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1) Physician Relationship Database
• Analyst reports to VP, Strategic Planning & Business Development
• Provide database training, data reporting and analytics support
2) Office of Physician Referral Management
• Director reports to Chief Physician Executive for high-level issue resolution
and 2.0 FTEs responding to calls
3) Physician Relations Liaisons
• 2 FTEs report to VP, Marketing & Public Affairs to ensure integration of
growth and retention efforts
• Each has a territory with a maximum of 300 physicians
• Springfield and Northern Region (BJ)
• Springfield and Eastern Region (Kevin)
• Hand offs to other sales reps (BRL, BRI, BVNA&H, IR&S, HNE, etc)
13
3 Pronged Structure
1) Physician Relationship Database
Source: Crimson Market Advantage.
Competitor Hospitals
“Splitters”
PCP/ Referring Physician
Baystate Health
“Loyalist”
1) There is a 4 month lag associated with claims data, due to the
timing of when our vendor gets the claims
Network Data
 MD to MD
 Medical claims across all sites
of care: professional and
facility claims
 Updated Quarterly1
Member Data
 MD to Your Hospital
 Physician roster, patient
encounters, expected
reimbursement, and direct
cost data
 Updated Monthly
Splitter (Leakage) Data
 MD to Competitor Hospitals
 Primary Hospital-based, IP &
OP Claims
 Updated Annually1
Roster Data
 Best-in-class physician roster
 State licensure boards,
pharmacies, syndicated
sources
 Updated Quarterly1
BH Vice President
Strategic Planning & Business Development
Data Analytics
17
Triage concerns
to Identified
“Go To People”
For Resolution
Clinical Services
Operation s
Others
“Go To People”
Warm hand off
Pathways for
complex patients
2) Office of Physician Referral Management
Issues/
Concerns
Issues/Concerns
Key Information
Office of Physician
Referral Management
“Always says yes!”
Physician Liaisons
Interfaces with
Field Reps
Referrals
Crimson
Data
Analytics
3) Physician Relations Liaisons
2 Physician Liaisons Existing
Entity-Based
Representatives
Collaboration
Service
Recovery/
Access Line
Field
Intelligence
Data
Analytics
~ Primary Duties ~
• 2.0 FTEs are solution shop
for referring physicians
(300 each)
• Spend 70% of time with
physicians in the field for
growth/ retention
• Ensure thorough
understanding, match
needs with specialists and
clinical services, effectively
triage issues/concerns
• Develop relationships with
internal stakeholders to
further support growth of
referrals from physicians,
practices
Vice President
Marketing & Public Affairs
Criteria Service
Profile
Expressed interest in growing services 
Access: 3rd next available appointment, other 
Patient Satisfaction 
Quality Outcomes 
Evidence of Differentiation:
e.g., highly skilled/trained providers, state/professional
organization recognition or certifications, etc.

Strategy: Select “Ready to Access” Services
10
8 “Ready to Grow” Areas of Focus*
• Thoracic Surgery
• Colon & Rectal Surgery
• Baystate Regional Cancer Program
• Oncology Surgery
• BH Northampton Outpatient Center
• BH East Longmeadow Outpatient Center
• Baystate Children’s Specialty Center
• Baystate Franklin Wound Center
*Expressed interest in growing services, Access: 3
rd
next available appointment, Patient Satisfaction, Quality Outcomes, Evidence of
Differentiation
Clinical & Marketing Partnership
Service Providers/Service Lines agree to:
 Ensure ongoing operational readiness
 Collaborate on challenging scheduling requests, issue resolution
 Collaborate with Physician Liaisons
 Support messaging
 Provide quality data
Physician Leaders agree to:
 Endorse the concept
 Build awareness of the program
 Respond to referring physician concerns
 Meet with providers/referring physicians as needed
 Join the Physician Liaison staff in the field
 Assign “Go To People” to serve as contacts for Liaisons
Success Factors
Courtesy, LifePoint Hospitals
Results, Year 1
•Year Over Year (YOY), Physician Liaison Program
– +$8M (total adjusted new revenue) Year 1.
–Annual budget: $316K; $25 to $1 investment or 2500% ROI
•Other Direct Referral Business
• Contacts: 1,400 face to face visits (20+ per week) to 600 referring
physicians/staff by 2 liaisons.
• Fill panels of new specialists 50% faster.
• “Gold Card” service: since 11/13, 1039 visits have been scheduled for
BMP Specialty Practices, allowing new/urgent patients to be booked 4x
sooner, exceeding goal of 14 days.
• Contract and fax numbers updated for 1000 to improve communications.
• In Oncology, visits to referring providers increased referrals by over 25%.
10
Measurement: Overview
11
Measurement: Very Specific
Liaison Incentive CompensationFORM B
FY-2015
Variable Compensation Assessment
BJ (Elizabeth) Goodwin
Objective Name: Activity & Volume– Physician Liaison Team (shared with Kevin Garvin) Final Graded Version, S. Hendery, 10/19/15
Goal area: Growth & Financial Stewardship
Complete = 
Not Complete = X
Comments
Threshold:
 Activity Metrics
o Face to face meetings with area physicians and referral staff to
include at least 15 visits per week.
 Average 22.21 Visits per week
 Volume Metrics
o Increase patient visits to one Top Priority Area (as defined in
Crimson Initiatives) by at least 2% from FY14 baseline.

As of 3Q, BJ helped to increase patient visits by 173 in Medical
Oncology (a Top Priority Area) from 2,072 in FY14 to 2,245 in FY15,
or an increase of 8.3%, which exceeds the 2% level.
50 points of 50 possible points 50
Target:
 Activity Metrics
o Face to face meetings with area physicians and referral staff to
include at least 18 visits per week.
 Average 22.21 Visits per week
 Volume Metrics
o Increase patient visits to two Top Priority areas (as defined by in
Crimson Initiatives) by at least 2% from FY14 baseline.

As of 3Q, BJ helped to increase patient visits by 672 in Heart &
Vascular (a Top Priority Area) from 18,075 in FY14 to 18,747 in FY15,
or an increase of 3.71% which exceeds the 2% level.
50 points of 50 possible points 50
Max:
 Activity Metrics
o Face to face meetings with 5 Physicians and 16 referral staff for a
total of 21 visits per week.
 Average 22.21 Visits per week
 Volume Metrics
o Increase patient visits to three or more Top Priority areas (defined
by in Crimson Initiatives) by at least 3% from FY14 baseline.

As of 3Q, BJ helped to increase patient visits by 41 in BH’s Northern
Region (a Top Priority Area) from 313 in FY14 to 354 in FY15, or an
increase of 40% which exceeds the 2% level.
50 of 50 possible points 50
Overall Rating: 150%
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Build Physician Relationships that Drive Business Results; Part 2

  • 1. 1) Physician Relationship Database • Analyst reports to VP, Strategic Planning & Business Development • Provide database training, data reporting and analytics support 2) Office of Physician Referral Management • Director reports to Chief Physician Executive for high-level issue resolution and 2.0 FTEs responding to calls 3) Physician Relations Liaisons • 2 FTEs report to VP, Marketing & Public Affairs to ensure integration of growth and retention efforts • Each has a territory with a maximum of 300 physicians • Springfield and Northern Region (BJ) • Springfield and Eastern Region (Kevin) • Hand offs to other sales reps (BRL, BRI, BVNA&H, IR&S, HNE, etc) 13 3 Pronged Structure
  • 2. 1) Physician Relationship Database Source: Crimson Market Advantage. Competitor Hospitals “Splitters” PCP/ Referring Physician Baystate Health “Loyalist” 1) There is a 4 month lag associated with claims data, due to the timing of when our vendor gets the claims Network Data  MD to MD  Medical claims across all sites of care: professional and facility claims  Updated Quarterly1 Member Data  MD to Your Hospital  Physician roster, patient encounters, expected reimbursement, and direct cost data  Updated Monthly Splitter (Leakage) Data  MD to Competitor Hospitals  Primary Hospital-based, IP & OP Claims  Updated Annually1 Roster Data  Best-in-class physician roster  State licensure boards, pharmacies, syndicated sources  Updated Quarterly1 BH Vice President Strategic Planning & Business Development Data Analytics
  • 3. 17 Triage concerns to Identified “Go To People” For Resolution Clinical Services Operation s Others “Go To People” Warm hand off Pathways for complex patients 2) Office of Physician Referral Management Issues/ Concerns Issues/Concerns Key Information Office of Physician Referral Management “Always says yes!” Physician Liaisons Interfaces with Field Reps Referrals Crimson Data Analytics
  • 4. 3) Physician Relations Liaisons 2 Physician Liaisons Existing Entity-Based Representatives Collaboration Service Recovery/ Access Line Field Intelligence Data Analytics ~ Primary Duties ~ • 2.0 FTEs are solution shop for referring physicians (300 each) • Spend 70% of time with physicians in the field for growth/ retention • Ensure thorough understanding, match needs with specialists and clinical services, effectively triage issues/concerns • Develop relationships with internal stakeholders to further support growth of referrals from physicians, practices Vice President Marketing & Public Affairs
  • 5. Criteria Service Profile Expressed interest in growing services  Access: 3rd next available appointment, other  Patient Satisfaction  Quality Outcomes  Evidence of Differentiation: e.g., highly skilled/trained providers, state/professional organization recognition or certifications, etc.  Strategy: Select “Ready to Access” Services 10
  • 6. 8 “Ready to Grow” Areas of Focus* • Thoracic Surgery • Colon & Rectal Surgery • Baystate Regional Cancer Program • Oncology Surgery • BH Northampton Outpatient Center • BH East Longmeadow Outpatient Center • Baystate Children’s Specialty Center • Baystate Franklin Wound Center *Expressed interest in growing services, Access: 3 rd next available appointment, Patient Satisfaction, Quality Outcomes, Evidence of Differentiation
  • 7. Clinical & Marketing Partnership Service Providers/Service Lines agree to:  Ensure ongoing operational readiness  Collaborate on challenging scheduling requests, issue resolution  Collaborate with Physician Liaisons  Support messaging  Provide quality data Physician Leaders agree to:  Endorse the concept  Build awareness of the program  Respond to referring physician concerns  Meet with providers/referring physicians as needed  Join the Physician Liaison staff in the field  Assign “Go To People” to serve as contacts for Liaisons
  • 9. Results, Year 1 •Year Over Year (YOY), Physician Liaison Program – +$8M (total adjusted new revenue) Year 1. –Annual budget: $316K; $25 to $1 investment or 2500% ROI •Other Direct Referral Business • Contacts: 1,400 face to face visits (20+ per week) to 600 referring physicians/staff by 2 liaisons. • Fill panels of new specialists 50% faster. • “Gold Card” service: since 11/13, 1039 visits have been scheduled for BMP Specialty Practices, allowing new/urgent patients to be booked 4x sooner, exceeding goal of 14 days. • Contract and fax numbers updated for 1000 to improve communications. • In Oncology, visits to referring providers increased referrals by over 25%.
  • 12. Liaison Incentive CompensationFORM B FY-2015 Variable Compensation Assessment BJ (Elizabeth) Goodwin Objective Name: Activity & Volume– Physician Liaison Team (shared with Kevin Garvin) Final Graded Version, S. Hendery, 10/19/15 Goal area: Growth & Financial Stewardship Complete =  Not Complete = X Comments Threshold:  Activity Metrics o Face to face meetings with area physicians and referral staff to include at least 15 visits per week.  Average 22.21 Visits per week  Volume Metrics o Increase patient visits to one Top Priority Area (as defined in Crimson Initiatives) by at least 2% from FY14 baseline.  As of 3Q, BJ helped to increase patient visits by 173 in Medical Oncology (a Top Priority Area) from 2,072 in FY14 to 2,245 in FY15, or an increase of 8.3%, which exceeds the 2% level. 50 points of 50 possible points 50 Target:  Activity Metrics o Face to face meetings with area physicians and referral staff to include at least 18 visits per week.  Average 22.21 Visits per week  Volume Metrics o Increase patient visits to two Top Priority areas (as defined by in Crimson Initiatives) by at least 2% from FY14 baseline.  As of 3Q, BJ helped to increase patient visits by 672 in Heart & Vascular (a Top Priority Area) from 18,075 in FY14 to 18,747 in FY15, or an increase of 3.71% which exceeds the 2% level. 50 points of 50 possible points 50 Max:  Activity Metrics o Face to face meetings with 5 Physicians and 16 referral staff for a total of 21 visits per week.  Average 22.21 Visits per week  Volume Metrics o Increase patient visits to three or more Top Priority areas (defined by in Crimson Initiatives) by at least 3% from FY14 baseline.  As of 3Q, BJ helped to increase patient visits by 41 in BH’s Northern Region (a Top Priority Area) from 313 in FY14 to 354 in FY15, or an increase of 40% which exceeds the 2% level. 50 of 50 possible points 50 Overall Rating: 150%

Notes de l'éditeur

  1. Presenters: Kriss Barlow and Allison McCarthy Talking Point: 1.0 non-clinical FTE Director reports to Chief Physician Executive FOR CREDIBILITY for high-level issue resolution, and 2.0 clinical FTEs responding to calls (one of whom is a nurse)
  2. Presenter: Jean Ahn
  3. Presenters: Kriss Barlow and Allison McCarthy Talking Points: Warm hand offs, go to people, initiating patient pathways and getting coordinated recommendations back to referring for managing their complex patients. Connecting with others across the system – e.g., Diane Thomas in the Patient Relations Office
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