Many health care leaders believe that defining and measuringphysician work efforts and linking those efforts to practical andmeasurable clinical outcomes-physician profiling-will not onlyimprove patient satisfaction and increase the quality of care, itwill revolutionize the health care industry. Physician Profilingbrings together twenty-one of the nation's most prominent physicianresearchers and executive medical group administrators, givinghealth care leaders and physician practice administrators the toolsthey need to evaluate and implement a physician profiling system,unlocking this powerful technique for use in their ownorganizations. "Reducing clinical variation among physicians is the name of thegame in improving health care. This book provides an overview thatyou shouldn't miss of the state-of-the-art in this rapidlydeveloping field."--Dean C. Coddington, principal, McManisAssociates and author, Making Integrated Health Care Work

Physician profiling to assess physicians' competence is essential in the reappointment process. But more important than simply reappointing physicians, Medical Staff leaders must provide meaningful feedback to help them improve their quality of care. To do that, they must decide what data to collect, how to collect it, and how to communicate it to help physicians improve performance. HCPro's new book: 10 Steps to Successful Physician Profiling: How to Achieve Excellent Physician Performance, shows how to create and use "physician performance feedback reports," a tool that makes it easier to communicate meaningful data to physicians, to help them change their behavior. Customizable CD-ROM included: 10 Steps to Successful Physician Profiling: How to Achieve Excellent Physician Performance comes with a customizable color-coded physician performance report. The CD-ROM consolidates collected data - from clinical quality, service quality, and activity to resource utilization and even peer relationships - and creates a functional color display so physicians can easily see where they need to improve. Pre-calculated formulas show performance trends and help communicate to physicians where they rank in comparison to their peers

This book provides a summary of the best techniques available to adjust for differences in illness among patients, and provides several case studies to show you how to use physician profiling to improve care. You'll also benefit from the latest information on the best strategies available to adjust capitation rates, plus you'll examine critical issues like budget management, utilization management, and more.

Public and private purchasers and health plans are demanding more information about the quality and relative costliness of U.S. physicians to increase physician accountability and aid in value-based purchasing. Although performance measurement has been in place for some time in hospitals and managed care organizations (MCOs), the focus on physician profiling is a relatively new development. The inherent limitations of the available data at the physician level have brought to the fore technical issues that were less important at higher levels of aggregation in hospitals and MCOs. One of these technical issues is the reliability of a physician's performance measurement. This technical report explains the use and implementation of reliability measurement for quality measures in provider profiling in health care. It provides details and a practical method of how to calculate reliability measures from the sort of data typically available. It also explains why reliability measurement is an important component of evaluating a profiling system.