如何进行细分场分析MicromarketAnalysis.ppt

CLE_Micromarket HOWTOGUIDE 30 CONTRIBUTION MARGIN* OF CASES LEAVING HOSPITAL 10s CORE MARKET $ Millions * Estimate contribution margin = (1.03 X total cost) – direct cost ** DRG 116 and 137 *** DRG 104-112 Source: State Data – January-December 1999 Even if Hospital 14 successfully shifted 100% of the cases from Hospital 14 to Hospital 10, it would only generate $1.8 million of net contribution Hospital 14 Other Normal cardiology Special cardiology** Open hearts*** ** * Oncology 4.8 Total out- migration 0.3 2.3 1.2 1.0 CLE_Micromarket HOWTOGUIDE 31 PHYSICIAN MARKET CONCENTRATION * Database only – not provider directory Note: Primary zip code of physicians group – no secondary zip codes PCP* OB/GYN General surgery Cardiology Ortho- paedics Radiation Oncology Neurology Market 14 Percent Market 13 Percent Total physicians Number Total groups Number Total physicians Number Total groups Number Hospital 14 physicians Number Hospital 14 physicians Number Top 2 practices Next 5 practices Balance Percent of admissions 22 39 20 50 40 60 70 27 39 32 40 41 40 30 51 22 48 10 19 47 6 7 4 9 7 5 1 5 5 3 2 3 2 72 71 44 40 28 29 56 60 159 63 18 11 25 19 18 9 30 13 5 4 10 4 12 0 0 1 1 0 2 27 0 0 5 0 3 2 100 100 100 CLE_Micromarket HOWTOGUIDE 32 32 27 13 13 15 33 27 16 16 8 ONCOLOGY CASES – ATTENDING PHYSICIAN Number of cases Hospital 24 100% = 249 cases Hospital 10 100% = 252 cases Physician 24C Physician 24B Physician 24A Other Hospital 14 Other non- Hospital 14 Physician 10C Physician 10A Physician 10B Other Hospital 14 Other non- Hospital 14 Source: State Data – January-December 1999; Payor 9 data; hospital interviews CLE_Micromarket HOWTOGUIDE 33 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.0 0.2 0.4 0.6 0.8 1.0 PCPs Percent Average 36% 0 0 Admissions served by top 2 groups in micromarket Admissions served by Hospital 14 doctors Market 11 Market 10 Market 13 Market 1 Market 2 Market 3 Market 14 Market 7 Market 9 Market 5 Market 4 Market 1