Here’s what you should know.
1. Although more evidence is emerging on the success of the models, Mr. Mira said many anesthesiologists are hesitant about pursuing a PSH at their practice.
2. Mr. Mira recapped a presentation on the PSH model from the Advanced Institute for Anesthesia Practice Management, April 28 to April 30 in Las Vegas.
3. Concerning reimbursement, anesthesiologists should considering implementing a PSH through a co-management agreement. The agreements are structured between a hospital and a management company. Such a company could be wholly owned by the physicians or co-owned by the physicians and hospital itself.
4. The agreements provide both fixed and variable compensation. A disinterested third party creates a value to compensate physicians at.
5. Wilmington, N.C.-based New Hanover Regional Medical Center anesthesiologist Rob Shakar, MD, offered insights into the PSH models implemented at his institution. In its first year, the PSH model saved the hospital $4.2 million. The model lowered several factors including:
- Case cancellations
- Average operating room time
- Length of stay
- Discharges to skilled nursing facilities
6. The model also increased on-time case starts and number of total joint procedures performed monthly.
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