The Project
As we transition from a Fee-for-Service to a Value-Based Environment, Cost, the denominator, is often not accessible to the provider or the patient. We developed comparative historical performance reports to send to total joint surgeons via Epic InBasket when an elective case is posted. Additionally, we can now share patient “out of pocket” cost estimates with providers for each posted elective case.
Our Solution
Surgeons can now access comparative historical performance reports and “out of pocket” costs per patient, closing the information gap and allowing for better shared decision- making. Further analyses will be needed to measure historical cost trends for surgeons.
Impact
Further iterations of this work will move from quarterly, static historical cost reports to monthly reports to see and catch trends faster. The Patient Revenue Management Office (PRMO) is investigating labor resources needed to ensure accuracy of patient out of pocket cost estimates, which will be sent to the physician prior to the scheduled case, allowing for shared decision-making with the patient.
