National annual report

1. wRVUs: work relative value units
FTE: full-time equivalent
Balch C. et al. (2016) | DOI: 10.1200/JOP.2015.008458
The National Practice Benchmark for Oncology: 2015 Report for 2014 Data
New patient visits
Established patient visits
wRVUs
per FTE HemOnc
Hospital visits as % of total visits
Admin wRVUs as % of
evaluation & management wRVUs
http://ascopubs.org/journal/jop /ASCOCancer | @ASCO
Data from 35 practices, 671.7 STD HemOnc wRVUs
Insights from the 2015 Report (2014 data)
PHYSICIAN PRODUCTIVITY METRICS STAFFING
PRACTICE REVENUES & EXPENSES
Based on the foundation established by Oncology Metrics, the
National Practice Benchmark (NPB) is a unique
reference tool that helps you mark your practice against peers in
the oncology field. NPB data are annually collected via practice
management systems, electronic medical records, and general
accounting software.
BENCHMARKING
helps find opportunities to
improve practice
practices successfully
completed the NPB
survey
The National Practice Benchmark for Oncology
42
Top 3 services by practice
91% physician-owned practices
3587,000<14,000
7% hospital-owned practices
2% free-standing cancer centers
owned equally by 2 hospitals
- Hematology
- Medical oncology (including infusion services)
- Laboratory
Top 3 revenue contributors
per STD HemOnc physician
- Net drug (Infusion): 28%
- Evaluation and management: 23%
- Infusion: 21%
Top pharmacy models
- Non-practice–affiliated retail pharmacy
- Specialty or mail-order pharmacy
Data are presented in terms of standard (STD) HemOnC or RadOnC physician to avoid variability across practices
In 2014
1 STD Hematology/Oncology
(HemOnc) physician
1 STD Radiology/Oncology
(RadOnc) physician
7,000
wRVUs per year
71% of practices use a formalized collection
agency to manage bad debt
350
new patients per year
14,900
wRVUs per year
Measure what matters. Learn and adapt. Improve performance and productivity.
Net Drug Revenue = Total Drug Revenue – COGPF
Net Medical Revenue = Total Medical Revenue – Radiation Oncology Revenue – COGPF
COGPF = Total Cash Paid for Drugs – Rebate
Total Practice Expense = Employee Salary + COGPF + Other Expenses
Percentile
Adjusted
average
Adjusted
average
75th 75th
–
100,000
200,000
300,000
400,000
500,000
600,000
Revenue($)/STDHemOnc(wRVU)
700,000
- Avg. number of FTE staff = 9
Per FTE physician
- Avg. earnings of all staff > 500,000$/yr
COGPF: Cost of Goods Paid for
N
E
W
Benchmark