1. By: Victoria Lee, Intern
Anamika Desai, Director, Physician Relations Department
History
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Purpose
Significance
Methodology
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Prior to the introduction
of the Stark Law, there
was no regulation of
physician self-referral
practices
Physicians could
ultimately refer patients
to medical facilities that
favored their financial
interest
This lead to
overutilization of
services, increase in
healthcare costs, and
monopolization of
healthcare services
Analyze past physician
outreach expense records
Isolate key data components
from the expense records
Research better
documentation techniques
Convert data from past
expense records into Excel
Assemble data to form pivot
tables
Use pivot tables to
determine total expenses
per physician and service
line
Implement a routine of
yearly updates for Physician
Liaisons on changes in the
Stark Law during the first
meeting of each year
Create a set of instructions
to guide Physician Liaisons
through the operations of
the new procedures
Measure change through a
360-feedback system
Outcomes
Outcomes (cont.)
The new procedure allows for access to updated
expense reports at any time
As of 2015, the non-monetary compensation limit per
physician must not exceed $392 per year
Total Spend per MD and Total Spend per Service Line
Reports allows for Physician Liaisons to efficiently
monitor and stay updated on expenses per physician
throughout the year
Current report shows that RWJUH is in compliance
with the Stark Law
Evaluation
Acknowledgements