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Using EV-PLM for Physician Comparisons

KREG clients are using the Patient Level Management System, EV-PLM, to compare length of stay and costs by physician for specific DRGs. 

The report below shows the costs broken down by major category for DRG 470 – Major Joint Replacements.  You can see that although Dr. Jarvis and Dr. Webster have almost the same number of cases for the period, Dr. Jarvis’s patients cost the organization more than twice as much.  You can analyze the cost for each of Dr. Jarvis’ cases to determine if any one case may be causing the variance.  You can also compare charges, costs and utilization by charge item between the two doctors to determine exactly where the variances are occurring. This is the type of report that you can provide to the Medical Director so he/she can deal with Dr. Jarvis directly.

               Attending Phys Cases ALOS Room Cost OR Cost Supply Cost Meds Cost Other Cost Total Cost
DR6802748 DR. HENDERSON JARVIS 20 3.67 $1,479 $966 $5,233 $308 $819 $8,804
DR6801988 DR. CLYDE WEBSTER 18 3.25 $744 $327 $2,676 $142 $375 $4,264
DR6803463 DR. MARTINA PADGETT 10 3.17 $949 $906 $4,708 $201 $484 $7,248
DR6802037 DR. CYRIL SIMON 9 2.67 $1,116 $605 $3,757 $197 $493 $6,168
DR6802202 DR. EDMUND OCONNOR 9 3.6 $1,178 $686 $4,002 $201 $758 $6,824
DR6802263 DR. ELIZABETH LARSEN 5 7.5 $1,116 $532 $3,196 $200 $655 $5,700
DR6802348 DR. ENOS MCDOWELL 5 3 $2,244 $814 $4,368 $352 $1,863 $9,641
Totals/Average 76 3.68 $1,183 $693 $4,047 $224 $682 $6,828

Click here for more information about EV-PLM.

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