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Identify hospitalist program ROI factors

Hospitalist Leadership Connection, November 28, 2007

On October 31, Robert Bessler, MD, president and CEO of Sound InPatient Physicians joined Leslie Flores, MHA, partner in Nelson/Flores Associates, LLC, Joseph Miller, senior vice president of the Society of Hospital Medicine (SHM)  to discuss how to measure and demonstrate the value of a hospitalist program during an SHM/HCPro sponsored audioconference.

During the audioconference, Bessler discussed the importance of identifying return on investment (ROI) factors, which vary depending on the sophistication of the hospitalist program. For example, ROI factors for first generation programs include:

  • Reduce length-of-stay
  • Improve primary care physicians' practices
  • Improve specialists' practices
  • Optimize workflow
  • Improve the patient care process

ROI factors for state-of-the art programs include:

  • Reduce DRG costs
  • Improve DRG documentation
  • Reduce emergency room initial costs
  • Reduce avoidable days
  • Reduce non-payments
  • Assume responsibility for pay-for-performance
  • Reduce readmissions

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