March 24, 2009 | | Comments 21,704
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Sneak peak book preview: Calculating an ROI for a surgical hospitalist program

As with other hospitalist programs, a precise return on investment (ROI) is difficult to capture and will vary from hospital to hospital. Create a worksheet that provides a framework and serves as a starting pint for ROI calculations:

  • Will your hospital be able to reduce patient length of stay if you have a surgical hospitalist program?


    • Reduction in LOS x Daily cost savings
  • Will you be able to increase ED or OR throughput?
    • Increased surgical cases x Average revenue/surgical case
  • Are you currently paying general surgeons for ED call coverage?
    • Daily stipend x 365 days
  • Will utilizing a surgical hospitalist lead to a reduction in malpractice settlements?
    • Average surgical case settlement x Probability of reduction of case
  • Does more consistent surgical coverage further your organization’s mission to provide care within your hospital (rather than transferring patients elsewhere)? Is this important to your hospital from a political and community-benefit perspective?
    • Difficult to quantify but may be of tremendous value
  • Will you be able to attract more community surgeons to your hospital if they no longer have to take call and they have an additional resource to help with complex cases?
    • Increased surgical cases x Average revenue/surgical case

Calculating ROI for such a program may be difficult and will entail subjective valuations for some intangible benefits. However, using the above questions may help you better understand costs versus benefits.

Source: Gaurov Dayal, MD, chief medical officer, Shady Grove Adventist Hospital, Rockville, MD.

The above excerpt is adapted from the upcoming book The Surgical Hospitalist Program Management Guide: Tools and Strategies for Executives and Physicians by John Nelson, MD, FACP, and John Maa, MD, FACS, Foreword by Robert M. Wachter, MD, available on April 21. Order your copy with free shipping during the month of March.

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Error: Unable to create directory uploads. Is its parent directory writable by the server? About the Author: Karen M. Cheung is the associate editor for HCPro, Inc., the healthcare compliance publisher, delivering news and information to the medical staff market with products such as books, e-newsletters, seminars, and broadcast events. Before arriving at HCPro, Karen served as the news editor for Reviewed.com (including DigitalCameraInfo.com and lead blogger for CamcorderInfo.com), providing unbiased tech reviews for the WashingtonPost.com. Having trained with The Washington Post photo department and earning a B.S. in Journalism from Boston University, Karen has experience with news and commercial photography. During her time in D.C., she covered Capitol Hill and the White House for daily New England newspapers.

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