Ambulatory Suite: Provider Productivity Module

The Provider Productivity analytics accelerator provides data and visualizations to help organizations understand and improve the efficiency and effectiveness of their provider practice or network.

Provider Productivity provides reliable, easily digestible visualizations of provider performance and allows for meaningful analysis of the factors that impact it.

The problem

• For healthcare organizations, it’s vital to manage provider efficiency and effectiveness. Clinic or practice managers must be able to isolate causes of variance in productivity based on differences in acuity (patient mix based on wRVUs, CPT codes) and/or volume of patient visits. This analysis is key to identifying and prioritizing improvements.
• Manually compiling provider productivity data is not effective. It’s labor intensive to compile EMR, billing system, and external benchmark data to prepare static reports. In turn, one-dimensional, static reports don’t support meaningful analysis of provider productivity and the drivers of variation.

Our approach

The Provider Productivity analytic accelerator provides a robust analytic front-end to organize, summarize, and provide actionable visualizations of provider production. And by reducing the time to compile production reports and providing a single source of truth for productivity measures, the application provides quick, reliable information for increased efficiency and greater provider productivity.

Benefits and features

• Access an at-a-glance, near real-time view of provider productivity. Automatically refreshed as new data is available, the application combines high-level financial and operational performance measures in an easy-to-consume, one-page summary.
• Identify—and understand—variation across time periods and against benchmarks. Visualizations highlight areas of variance, which are often opportunities for improvement. Guided navigation and drill-down help users find answers to the series of questions typically asked, so they can identify and investigate the major contributors to the variance. For example, users may first want to see if a provider is working as many hours as expected, then see how many patients they’re seeing, and the wRVUs they’re producing per patient or visit. Are they producing effectively compared to their peers or compared to benchmark? Given these insights and comparables, users can then determine what types of interventions may make sense to boost productivity.

Use cases

• A physician group has agreed to productivity measures by specialist, and now each practice manager wants to see how their practice is performing. The practice managers use the app to review trends and create action plans to achieve the productivity targets.
• A health plan's director of provider network development is planning for a narrow network contract to support a new line of business. The app compares volumes, costs, and acuity levels—thereby helping identify providers to include in the network.
• The Finance office is working to understand a sudden increase in cardiology visits, yet a drop in revenue. The cardiology Clinic Manager pulls up Provider Productivity and quickly sees that two new providers are currently seeing lower acuity patients. This supports conversations across cardiology leadership about the reasons for the change and its impact on the business.
• The business intelligence department needs to prepare the monthly provider productivity reports for leadership. The Provider Productivity application fully automates this process, providing drastically reduced turnaround time and the option to drill deeper into performance variances. This allows leaders and front-line managers more time to review performance and come to the table with opportunities for improvement instead of spending time generating and validating reports.