Specialty Care Practices
Key Performance Indicators
Key Performance Indicators
Operational Performance
Patient Volume - Total patients seen (daily, weekly, monthly).
New Patient Volume - Number of new patients establishing care in the specialty.
Referral Conversion Rate - Percentage of referred patients who complete a specialty visit.
Procedure/Service Utilization Rate - Volume of key specialty procedures performed over time.
Patient Wait Time (Appointment Lag) - Average days from referral to first available appointment.
No-Show and Cancellation Rate - Percentage of missed or canceled appointments.
Follow-Up Appointment Compliance - Percentage of patients who complete necessary follow-ups.
Surgical Case Acceptance Rate - (If applicable) Rate at which surgical recommendations are accepted by patients.
Patient Satisfaction Score - Based on surveys (e.g., Press Ganey, internal patient feedback).
Care Gap Closure Rate (Specialty-Specific) - Completion rate of recommended diagnostics or therapies.
Financial Health
Net Collections Rate - Collections compared to adjusted charges (after insurance adjustments).
Accounts Receivable (A/R) Days - Average time to collect payment from insurance or patients.
Payer Mix Analysis - Revenue breakdown by commercial, Medicare, Medicaid, self-pay.
Revenue per Encounter - Average revenue generated per patient visit.
Cost per Encounter - Total operational expenses divided by total encounters.
Procedure Revenue Contribution - Percentage of revenue derived from procedures versus office visits.
Operating Margin - Net profit relative to total collections.
Surgical/Procedure Cancellation Rate - Percentage of scheduled surgeries or procedures canceled.
Denial Rate - Percentage of insurance claims denied.
Charge Lag - Time from patient service to claim submission.
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