Solving the Physician Attribution Puzzle for Length of Stay
1:00pm - 2:00pmTuesday, March 6
Las Vegas - Venetian Convention Center
Hospital systems seeking to improve overall patient outcomes need to utilize patient-level data. However, it is not always clear who is directly responsible for a patient’s care. For example, in reducing Length of Stay (LOS), it is important to understand which physician(s) are making the decisions that affect a patient's LOS. Most patients will see a variety of providers during their stay in the hospital. Often, the discharge attending physician is given attribution for a patient’s outcomes, although there is no guarantee that he or she was most involved in that patient’s care. We used data-mining methods to develop a SMART Provider Attribution (SPA) algorithm that assigns the physician responsible for communication and LOS for each discharged patient, based on clinical documentation. Our SPA algorithm showed improved attribution versus using the discharge attending provider. We developed a dashboard that uses the SPA attribution to examine LOS across facilities.
List the potential problems with using the attending physician as the attributable physician for length of stay and HCAHPS physician communication questions
Compare attending versus the SMART provider attribution method for attributing HCAHPS physician communication and length of stay
Explain how a visual analytics dashboard can be used to monitor and improve patient outcomes such as length of stay