Overview
Unlock the Full Potential of Your Employed Provider Network
HSG’s Enterprise Performance Assessment equips hospitals and health systems with a comprehensive, data-driven evaluation of every critical dimension—organizational structure, governance, financial performance, compensation, productivity, access, staffing, and clinical models. Leveraging proprietary market and provider analytics for leakage, retention, and market share, we deliver actionable insights, prioritized recommendations, and a clear roadmap for sustainable growth and operational excellence. With HSG, you gain the clarity and confidence to optimize performance, strengthen alignment, and position your network for long-term success.
How We Work
The Challenge: Evolving Market Dynamics and Operational Changes Effect Performance Assessments
Future planning has become increasingly complicated, causing challenges like:
- Difficulty evaluating organizational structure, provider governance, and management infrastructure for scalability and decision-making.
- Limited visibility into financial performance, provider compensation, productivity, and revenue cycle efficiency.
- Insufficient frameworks for assessing patient access, scheduling, staffing, and APP utilization.
- Fragmented data and lack of actionable insights to address patient leakage, retention, and market share by specialty.
- Lack of ongoing monitoring and benchmarking to measure progress, quantify impact, and refocus priorities.
HSG’s Enterprise Network Assessment empowers hospitals and health systems to build high-performing, strategically aligned provider networks through a comprehensive, data-driven evaluation process. Leveraging robust analytics, stakeholder engagement, and hands-on operational review, HSG delivers actionable insights and a clear roadmap for network optimization and growth.
Strategic Benefits and Deliverables
Comprehensive Assessment
- Organizational Structure & Infrastructure
- Evaluate administrative and leadership layers for efficiency, scalability, and clear decision-making pathways.
- Identify opportunities for redesign to support future growth and operational effectiveness.
- Provider Governance & Leadership
- Assess provider leadership engagement and shared governance models.
- Recommend enhancements to clinical alignment and cultural transformation.
- Financial Performance
- Conduct practice-level margin analysis and cost structure reviews.
- Benchmark financial sustainability and identify opportunities to improve bottom-line contribution.
- Provider Compensation & Productivity
- Analyze compensation structures for alignment with productivity, fairness, sustainability, and market competitiveness.
- Benchmark compensation and productivity (wRVUs) against national standards.
- Assess compliance risk and opportunities for model refinement.
- Scheduling & Patient Access
- Audit provider scheduling templates and appointment utilization.
- Identify access constraints, new vs. established patient mix, and hidden capacity.
- Recommend standardization and centralized scheduling protocols.
- Practice Staffing & Utilization
- Analyze support staffing ratios and role utilization.
- Contrast with care delivery models and practice throughput to identify capacity constraints or underutilization.
- Clinical Practice Model & APP Utilization
- Evaluate APP presence and top-of-license utilization.
- Assess productivity, access, compensation incentives, and scheduling components for both physicians and APPs.
- Revenue Cycle
- Assess KPIs such as clean claim rates, denial trends, and charge lag.
- Evaluate coding and documentation efforts, communication structures, and feedback loops for performance improvement.
- HSG Proprietary Market and Provider Analytics
- Patient Leakage & Retention:
- Use HSG Patient Flow™ to track patient utilization across the care continuum, identify network leakage, and prioritize retention opportunities.
- Provider Market Share by Specialty:
- Use HSG Provider Market Share™ to measure ambulatory market share by specialty, subspecialty, and geographic region.
- Forecast ROI tied to strategic expansion and recruitment of new specialist capabilities.
- Patient Leakage & Retention:
Additional Support from HSG Advisors
Stakeholder Engagement & Onsite Observations
- Deploy surveys and interviews with physicians, APPs, executive leadership, and practice administrators.
- Conduct onsite operational reviews of key practices and shared services to validate findings and gather qualitative feedback.
Implementation Support
Post-assessment support for redesigning organizational structure, management infrastructure, compensation models, scheduling protocols, staffing models, and clinical practice models.
Ongoing Updates
Annual benchmarking and data refreshes to monitor progress, quantify impact, refocus priorities, and support strategic planning with transparent, up-to-date data.
By integrating advanced analytics, strategic advisory expertise, and hands-on engagement, HSG enables hospitals and health systems to transform their employed provider enterprise—driving operational excellence, financial sustainability, and readiness for future growth.
Related Resources
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