Zachary Hartsell
Wake Foret School of Medicine, USA
Title: Effectively benchmarking both financial and non-financial metrics for physician assistants and nurse practitioners practices
Biography
Biography: Zachary Hartsell
Abstract
The rise of value-based care has created a system of greater accountability from providers in regards to cost, quality, and effectiveness. While many different frameworks and benchmarking models for physician productivity exist, there are few models that can be correctly measured nurse practitioners (NP) or physician assistants (PAs) true value. As a result, many NPs and PAs are inadequately represented and often invisible in the reporting and finance system. This inability to accurately track NP and PR performance creates uncertainty and tension with budget development, as the NP or PAs true value may be undervalued or counted against physician performance. With the increase utilization of NPs and PAs several benchmarking tools have become available, but these tools suffer from poor sensitivity and specificity towards the NP or PAs actual work performed. This presentation will introduce a benchmarking tool aimed at accurately capturing data on the wRVU production of NPS and PAs. Focus will aim at introducing the challenges with the current benchmarking system and the description of a reproducible predictive modeling tool to determine the expected revenue generation of NPs and PAs. The presentation will highlight the challenges in utilizing and developing financial benchmarking tools for NPs and PAs with a focus on understanding local/specialty practice patterns. The presentation will also introduce a nonfinancial incentive model focused on quality and patient satisfaction developed specifically for PAs. Finally, a review of the proper and improper application of shared visits will be discussed.
At the end of this presentation, participant should be able to
- Describe the challenges with using existing physician focused productivity benchmarking tools in the analysis of NP or PA practice.
- Explain the different types of nonfinancial quality metrics that capture the productivity of NPs and PAs most accurately.
- Apply shared visits in the appropriate setting and situation to maximize reimbursement and efficiency.