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Physician Shortage and Financial Management in Healthcare

Explore the impact of physician shortage on healthcare finance and strategies to address it. Analysis of female physicians' role in workforce dynamics and financial implications.

geoffrey-mcclain
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Physician Shortage and Financial Management in Healthcare

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  1. Financial Managementin the Healthcare Industry Week IV HCM 302

  2. -Practice Exam III (Answers) • -Group Project • Class work • -Debate • Physician Shortage • -HC Youtube • -Midterm Week IV Outline

  3. Group Project 02/09/2012 HCM 302

  4. 1- Dana • 3- Deja • 2-Theresa 4- Nancy • Medical Practice Name: Women’s Specialty Care • Details : • Specialty: OB-GYN • # Of Employees: 10 • # Of Physicians: 6 • # Of PA's :2 • # Of MW‘s: 2 •   # Of Offices: 3 • # Org Type: C-Corp Group A

  5. 1- Diana • 3- Hana • 2- Devon 4- Cailin • Medical Practice Name: Community Care of New Castle County • Details : • Specialty: Family Medicine • # Of Employees: 14 • # Of Physicians: 9 • # Of PA's :3 • # Of NP‘s: 3 •   # Of Offices: 2 • # Org Type: LLC Group B

  6. 1- Natalia • 3- Irene • 2-Norberto 4- Alyssa • Medical Practice Name: Pediatric Physician Care • Details : • Specialty: Pediatric • # Of Employees: 10 • # Of Physicians: 6 • # Of PA's :2 • # Of MW‘s: 2 •   # Of Offices: 3 • # Org Type: C-Corp Group C

  7. 1)Mission statement • 2) Sample contracts for physicians • 3) Hiring of other office staff – LPNs/medical assistant/accountants/receptionist • 4) Contracts with hospitals • 5) Hospital privileges • 6) Insurance Credentialing • 7) Cell phones/pagers for physicians • 8) Contract with office space (rent/buy) • 9) Scheduling • 10) Plan for how to grow patient base/how to receive more patients from local PCPs • Uninsured/unassigned/PCPs • PCPs in Southern Delaware that still do not utilize hospitalists to the extent of Christiana area • 11) Retention strategy • 12) Flow charts for structure of organization • 13) Use specific dates for process; especially with hospital privileges and/or credentialing • 14) Website Week IV & V

  8. Medicare 02/09/2012 HCM 302

  9. Table 5.1Percentage of U.S. Population 65 years and older

  10. Table 5.2U.S. Life Expectancy at 65 Years

  11. Services billed but not rendered (49 percent); • Forgiveness (i.e., kickbacks) of deductibles and coinsurance (12 percent); • Fraudulent coding (i.e., upcoding) (7 percent); • Billing two parties for the same service (4 percent); • Billing for brand-name drugs when generics were dispensed (3 percent); • Billing for unlicensed practitioners (2 percent); and • Other (2 percent). Medicare/Medicaid Fraud and Abuse

  12. Exhibit 13.10Organization of the Finance System Reports Directly to Finance Committee of the Board Chief Financial Officer Associate Financial Officer Controller Internal Auditor Systems & Procedures Budget Officer Payroll Accounts Receivable Property Control Managerial Accounting Transaction Accounting Credit and Collection Transaction Accounting General Ledger Accounting Investment and Debt Management

  13. EMR ROI 02/09/2012 HCM 302

  14. RETURN ON INVESTMENT SUMMARY

  15. PAPER VERSUS EMR EMR = With Standardized Coding X Efficiency Paper = Prior to EMR Differential = EMR - Paper

  16. Physician Shortage 02/09/2012 HCM 302

  17. -There are also concerns that the growing number of female GPs, many of whom work part-time because of family commitments, will lead to further shortfalls. -Two thirds of trainee GPs are women and research by the Royal College of Physicians has found that women GPs will outnumber their male colleagues by 2013. -Dr Sarah Wollaston, a Tory MP and former family doctor, said: “It creates all sorts of pressures as women take time out with family commitments. There is a real risk of a shortage Physician Shortage

  18. - Have less longevity than their male counterparts, - Take more time off for maternity and family matters, and - Work less hours and take less overnight call. Female Physicians Responsible for Shortage of Doctors?

  19. - Women students At the start of 1970, women medical students in the class of 1971-72 comprised 13.7 percent of all physicians in-training. (1) At that time, some 50 percent of women doctors trained for hospital-based positions--radiology, pathology and anesthesiology. They wanted a flexible lifestyle that would adapt to family needs. The number of women rose strongly by the decade: 30.8 percent in 1981-81 and 39.8 in 1991-92. In the year 2001-02, some 48 percent of students were women and the trend looks like it will go beyond 50 percent in the decade ahead. But the demands of family life will have a price. Hospitals are already discounting the economic benefit of a female physicians labor at "point-eight" (0.8) of the full-time week of 60-plus hours of today's male physicians. Female Physicians Responsible for Shortage of Doctors?

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