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Measuring Patient Share of Care

IDENTIFY PATIENT POPULATION

Provider Level 

  • Individual Provider(s) 
  • Practice(s)- Employed or
  • Independent 
  • Group(s)- ACOs and CINs
  • Competitor(s) 

Facility Level

  • Health Systems’ Hospitals
  • ASCs
  • Emergency Department

Apply (Non-Identifying) 
Unique Patient Tracker

IDENTIFY “YOU”

What NPIs are “In Network?” 

  • Hospitals 
  • Ambulatory 
  • Ancillary 
  • Providers

What is “Out of Network?”

  • Competitor Facilities
  • Independent Practices

Not Working with Hospitals

MEASURE PATIENT SHARE OF CARE

  • Evaluate Site of Healthcare Service Rendering Providers
  • Measure Service Volume “In Network” versus “Out of Network” by Facility, Service Line, Provider and Procedure

Examples: 

  • 53% of our PCP patient population seeks orthopedic care at ASCs in the market 
  • 90% of our ED patients receive cardiology procedures at competitor facilities 

Workbook Features

Bring your data to life through different reporting lenses in HSG Dashboard.

Establish patient loyalty and grow revenue by evaluating areas for financial improvement within a given market
  • Organization share by priority service lines, by PCP zip code 
  • Organization share for all service lines  
  • Organization share trended on rolling 12-month intervals  
  • Top 10 locations by service line  
  • Organization share by sub service line, by PCP zip  
  • Priority service line breakdowns for key service lines, such as:
    • Cardiovascular  
    • General Surgery  
    • Neurosciences  
    • Orthopedics  
    • Oncology  

D.J. Sullivan

Chief Strategy Officer and Managing Director of Claims Data Analytics

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