Thriving as an Independent

PracticeS. Craig Tidwell, M.D.

Associates in Obstetrics and Gynecology, PC

This event is live as of XY

Survey of the Epocrates user base. February 2015.

Answered: 2,144 Skipped: 642

I would prefer to be employed by

a larger group

58.14%

Given the opportunity, doctors want to stay independent

3

20.10%

11.75%

I would prefer to practice

independently

I am not

sure

4

Source: Bureau of Labor Statistics; NCHS; and Himmelstein/Woolhandler analysis of CPS

3500%

3000%

2500%

2000%

1500%

1000%

500%

0%1970 1975 1980 1985 1990 1995 200 2005 2009

Physicians

Administrators

Growth of Physicians and Administrators 1970-2009

5

Clinical Transformation: New Business Models for a New Era in Healthcare. Accenture, 2012. http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Clinical-Transformation-New-Business-Models-for-a-New-Era-in-Healthcare.pdf#zoom=50

Business Costs & Expenses

Prevalence of Managed Care

EMR Requirements

Maintaining/Managing Staff

Number of Patients Required to Break Even

87%

61%

53%

39%

53%

Top Concerns That Influence Decision to Seek Employment

6

Source: athenahealth’s addressable market (physicians) based on athenahealth analysis using SK&A, HIMSS, and self-collected data

% Employed Physicians 800

700

600

500

400

300

200

100

-2011 2012 2013 2014

650K 676K 684K 692K

44% 50% 57% 57%

56% 50% 43% 43%

EmployedIndependent

7

First signs that physician consolidation has leveled off

Care is moving out of the hospital while outpatient visits continue to rise

8

35

30

25

20

15

10

5

0

-5

-10

-15

-20

v vv v v

v

vv

vv

vv 33%

-17%

Outpatient services per FFS Part B beneficiary

Inpatient discharges per FFS Part A beneficiary

v

v

v

v

Fiscal year

Cum

ulat

ive

perc

ent c

hang

e

vv

20062007

20082009

20102011

2012 2013

9

Independent providers see

16% morepatientsthan employed providers

Independent practices see5.9% fewerno-showsthan owned practices

5.9%

Source: athenahealth Data, 2015

10

Patients wait

4 days longerto see an employed PCP than an independent PCP

Source: athenahealth Data, 2015

What’s the Solution?

12

Obstetrics & Gynecology 6 physicians 6 certified nurse

midwives 32 staff members 1 office in Dalton, GA 510 patient visits per

month/doc 3,074 patient visits per

month/practice On the network since

2012

Associates in Obstetrics and Gynecology

13

14

Before athenahealth

15

Needed an EHR to stay current and achieve Meaningful Use

Dealing with self-pay problems & collection issues

Challenges with managing billing department

Wanted better outreach and communication

Before athenahealth

16

Hunting for charts

17

On-Boarding

“With the assistance of training modules, templates, and project managers, the implementation was much

easier than we thought.”

18

athenahealth Solutions

1 athenaClinicals

athenaCollector2

athenaCommunicator3

Click here!

Meaningful Use

19

Flexibility in the Cloud

20

www.aogdalton.com

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Measurable Practice Results

1.1 charge entry lag days

96.3% same day encounter close rate

3.4 minutes Provider documentation time:

36 days days in Accounts Receivable

$160,000 in Meaningful Use incentives22

Increased Visibility and Management Control Reports – Capture and Track Key Metrics Claims

First Pass Resolved Rate = 93.3 % Easy Submission Less Work Rules Engine

Positive Impact on Accounts Receivable: 10.97% decrease in Days in Accounts Receivable

Efficiency of the front office Staffing Improvements Practice Growth

athenaCollector – 2012

Access anywhere, anytime Document encounters more efficiently Spending more time with patients Integrated care capabilities Easy workflow Coordinating patients’ care

Exporting chartsEasy to read, relevant information, minimal records

athenaClinicals – 2012

Improve staff efficiency Call backs by Athena Group Call options:

ReminderCall GroupCall ResultsCall

Improved communication & Scheduling Patient visits increased 2.93% No show rate decreased 16.2% Participation in their medical care

Patient Portal - 24/7 Access

Patient Satisfaction

athenaCommunicator – 2012

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Unmeasurable Results

27

After athenahealth

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Work/Life Balance

Thank YouS. Craig Tidwell, M.D.