Hospital Enterprise
Financial Benchmarking
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Allen Townsend, Assistant Director
3319 West End Ave., Suite 800
(615) 343-8530
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What We
Do: The Department of Finance supports a number
of financial and operational benchmarking sources.
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One
service is HBSI Action offered by
SOLUCIENT. This replaces services previously purchased from MECON.
We are part of the University Hospital
Consortium (UHC) in the use of this product and thus UHC hospitals
are one of the many possible comparison groups.
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The
service provides quarterly labor performance and operations benchmarking
at the department level. A key to understanding the data is that
HBSI Action has standard department definitions and we allocate
data from our cost structure to adhere to the standard definition
as needed. Reports compare each department's performance to other
facilities based on a variety of indicators such as expense per
patient day or labor hours per test performed. Another key to the
data is that we can develop custom comparison groups for each department
or for the facility as a whole. Ideally we base the comparison groups
upon objective criteria such as being a Level I Trauma center or
having a Case Mix Index (CMI) within a defined range.
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For
more detailed information, please contact Anne Ridley at (615) 343-2141 .
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MEDPAR
data is information abstracted from the inpatient UB92 billings
for Medicare. Thus, the only population represented in the data
is the Medicare inpatient population. That said, for most services,
Medicare data has been shown to be representative of the entire
inpatient population for a hospital. Data is updated annually but
can be reported for a specified period such as by month or across
years. Currently we purchase severity adjusted data from The Delta
Group.
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The
data we purchase allows comparison to any hospital in the US that
submits Medicare billings on the basis of charges, cost, and quality.
Data is aggregated so that no individual patient can be identified
and specific hospital information is not available if the number
of patients is less than five. The Delta
Group employs a methodology of severity adjusting the data so
comparisons take into account the best information available from
the source data regarding patient acuity. The cost data is based
upon the ratio of cost to charge (RCC) methodology utilized in the
Medicare Cost Report.
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The
database contains comparisons at the Service Line and DRG level.
Within each of these levels, data is available down to major department
grouping such as Pharmacy, Operative Services, Radiology, etc. Analysis
can be prepared either in charts or graphs comparing cost and length
of stay, cost and charge, etc.
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For
more detailed information, please contact Allen Townsend at (615)
343-8530.
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