Newborn care by pediatric hospitalists in a community hospital: effect on physician productivity and financial performance

Archives of Pediatrics & Adolescent Medicine
Joel S TiederS M Melzer

Abstract

To describe financial outcomes and physician productivity associated with the inclusion of well-newborn services in a pediatric hospitalist program in a community hospital. Retrospective review of professional billing records and physician activity logs for newborn and inpatient care, consultations, and procedures. Pediatric hospitalist program in a community hospital during a 24-month period from August 1, 2002, through July 31, 2004. Newborn care. Financial productivity. Pediatric hospitalists provided daily rounds and on-call services for inpatients and newborns with an average daily census of 3.1 inpatients and 7.9 newborns. Annual work relative value units production was 1508, and gross charges were $162,920 per staffed full-time equivalent. With mean work relative value unit production of 13.8 relative value units per day and average payment rates of $45 per total relative value unit, professional fees from inpatient and newborn care ($873 per day) did not cover salary, benefit, and practice expenses ($1460 per day), necessitating hospital support to cover annual program deficits of $206,744. Without the professional fees derived from newborn care, annual program deficits would have been $345,100, or $95,861 per staffed f...Continue Reading

Citations

Jan 7, 2016·The American Journal of Bioethics : AJOB·Michael R GomezMark D Fox
Mar 10, 2015·Blood·Paul J WallaceJanis L Abkowitz
Oct 5, 2010·Current Opinion in Pediatrics·Jeremy Friedman

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