全面透明地了解血管项目对其卫生系统的直接影响。

An all-inclusive and transparent view of a vascular program's direct impact on its health system.

机构信息

Division of Vascular Surgery, Cooper University Hospital, Camden, NJ, USA.

出版信息

J Vasc Surg. 2012 Jan;55(1):281-5. doi: 10.1016/j.jvs.2011.10.087.

DOI:10.1016/j.jvs.2011.10.087

PMID:22183004

Abstract

OBJECTIVE

This study explores the fiduciary advantage of a Vascular Surgery program to an academic, tertiary care hospital.

METHODS

This is a retrospective review of hospital (HealthQuest) and physician (IDX) billing databases from April 2009 to September 2010. We identified all patients interacting with Vascular Surgery (VS) to provide an overview of global finances. Patients introduced solely by VS were identified to minimize confounding of the downstream effect. Outcome measures obtained were revenue, average and total gross margin, relative value unit production, and service utilization.

RESULTS

A total of 552 cases were identified demonstrating $13 million in revenue. This translated into a gross margin of $5 million. Examined per surgeon, VS was the most profitable, producing $1.6 million. Lower extremity amputation had the highest average gross margin at $34,000. Notably, $8 million in direct cost is among the highest in the health system. A total of 137 cases unique to VS generated $5 million in total revenue. This patient subset made use of up to 29 physician specialty services. General Medicine and Radiology were the most frequently utilized.

CONCLUSION

The overall profitability of a comprehensive vascular program is tremendously positive. This study verifies that new vascular-specific referrals are a significant catalyst for revenue.

摘要

目的

本研究探讨了血管外科学科计划对学术性三级保健医院的信托优势。

方法

这是对 2009 年 4 月至 2010 年 9 月医院（HealthQuest）和医生（IDX）计费数据库的回顾性分析。我们确定了所有与血管外科（VS）互动的患者，以全面了解其财务状况。仅由 VS 介绍的患者被确定为最小化下游影响的混杂因素。获得的结果指标是收入、平均和总毛利润率、相对价值单位生产和服务利用情况。

结果

共确定了 552 例患者，收入为 1300 万美元。这转化为 500 万美元的毛利润率。按每位外科医生检查，VS 的利润最高，产生了 160 万美元。下肢截肢的平均毛利润率最高，为 34000 美元。值得注意的是，在整个医疗体系中，直接成本高达 800 万美元。VS 特有的 137 例患者总共产生了 500 万美元的总收入。这组患者最多使用了 29 种专科医生服务。普通内科和放射科的使用最频繁。