Don't like your health-plan profile? Challenge it!
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Biomedical subjects
Publications and source records attributed to S K Bellile.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
In the new environment of providing health care for a population and competing for contracts with other providers, information is the key to success. Hospital providers are using comparative data for internal improvement efforts and to market their efficiency and effectiveness to plans and employers. Health plans are using comparative data to monitor performance and to evaluate providers. Physician groups need to manage their own clinical information--or they may end up being managed by it.
Comparative performance data is increasingly being used by hospitals and managed care plans to evaluate physician practices. Outcomes data can also be a valuable tool for continuous improvement within a practice. Administrators need to understand the different categories and sources of physician practice data. Hospitals are a particularly good, yet often underutilized, data resource. Descriptive, financial and clinical information available from hospital systems can be used to compare one physician's performance to norms for specific case types (e.g. DRG's), focus internal review efforts and support managed care marketing and negotiation. Administrators need to identify key hospital contacts, make specific data requests and knowledgeably (and cautiously) interpret the data received. Finally, the administrator plays a crucial role turning data into information: identifying and presenting key findings and insuring that the information is used to the group's competitive advantage.