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Profitability of a University-Based Clinic Using Benchmark Time Lengths for Clinical Encounters
Neal S. Penneys, MD, PhD, MBA;
Dee Anna Glaser, MD
Arch Dermatol. 1997;133(11):1405-1406.
Abstract
Reductions in reimbursement are applied to all physicians in a region equally. However, physicians do not practice in equivalent situations. For example, there are few fiscal allowances for academic functions associated with teaching and administration. Further-more, university-based physicians may practice in clinical venues that cannot be as efficient as nonuniversity sites. Unavoidable inefficiencies may include (1) the costs of maintaining one historical record for a large noncontiguous practice; (2) university-required holiday schedules and sick leave, making university personnel less productive; (3) noncompetitive overhead rates assigned to clinic components by university financial offices; (4) university-based accounting systems that are not designed for effective cost control and the timely generation of useful management information; and (5) poorly managed billing services. Until now, declining reimbursements have generally led to sufficient efficiencies in delivery so that revenues and expenses can be in equilibrium.
Arch Dermatol. 1997;133:1405-1406
Author Affiliations
From the Department of Dermatology, Saint Louis University School of Medicine, St Louis, Mo.
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ABSTRACT
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