Health Planning Solutions: Medical Staff Planning

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Health Planning Solutions: Medical Staff Planning

  1. 1. Health Planning Solutions: Medical Staff Planning A Presentation for ICAHN and IHA
  2. 2. Medical Staff Planning-Product and Process <ul><li>Establish goals to meet real community needs. </li></ul><ul><li>Assure availability of physicians. </li></ul><ul><li>Drive market share for both existing and new services. </li></ul><ul><li>Identify issues important to physicians. </li></ul><ul><li>Suggest ways to address key issues. </li></ul><ul><li>Involve physicians in a collaborative effort. </li></ul>
  3. 3. Medical Staff Planning: A Component of Strategic Planning <ul><li>Integral part of strategic planning and competitive analysis. </li></ul><ul><li>A complete understanding of the market informs physician needs. </li></ul><ul><li>Detailed clinical service line approach. </li></ul><ul><li>Detailed market share scenarios. </li></ul><ul><li>Physician office visit share. </li></ul>
  4. 4. Medical Staff Planning: Typical CAH Scenario <ul><li>30-75% of inpatient volume leaves area </li></ul><ul><li>PCP needs unmet </li></ul><ul><li>Lack of referral base </li></ul><ul><li>Greater lack of specialists </li></ul><ul><li>Outpatient surgery opportunities foregone </li></ul><ul><li>Niche service opportunities neglected </li></ul>
  5. 5. Medical Staff Planning: What Does the Market Require? <ul><ul><ul><li>Clinical Service Line Planning </li></ul></ul></ul><ul><ul><ul><ul><li>Inpatient Discharges </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Outpatient Volumes (Visits and Procedures) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Physician Visits </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Current and Projected </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Population Growth </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Demographic Composition </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Financial Access </li></ul></ul></ul></ul></ul>
  6. 6. Medical Staff Planning: What Does the Market Require? <ul><ul><ul><li>Market Share Goals and Scenarios </li></ul></ul></ul><ul><ul><ul><ul><li>Existing Clinical Service Base </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Success in physician recruitment </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Low-Hanging Fruit </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>The 20-80 rule </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Geographic Imperative </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Competition </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Profit potential </li></ul></ul></ul></ul>
  7. 7. Medical Staff Planning: Demand for Services <ul><ul><li>Market Share Driven by Physicians </li></ul></ul><ul><ul><li>Determining the Number and Type of Physicians Needed </li></ul></ul><ul><ul><li>Standard Methodologies </li></ul></ul><ul><ul><ul><li>Medical Professional Society-Generated Norms </li></ul></ul></ul><ul><ul><ul><li>Efficiency Benchmarks </li></ul></ul></ul><ul><ul><ul><li>Population to Physician Ratios </li></ul></ul></ul><ul><ul><ul><li>Empirical Models </li></ul></ul></ul><ul><ul><ul><ul><li>Age Distribution </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Gender Distribution </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Specialty Specific </li></ul></ul></ul></ul>
  8. 8. Medical Staff Planning: Demand for Services <ul><ul><li>HPS Adjustments to Demand Model </li></ul></ul><ul><ul><ul><ul><li>Financial Access </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Health Status </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Projected non-population based change in Use Rates </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Competing provider types </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Nurse Practitioners/Physician Assistants </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Retail Clinics </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Urgent Care Clinics </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Chiropractors/Alternative Providers </li></ul></ul></ul></ul></ul>
  9. 9. Medical Staff Planning: Provider Supply <ul><ul><li>Supply of Providers </li></ul></ul><ul><ul><li>Determining current and future FTEs </li></ul></ul><ul><ul><li>Standard Methodologies </li></ul></ul><ul><ul><ul><li>AMA Socioeconomic data </li></ul></ul></ul><ul><ul><ul><ul><li>Productivity </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>By Age </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>By Region </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Specialty-Specific </li></ul></ul></ul></ul></ul>
  10. 10. Medical Staff Planning: Provider Supply <ul><ul><ul><li>HPS Supply Methodology </li></ul></ul></ul><ul><ul><ul><ul><li>Face to Face Survey </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Actual current productivity </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Actual type of practice </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Estimated future provider productivity </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Projected retention and recruitment </li></ul></ul></ul></ul></ul>
  11. 11. Physician Survey: Additional Benefits <ul><li>Identifies referral patterns </li></ul><ul><li>Can involve physicians in other issues </li></ul><ul><li>Sends positive message </li></ul><ul><li>Increases probability of buy-in </li></ul><ul><li>Can start or re-start regular communications </li></ul>
  12. 12. Demographics Sources: U.S. Census Bureau; Claritas Chart 1 1.7% growth 1.2% growth 1.5% growth
  13. 13. Demographics Sources: U.S. Census Bureau; Claritas Chart 2
  14. 14. Demand for Inpatient Services Chart 8 14% growth 8% growth 8% growth
  15. 15. Demand for Inpatient Services Chart 11
  16. 16. Demand for Inpatient Services Chart 13
  17. 17. Demand for Inpatient Services Chart 18 Required PSA Market Share: Expected and Best Scenarios 33% 28% 23% Oncology Medical 40% 35% 30% Cardiology 74% 69% 64% Pulmonary 77% 72% 67% Endocrine 10% 10% 10% Orthopedics 82% 77% 72% Gastroenterology 26% 21% 16% General Surgery 17% 61% 71% 23% 59% Current Market Share-PSA 22% 66% 76% 28% 64% 2010 Likely PSA 27% Psych/Drug Abuse 81% OB/Delivery 71% General Medicine 33% 69% 2010 Best PSA Gynecology Nephrology
  18. 18. Demand for Outpatient Surgery Services
  19. 19. Physician Needs Based on Market Share Scenario .5 .3 10.0 .25 .1 .2 .2 1 0 1 .25 .75 .5 Likely Model 4 days a month currently/same .1 .1 Podiatry 2 days a month currently/ Assumes new CTh program .5 .1 Oncology Cardiology clinic 6 days a month/need ½ to full time 1 .2 Cardiology ENT surgery 1 day a week/need 1.5-2 days week .4 .2 ENT Need 3-4.5 FTEs 11.5 7.0 Family Practice 3 days a month currently/need 6 days a month .2 .1 Gynecology 3 days a month currently/need 6 to 9 days a month .3 .1 Ophthalmology 5 days a month currently/need full time 1 .1 Orthopedics (Developmental clinic 1 day/mth) 0 0 Pediatrics Assumes new inpatient rehab program 1 0 Physiatry 2 days/month . 5 .05 Pulmonary Tues 1/2 block; Th. Full block 1.0 .20 General Surgery 1 day a week currently. .67 .25 Urology Comments Best Model 2006 FTEs Specialty
  20. 20. Expected Need for Physicians
  21. 21. Questions or Comments-Now or Later <ul><li>Peter Strauss </li></ul><ul><li>Health Planning Solutions </li></ul><ul><li>8310 Gannon Avenue, Suite 200. St. Louis, MO 63132 </li></ul><ul><li>314-583-9023 </li></ul><ul><li>[email_address] </li></ul><ul><li>www.healthplanningsolutions.com </li></ul>

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