helpful to post some excerpts from the discussions that my colleagues and I have been having.
You'll see that we don't have all of the answers so I would love to hear from you. How does your organization use NPs and PAs? How do you manage compensation? recruitment? retention? Are physicians compensated for supervising mid-levels? Please submit your comments and questions by completing the form at the bottom of this post.
How do other hospitals structure mid-level providers' compensation?
Based on my conversations with Roundtable members, most MLPs are salaried, and in some cases, they may be eligible for performance bonuses based on quality and/or productivity. However, given the breadth of MLPs' responsibilities, it can be difficult to develop adequate performance metrics.
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FAQs about mid-level providers in oncology practice
on November 22, 2010 |
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Topics: Throughput, Efficiency, Performance Improvement
Recently we've received several questions from members about the best way to measure productivity in the infusion center. It's a difficult question because there are so many variables. Ideally you would take into account not just number of visits, but also procedure type and patient acuity, which dramatically impact nursing time.
The problem is that there is no single approach to measuring patient acuity in the infusion center. In fact, we don't think it is possible to create a single acuity scale that would be workable for all infusion centers because there is so much variation in clinical practice and patient populations. That is why, when we designed our Acuity-Based Infusion Center Staffing Tool, we didn't provide an acuity scale, but rather provided instructions for individual institutions to create their own acuity scale.
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The Challenge of Measuring Infusion Center Productivity
