Evidence map›Paper›PMID 38915311›Full record

ArticleNeurology. Clinical practice2024

Empowering Health Care Providers: A Collaborative Approach to Enhance Financial Performance and Productivity in Clinical Practice.

Scott Friedenberg, Edward Stefanowicz, Timothy Frymoyer, Clemens M Schirmer, Neil R Holland, Trudi Dempsey

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Scott FriedenbergDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0009-0001-7998-1176
Edward StefanowiczDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0009-0000-5711-287X
Timothy FrymoyerDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0009-0002-0814-3578
Clemens M SchirmerDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0000-0003-1743-8781
Neil R HollandDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0000-0001-5173-5996
Trudi DempseyDepartment of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.ORCID https://orcid.org/0009-0008-6032-6332

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The combination of inadequate financial training, limited benchmarks, and mindset contribute to many physicians prioritizing revenue below quality, outcomes, and safety. This creates a challenge as hospital administrators aim to motivate clinicians to improve RVU generation and increase revenue. Recent Findings: Creating physician/administrator teams that defines and explores the gap between observed and expected financial performance in parallel with appreciating the physician's practice preferences can create new opportunities for billing. The proposed 3 phase approach emphasizes nonjudgmental communication, education and partnership. The most common and effective opportunities for improvement include billing optimization, scheduling and system infrastructure modifications. Implications for Practice: As reimbursement decrease, balancing revenue generation with physician satisfaction has become paramount. Promoting data drive bidirectional communication can lead to identifying previously unrecognized billing opportunities where change is driven by providers rather than by 1-dimensional institutional goals.

Identifiers

PMID38915311
PMCPMC11194789

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.