Communicating With Your Physicians Through Dashboard Data Developing a Practice Dashboard MGMA Anesthesia Administration Assembly May 2010 Joe Laden MGMA member since 1981 AAA Member since inception Business Manager Anesthesia Associates of Louisville, PSC
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Communicating With Your Physicians Through Dashboard Data Developing a Practice Dashboard
Communicating With Your Physicians Through Dashboard Data Developing a Practice Dashboard MGMA Anesthesia Administration Assembly May 2010 Joe Laden MGMA member since 1981 AAA Member since inception Business Manager Anesthesia Associates of Louisville, PSC [email protected]. - PowerPoint PPT Presentation
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Communicating With Your Physicians Through Dashboard Data
Developing a Practice Dashboard
MGMA Anesthesia Administration Assembly
May 2010
Joe LadenMGMA member since 1981
AAA Member since inception
Business ManagerAnesthesia Associates of Louisville, PSC
Develop a strategy to produce an effective practice dashboard
Identify key information that should be communicated to physicians
Gain insight as to the spreadsheets and graphic software available
04/21/23 11:34 AM
Anesthesia practice administrators are responsible for gathering, interpreting and disseminating financial data from business systems. The communication of this data
must be precise, concise and understandable.
What information is important for physicians and their management
of their practices?
How can this be presented in the most efficient and effective
manner?
What is anAnesthesia Practice
Dashboard?
An anesthesia business dashboard can be any form of
display that quickly communicates business practice management
information to anesthesiologists.
In other words . . .
I can’t define dashboard, but I know one when I see it.
BenchmarksRevenue per Unit $40 Revenue per OR $475kUnits per MD 12,400Units per OR 14,500OR Utilization 65%% Government Payers 38%A/R Days 46A/R % over 90 Days 18%
$/Unit $40$/OR $480U/MD 12,400OR % 65%% Gvt. 38%AR Day 34
• Many Sources• Varied Source Formats• Tools not easy to use• Compact Layout• Complex Formatting• Determining relevant data• Relevant data may change• Different Audiences
• You Probably Own Excel• Low Cost • Universality• Excellent Data Exchange• Charts• Pivot Tables• Ease of Use• Training Available• Advanced, Mature Product• Runs on PC or Mac
• Decide Which Key Performance Indicators to Display
• Determine if Billing System Data Can Be Easily Copied.
• Decide on Dashboard Construction Tools
One Approach to Constructing Your Own Dashboard
Cut and Paste Dashboard Construction
1. Start with blank PowerPoint Slide2. Display components to place on dashboard3. Capture components with Snipping Tool or Copy & Paste4. Paste onto slide5. Resize and reposition6. Add Logo, Background Other Beautifying Graphs7. Print as a PDF and distribute.
Construction Demo Video
More Difficult Method 1:
Prepare all elements of spreadsheet on one worksheet in Excel from
multiple worksheets with tables and graphs and use Excel Camera to
produce dashboard.
Example follows . . . . .
Excel Camera Example Video
More Difficult Method 2:
Dynamic tables and charts in Excel prepared on dashboard sheet from pivot tables based on externally imported data.
Advantage: Dashboard automatically update when current data is imported.
Example follows . . . . .
Excel 2010 Pivot Table With Slicers Video
Third Party Dashboard Solutions
• Interface With Practice Management Systems• Produce Dashboard Reports Automatically• Store Report Data Independently • Provide Web Access and Distribution Services
Can Be Time Consuming to Set UpThere will be a Cost
What Can Anesthesiologists Do With Dashboard Information?
• Monitor Anesthesiologist/ACT Work Output:(Units / Minutes / Cases)
• Monitor Reimbursement for Work Performed(Payments/Unit or Hour)
• Monitor Collection Efficiency (AR Days)• Monitor Hospital Efficiency (O.R. Utilization)• Make decisions about staffing • Determine need for hospital subsidies
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Key Metrics
• Revenue Per O.R.• Revenue Per Unit Billed• O.R. Utilization Rate• % Hours Billed/Worked After Normal OR Shift• CRNA Cost per Hour/Unit Billed• MD:CRNA Ratios (Concurrency)• Weeks Worked per Year• Units per Hour• Units Billed per MD FTE
Internal Comparisons
• Facility vs. Facility• MD vs. MD• Payer vs. Payer• Surgeon vs. Surgeon• Time-Based
• Month, Quarter, Year, Week• Trailing 12 months• Period vs. Previous Period
External Benchmark Comparisons
• MGMA Physician Compensation and Production Survey
• MGMA Single Specialty Cost ReportSurvey – Anesthesia
• ASA Payer Survey
KPI Top and Bottom
Top 10 and Bottom 10:
• Surgeons (collected per hour)• Anesthesiologists (units per year)• CRNA’s (hours billed/ hours paid)• Payers (collected per unit)• ASA Codes (units per case)
Other Combinations
•Units per case, MD, CRNA, Hour•Revenue per O.R., MD, Case, Hour•Units, Hours and revenue per Surgeon
Operating Room or Facility
Questions Anesthesiologists Ask:
How is the business going?
What will the end of the year look like?
Will your dashboard provide answers?
Take Away Ideas
Dashboards take time, talent and toil to make
Resist the urge to favor flash over function.
Encourage your vendors to produce dashboards
Often a paper report with limited graphics is best
Additional Resources
The Effective Use Of Electronic Dashboards To Promote & Improve Overall Practice Performance: An Exploration Into The Use of Electronic Dashboards In A Group Practice Setting. ACMPE Paper by David G. Owens, FACMPE. Available on the MGMA web site
Dashboard To Monitor Clinical Productivity of Anesthesiology Groups Amr E. Abouleish, M.D., M.B.A., Jody A. Locke, M.A., et al.