Anesthesia Service Assessment

Securing necessary anesthesia coverage at a fair cost is an ongoing and critical challenge. Maximizing return on investment and operational alignment requires in-depth subject matter expertise. EHC delivers unbiased evaluations and recommendations to help optimize anesthesia coverage, improve internal processes, and increase integration/alignment between the hospital and group. Our team will thoroughly evaluate current performance, paying particular attention to coverage requirements, the current staffing model, and financial support. Opportunities to adjust the coverage model will be suggested to achieve optimal clinical results and maximize financial returns for our clients.

COMPREHENSIVE SERVICE ASSESSMENT

  • Financial and operational analysis
  • Assessment and benchmarking of compensation
  • Subsidy analysis and recommendations
  • Review of processes that impact anesthesia efficiency and utilization
  • Performance analysis with benchmarking
  • Evaluation of clinical quality, safety, and efficiency
  • Surgeon, nurse manager, and administration satisfaction surveys
  • Final report with actionable recommendations
  • Implementation support

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FINANCIAL AND OPERATIONAL ANALYSIS

Securing adequate anesthesia coverage is increasingly challenging for both groups and facilities. Existing contractual terms and support of provider compensation packages are rapidly falling behind the market and inadequate coverage capacity can have costly operational and financial repercussions. With extensive national experience, EHC is ideally positioned to support the analysis
of current market conditions backed by local, regional, and national data. Our team assesses baseline coverage models, subsidy support structures, and performance metrics to establish a framework for
identifying areas of improvement. Our physician-led teams incorporate feedback from all stakeholders to gain insight and perspective on facility-specific challenges and opportunities.

ASSESSMENT AND BENCHMARKING OF COMPENSATION

Provider shortages have left many anesthesia groups, hospitals, and health systems struggling to maintain adequate coverage. This results in a critical focus on developing compensation packages that will attract and retain providers. While the dollar value of provider compensation is vitally important, to properly compare what is “fair,” other factors must also be considered. Such factors include other local compensation packages, average weekly work hours, subspecialty care expertise, vacation time, and call frequency. With our internal database and exposure to a broad cross-section of groups across the country, our team is ideally positioned to advise on reasonable provider packages and incentives to attract, retain, and motivate providers.

How Anesthesia Management Influences Hospital Accreditation

SUBSIDY ANALYSIS AND RECOMMENDATIONS

Anesthesia subsidies have been rising exponentially across the United States due to reduced productivity, provider shortages, escalating cost of labor, reimbursement pressure, and the increasing demand for coverage. To secure stable coverage, hospitals and groups must work together to support market-based compensation while balancing efficiency, cost, and capacity. EHC has extensive expertise creating optimized anesthesia models, advising on subsidy design, and supporting contract negotiations.

Our Numbers

100+
Facilities worked within the last year
33
States visited for engagements
500M+
Anesthesia Subsidies Negotiated in the Last Year

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OPTIMIZING EFFICIENCY AND UTILIZATION

Many hospitals and health systems understand that anesthesia providers play a vital role in efficiency but are unfamiliar with mechanisms to improve or measure performance. At EHC, we believe that maximizing alignment between providers and facilities is achieved by ensuring that important processes are standardized and optimized. EHC utilizes internal and external benchmarks to assess anesthesia provider utilization as well as efficiency metrics which are directly impacted by the consistency of clinical and operational protocols. As indicated, consultants may directly observe anesthesia processes, allowing identification of alignment opportunities. This approach is designed to facilitate a better partnership between the providers, the medical staff and facilities.

PERFORMANCE ANALYSIS WITH BENCHMARKING

Groups, hospitals, and health systems are frequently challenged in developing meaningful, measurable, and targeted anesthesia performance metrics. While some national data is available, it is often difficult to interpret and apply in a truly comparative fashion to local anesthesia services. EHC has proprietary databases that look at efficiency, cost, and performance measures using standard methodologies. Along with our expert interpretation of applicable national survey information, EHC’s anesthesia assessments are designed to be informed and supported by data. This creates a valuable pillar of support for our financial and operational recommendations.

A consultant providing ongoing support to hospital staff for anesthesia service oversight and improvement.

EVALUATION OF CLINICAL QUALITY, SAFETY, AND EFFICIENCY

When anesthesia clinical quality becomes a concern, it represents an urgent issue for group and facility stakeholders as they expect providers to be aligned partners in maximizing patient safety. EHC has the clinical understanding and organizational experience to evaluate and address these issues. Our team will assess specific patient concerns based on detailed case reviews and if necessary, recommend quality databases for ongoing proactive tracking and benchmarking. Using both internal and external databases, we can document anesthesia efficiency and identify opportunities for improvement.

Contact us to learn more!

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Ensuring Safety in Non-Operating Room Anesthesia (NORA)

STAKEHOLDER SATISFACTION SURVEYS

Understanding how key stakeholders perceive anesthesia services is vital for facilities and provider groups. However, finding a tool that measures satisfaction with a set of specific questions offering direct benchmarking to peer groups is difficult. EHC’s surveys provide this capability for our clients. Our proprietary surveys assess key clinical deliverables throughout the patient perioperative experience. Reports allow tracking of your provider’s performance over time and benchmarking against peers. EHC surveys are an ideal tool to monitor performance and proactively identify areas of potential improvement.

FINAL REPORT WITH RECOMMENDATIONS BASED ON FINDINGS AND ANALYSIS

Anesthesia assessments conclude with a final report to leadership designed to describe the current performance and identify actionable options for improvement. Since each engagement is customized to meet client needs, every final report uniquely addresses client-specific findings. Final reports include utilization analysis with benchmarking, staffing options with financial crosswalks, contract structure and performance metrics recommendations, and satisfaction survey summaries. Based on the findings, our team will outline key opportunities for improvement.

IMPLEMENTATION SUPPORT

Many groups and facilities require the implementation of prioritized recommendations from the initial assessment. These requirements are unique to each situation, and anesthesia subject matter expertise is necessary to maximize results. EHC’s services may include but are not limited to: staffing model redesign, RFP management and response, transition to facility employment, contract negotiation, revenue cycle review, development of performance metrics, and management of ongoing satisfaction surveys.

What our clients have to say...

Enhance Healthcare recently supported our Health System in renegotiating a complex five-facility agreement involving two separate anesthesia provider groups.  EHC provided subject matter expertise and analysis which allowed us to maximize anesthesia efficiency and alignment while maintaining flexibility to adapt...
M. Trevor Bennett
Associate VP, Acute Care Operations
Swedish Health
In my capacity as CEO and COO in multiple hospitals, I have worked with all of the Enhance Healthcare principals. They have helped me on Operating Room improvement projects, Anesthesia subsidy evaluation and reduction, and Anesthesia Group restructuring. They understand...
Chris Mowan
CEO
Medical City Dallas
Enhance Healthcare did a phenomenal job on our system-wide anesthesia assessment. They were very well organized, responsive, and have a great perspective as subject matter experts.
Peter Powers, FACHE
Chief Executive Officer
Memorial Regional Healthcare
"The Enhance team brought great value to our organization and was solution driven."
Douglas A. Williams
Senior Vice President and Administrator
Saint Francis Hospital
I have dealt with many consultants, I have to say that Howard Greenfield, MD who is an anesthesiologist and has practiced in our specialty made a real difference. When we discussed real OR and ASC operational, staffing, and scheduling scenarios...
Mark Grossman
CEO
Seven Hills Anesthesia
The team at Enhance Healthcare is top-notch. Bob presented an excellent evidence-based business case using market trends and data and really spent extra time to ensure that we got the details of the contract language correct. It was great to...
Amanda Maselli
Executive Director
Amoskeag Anesthesia, PLLC

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