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BUSINESS OF
MEDICINE
Continued from page 35
Physician productivity (cont.)
• Encourage new ideas, innovation and creative thinking that reimbursements are not going up, and so physician leaders
• Make improvements in your operations by using an are needed who are intimately aware of costing, budgets and fi-
nancial controls. These leaders, according to Dr. Satiani, must be
objective basis for your decision-making. compensated or be given credit for these activities when calculat-
ing productivity.
Healthcare reform legislation (PPACA) has provided an envi-
ronment for the establishment of Accountable Care Organiza- Although there are many well-defined measures of physician
tions (ACOs), and they are being established in every state. Large productivity, each has its own limitations. It is important to be
and small physician groups are becoming part of ACOs, especially aware of these limitations and of the factors that can impact pro-
in large metropolitan areas. In addition to Medicare ACOs, com- ductivity measures especially for providers whose productivity is
mercial ACOs also are taking off. According to Bhagwan Satiani, being evaluated and for those administering a productivity-based
MD, MBA, FACS, FACHE, president of Savvy-Medicine, and system.
author of the three-volume set, “The Smarter Physician,” pub-
lished by MGMA, “productivity” must include measures other Joseph P. Gonzales is a specialist master with De-
than clinical productivity. The metrics that should be included loitte Consulting, LLP. An adjunct faculty member
are patient-satisfaction scores, and mortality and morbidity rates. at the University of Texas at San Antonio, he teaches
ACOs also will need physicians to lead in the operations, inno- in the MBA program, business of healthcare track.
vation, and quality and customer service areas. It appears clear
THANK YOU
to the large group practices with 100% MEMBERSHIP in BCMS and TMA
ABCD Pediatrics, PA Renal Associates of San Antonio, PA
Clinical Pathology Associates San Antonio Gastroenterology Associates, PA
Dermatology Associates of San Antonio, PA
Diabetes & Glandular Disease Clinic, PA San Antonio Kidney Disease Center
ENT Clinics of San Antonio, PA San Antonio Pediatric Surgery Associates, PA
Gastroenterology Consultants of San Antonio
General Surgical Associates South Alamo Medical Group
Greater San Antonio Emergency Physicians, PA South Texas Radiology Group, PA
Institute for Women's Health
Lone Star OB-GYN Associates, PA Tejas Anesthesia, PA
M & S Radiology Associates, PA Texas Partners in Acute Care
MacGregor Medical Center San Antonio The San Antonio Orthopaedic Group
MEDNAX Urology San Antonio, PA
Peripheral Vascular Associates, PA Village Oaks Pathology Services/
Precision Pathology
WellMed Medical Management Inc.
Contact BCMS today to join the 100% Membership Program! *100% member practice participation as of April 15, 2015.
36 San Antonio Medicine • May 2015
