A Business Case Analysis Evaluating the Percentage Types of Lost RVU Workload
Abstract
During Fiscal Year (FY) 2008, Walter Reed Army Medical Center lost approximately $2,292 million in justifications through the Performance Based Adjustment Model (PBAM) due to incomplete encounters produced in the Standard Ambulatory Data Report (SADR). Though the numbers varied month to month, WRAMC was experiencing an average of 2,010 incomplete outpatient encounters in the categories of Telephone Consults (T-Cons), Kept, Sick Call, and Walk-In appointments. The incomplete encounters are attributed to either a human error or a system error (incomplete note, system, or write-back). What is not known is what percentage of human and/or system errors is causing the most problems for lost Relative Value Units (RVUs) and how much revenue the facility is losing within identified areas of errors. If we can assess the breakout of lost workload, we can arm decision makers with information to enhance administrative processes and accurately depict and recover lost workload costs. The ability to separate and decipher embedded error data and calculate hidden costs may justify a business case analysis to realign or concentrate resources to have immediate impact for return on investment.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 17, 2009
- Accession Number
- ADA516467
Entities
People
- Eva-marie Austin
Organizations
- Walter Reed Army Medical Center