Measuring individual physician clinical productivity in an era of consolidated group practices.

ABSTRACT: As physician groups consolidate and value-based payment replaces traditional fee-for-service systems, physician practices have greater need to accurately measure individual physician clinical productivity within team-based systems. We compared methodologies to measure individual physician outpatient clinical productivity after adjustment for shared practice resources. For cardiologists at our hospital between January 2015 and June 2016, we assessed productivity by examining completed patient visits per clinical session per week. Using mixed-effects models, we sequentially accounted for shared practice resources and underlying baseline characteristics. We compared mixed-effects and Generalized Estimating Equations (GEE) models using K-fold cross validation, and compared mixed-effect, GEE, a

SUBMITTER: Butala NM 

PROVIDER: S-EPMC6703949 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature