2015 nhobs public presentation 01-10-16...2016/01/11 · h23 12.06 c h71 26.55 ch77 40.35 c h8...

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Public Presentation

Teri U. Guidi, MBA, FAAMAElaine Kloos, RN, NE-BC, MBA

Based on 2014 data

The webinar will begin shortly

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Notice of Copyright

• The National Hospital Oncology Benchmark Study (NHOBS)™ is copyrighted material. Unauthorized reproduction or distribution of all or any part of this publication is prohibited by copyright. Copyright infringement is a violation of federal law and subject to civil penalties and sanctions. It can also be a violation of federal criminal law.

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Copyright © OMC Group 2014 –Do not duplicate

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Agenda

• Introduction• Methodology• Benchmarks• Question and Answer

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Notes• Any hospital may contribute data for adult outpatient services provided

services are billed on a UB billing form.• Data contributors and sponsors receive one copy of this full report and may

request additional graphs/tables (fees may apply). Additional data points available include stratification by institution type (community or academic), center size, equipment compliment, hours of operation, different diseases, other drugs, additional “per patient” detail, etc.

• We assume all data contributors have provided complete and accurate information.

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More Notes• Patients might be double counted if there were multiple encounters

with different diagnoses/diagnosis order.• Centers with less than 12 months of data were not annualized.• “Visits” were excluded in all counts.• All data points are graphed, including outliers. Adjusted percentiles

and means exclude outliers greater than 2 standard deviations outside the mean. On a few graphs, an outlier was excluded to improve the scale. If your center does not appear, contact us and we will provide complete graphs.

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Definitions• Diagnosis was assigned based on the 1st, or 2nd or 3rd code

reported. Where only “V” diagnosis codes were reported, those patients were counted as “RT” or “Infusion.”

• Patient = one unique medical record number.• DOS/Encounter = one date of service, regardless of the # of

services provided.• FTE = 2,080 hours or 10 half-day physician clinic sessions.• Hours infusing was calculated according to the chart in the

appendix.

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The Data• Billed services for any patient receiving care in the infusion

department– Unique identifier– Diagnosis– Date of Service– CPT/HCPCS code– CPT/HCPCS units of service

• Program data– Staffing– Equipment (chairs, linacs, etc.)– Hours of operation– Tumor registry 7


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Infusion Benchmarks

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Data Contributor Profiles

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HID ENCOUNTERS 340B COMM/ACAD HID ENCOUNTERS 340B COMM/ACAD HID ENCOUNTERS 340B COMM/ACADH16 317 C H78 5,850 Y C H82 10,279 CH15 481 C H81 5,946 Y C H98 10,638 CH17 585 Y C H90 6,013 Y C H62 10,801 Y AH99 747 C H100 6,478 C H79 11,412 AH13 864 C H96 6,540 A H22 13,399 Y CH101 1,058 C H51 6,542 C H75 14,195 Y CH14 1,963 C H12 6,961 Y C H89 15,324 Y CH83 2,414 Y C H49 7,226 C H9 16,052 Y AH93 2,562 C H88 7,253 C H76 16,299 Y CH61 2,644 Y A H25 7,317 A H80 16,908 Y CH11 3,028 C H104 7,403 C H87 16,966 Y CH84 3,070 Y C H92 7,695 A H1 18,045 CH102 3,483 C H85 7,820 A H86 18,167 AH103 3,483 C H95 7,959 A H105 18,530 Y AH77 3,629 Y C H24 8,233 Y C H44 18,579 Y CH68 4,260 Y C H21 8,534 C H26 20,324 CH23 5,310 Y C H94 8,825 A H106 20,481 CH74 5,589 C H67 9,603 Y C H70 25,615 Y C

H97 9,881 C H69 26,727 Y CH2 26,969 A

13 Academic centers, 45 Community centers, 36 using 340B program. H8 70,192 Y C

SMALL CENTERS MEDIUM CENTERS LARGE CENTERS

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Support staffing

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STAFF POSITION FTE TOTAL PATIENT PER FTENAVIGATOR 0.53 643.44NPP 0.35 338.08SOCIAL WORK 0.45 804.08


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LAB TYPE UNITS UNITS/PATIENTCytopath 11,161.00 42.93 Genetics 4,818.00 15.69 Lab 473,889.00 19.47 Lab Blood 6,193.00 53.39 Typing 50,417.00 309.31


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CODE TIMES/PT UNITS/PT TOTAL COST (ASP +6%) CODE TIMES/PT UNITS/PT

TOTAL COST (ASP

+6%) CODE TIMES/PT UNITS/PTTOTAL COST (ASP +6%)

J9355 10 382 32,911,600 J9035 7 235 7,822,403 J9305 4 265 10,448,031 J2505 4 4 22,376,400 J2505 5 5 6,787,244 J2505 3 4 8,952,824 J0897 4 390 4,392,266 J9055 6 190 4,658,635 J9035 4 266 3,781,183 J9306 5 1,909 2,671,509 J9303 8 235 3,012,959 J0897 4 423 1,313,805 J9395 6 83 2,556,881 J9263 6 1,475 668,729 J9264 6 627 1,132,415 J9070 4 40 2,242,455 J2353 7 171 562,801 J9055 16 823 880,573 J9179 8 161 2,130,224 J2469 7 37 530,345 J2469 5 25 468,750 J9354 6 1,155 1,383,451 J0640 8 78 299,370 J1453 3 359 335,208 J9171 5 425 1,314,686 J1453 5 499 256,943 J9228 2 375 312,377 J9264 6 490 986,555 J1442 7 5,576 239,540 J0881 3 794 295,336

J0885 5 115 78,231

BREAST PATIENTS COLORECTAL PATIENTS LUNG PATIENTS


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Radiation Benchmarks

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Data Contributor Profiles

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HID AVE. DAILY TX COMM/ACAD HID AVE. DAILY TX COMM/ACAD HID AVE. DAILY TX COMM/ACADH99 11.42 C H79 24.62 C H80 35.61 AH48 11.68 C H97 24.98 C H46 37.96 CH23 12.06 C H71 26.55 C H77 40.35 CH8 12.34 C H109 27.15 C H74 43.14 CH51 14.80 C H21 28.02 C H20 48.28 CH90 14.97 C H22 29.95 C H26 55.39 CH12 17.30 C H87 31.38 C H24 63.74 CH14 18.40 C H88 31.97 C H25 67.73 AH110 19.18 C H89 33.24 C H9 70.44 AH96 19.26 A H44 34.75 C H2 324.02 AH73 22.50 C H98 34.80 CH1 22.71 C H85 34.88 AH49 23.09 C H108 35.31 CH86 24.07 A 37 Centers, 7 Academic

SMALL CENTERS MEDIUM CENTERS LARGE CENTERS

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DATA POINT FTE NAVIGATORS FTE FINANCIAL COUNSELORS FTE SIM THERAPISTSAdj 25th %ile 0.00 0.00 0.00Adj 50th %ile 0.00 0.00 0.52Adj 75th %ile 0.50 0.33 1.00Adj Mean 0.44 0.24 0.64ALL CENTERS 32.10 10.88 33.50

DATA POINT TOTAL PTS/NAV TOTAL PTS/F.C. TOTAL PTS/SIM THER.Adj 25th %ile 0.00 0.00 0.00Adj 50th %ile 132.25 5,262.00 0.00Adj 75th %ile 511.00 8,945.33 580.00Adj Mean 308.12 5,224.58 305.67

ALL CENTERS 564.58 10,580.12 1,665.83


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Disease Mix

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GROUP CODES GROUP CODES GROUP CODESBrachy 77761 IGRT 77421 Plan 77295

77762 IMRT 77418 7729977763 Other Treatment 77422 7730077776 77423 7730177777 77520 7730577778 77522 7731077785 77523 7731577786 77525 7732177787 77600 773260182T 77605 77327

EBRT 77401 77610 7732877402 77615 7733177403 77620 7739977404 Physics 77336 SBRT 7737377406 77370 Sim 7728077407 7728577408 7729077409 SRS 7737177411 7737277412 G017377413 G025177414 G033977416 G0340

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Next Year! • Keep expanding• Suggestions welcome!

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Questions?• Please feel free to contact us if you find

later that you still have questions or if you would like information on additional data points. 41


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Thank You!• Sincere thanks to all of you for joining us

today. We hope that you will keep OMC Group in mind when consulting needs arise in the future.

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• Financial and Market Analyses

• New Center Development

• Hospital/ PhysicianIntegration

• Strategic Planning

• Implementation and Interim Leadership

• Performance andFinancial

Benchmarking

• Operational Assessments

• Revenue Cycle Reviews


Oncology Management Consulting Group; 4532 W. Kennedy Blvd., Suite 284, Tampa, FL 33609 215-766-1280 Ph; 215-766-7067 Fax; [email protected]

2015 National Hospital Oncology Benchmark Study (NHOBS) Appendix

Infusion Times

CODE INFUSING

TIME CODE INFUSING

TIME CODE INFUSING

TIME CODE INFUSING

TIME CODE INFUSING

TIME 34516 1.50 90719 0.17 96372 0.25 96450 1.00 P9037 2.00 35613 1.50 90720 0.17 96373 0.25 96521 1.00 P9038 2.00 36511 1.50 90721 0.17 96374 0.25 96522 0.25 P9039 2.00 36512 1.50 90723 0.17 96375 0.25 96523 0.25 P9040 2.00 36514 1.50 90725 0.17 96376 0.25 96542 1.00 P9041 2.00 36593 0.17 90727 0.17 96379 0.25 96549 1.00 P9043 2.00 38220 1.00 90734 0.17 96401 0.25 99195 1.00 P9044 2.00 38221 1.00 90735 0.17 96402 0.25 P9011 2.00 P9045 2.00 90471 0.17 90736 0.17 96405 0.25 P9012 2.00 P9046 2.00 90700 0.17 90738 0.17 96406 0.25 P9016 2.00 P9047 2.00 90702 0.17 90739 0.17 96409 0.25 P9017 2.00 P9048 2.00 90704 0.17 90747 0.17 96411 0.25 P9019 2.00 P9050 2.00 90705 0.17 90748 0.17 96413 1.00 P9020 2.00 P9051 2.00 90706 0.17 90749 0.17 96415 1.00 P9021 2.00 P9052 2.00 90707 0.17 96360 1.00 96416 1.00 P9022 2.00 P9053 2.00 90708 0.17 96361 1.00 96417 1.00 P9023 2.00 P9054 2.00 90710 0.17 96365 1.00 96420 0.25 P9031 2.00 P9055 2.00 90712 0.17 96366 1.00 96422 1.00 P9032 2.00 P9056 2.00 90713 0.17 96367 1.00 96423 1.00 P9033 2.00 P9057 2.00 90716 0.17 96369 1.00 96425 1.00 P9034 2.00 P9058 2.00 90717 0.17 96370 1.00 96440 1.00 P9035 2.00 P9059 2.00

96371 1.00 96446 1.00 P9036 2.00

2015 NHOBS public presentation 01-10-16.pdf2015 NHOBS Infusion Appendix.pdf

2015 nhobs public presentation 01-10-16...2016/01/11 · h23 12.06 c h71 26.55 ch77 40.35 c h8...

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