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Preserving the Economic Viability of the Vascular Laboratory

Preserving the Economic Viability of the Vascular Laboratory

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Preserving the Economic Viability of the Vascular Laboratory

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  1. Preserving the Economic Viability of the Vascular Laboratory Will vascular software and automation save your lab? John D. Martin, MD, FACS, RVT Director, Vascular Center Anne Arundel Medical Center Annapolis, Maryland

  2. Profit Loss Does your lab make money? Vascular Lab Mission Report Generation AAMC

  3. Financial Facts • Average cost/study $180 • Average reimbursement/study $150 • Reimbursement by study is fixed • Machine and personnel costs are increasing • Many labs are not profitable AAMC

  4. Keys to Success • Optimize efficiency • Maximize reimbursement • Increase volume • Computer automation AAMC

  5. Technical Administrative Performance Enhancement Must focus on both arms of the Lab

  6. Technical Issues • Study type • Pathology and body habitus of patient • Experience and skill of technologist • Age and sophistication of equipment • Patient visit process AAMC

  7. Technical PerformanceEfficiency Program • Record study time for each patient • Record accuracy • Analysis of data by study type and technologist • Design training program to improve performance • Monitor improvement AAMC

  8. Study Duration

  9. The administrative burden on the lab is almost overwhelming AAMC

  10. Administrative RequirementsReport Generation • Insurance information • Reportgeneration • demographics • history and indications • results and interpretation • retrospective comparisons • recommendations • Billing for study AAMC

  11. Administrative RequirementsReport Generation

  12. Computer Automation Administrative RequirementsAncillary Functions • Mail study results • Appointments • New, follow-up, missed • Quality assurance data • Accreditation information • Equipment maintenance records AAMC

  13. Increasing Volume • Lab-based follow-up • Marketing • Education • Referral Pattern Analysis

  14. Lab-Based Follow-up Program • Facilitates compliance • Improves clinical care • Bypass graft surveillance • AAA surveillance • Carotid stenosis surveillance • Increases laboratory volume • Automation essential AAMC

  15. Referral Pattern Analysis • Increases volume • Facilitates directed marketing • Improves communication • Effective educational tool AAMC

  16. Top Referring Physicians

  17. Study Type by Physician

  18. Indication Frequency by Physician

  19. Best Value In America $2.19

  20. Package It Better $5.95

  21. Improve the Delivery $11.95

  22. Conclusions • Success is predicated on understanding the financial as well as the clinical aspects of the lab • The vascular lab is a business and should be run like one • Efficiency and accuracy are not mutually exclusive and can always be improved • Automation…..Automation…….Automation

  23. Anne Arundel Medical Center Vascular Office AAMC