12 th Socioeconomic Survey 2011

Transcription

1 12 th Socioeconomic Survey 2011

2 Background 7,222 s were sent out to a random list of U.S. members Second and third reminder s were sent to nonrespondents 1,364 completed surveys were returned for a response rate of 23.2% Excluded from this study were respondents who had not practiced clinically in the past 12 months.

3 Respondent Profile Median age: 48 years Median years in practice: 15 years Gender: 88% male, 12% female Planned retirement age: 65 years

4 Respondent Distribution N= % N= % N= % N= % N= % Northwest Southwest N= % N= % North Central South Central New England Mid Atlantic South Atlantic

5 Number of Branch/Satellite Offices Covered by Practice, Not Including Primary Practice Location 8.7% 2.9% 8.2% 38.4% None 1 Site 2 Sites 15.4% 3 Sites 4 Sites 5+ Sites 26.4% Mean = 1.4 Sites

6 Legal Organization of Principal Practice 15.7% 1.3% 4.7% 7.8% 29.1% Professional Co. Academic Practice Limited Liability Co. Sole Prop. Partnership 14.9% 24.5% Business Corporation Non-Profit Co. Other 9.1% 11.9% Hospital or Health System Adds to more than 100% due to multiple responses.

7 Type of Practices Multi-specialty with primary care only 6.4% Multi-specialty i with primary and specialty care Single specialty otolaryngology only 25.3% 62.7% Single specialty other 5.6% 0% 20% 40% 60% 80%

8 Primary Area of Specialization Distribution of Other Otology/Neurotology 8.2% Pediatric Otolaryngology 8.0% 80% 7.0% 6.0% 5.0% 5.7% 4.7% Head & Neck 8.8% 4.0% 3.0% 2.0% 2.2% Other 16.0% General Otolaryngology 59.0% 1.0% 0.0% Rhinology Facial Plastics Laryngology 0.9% 0.9% 0.8% 0.6% Allergy/Immunology Sleep Skull Based Surgery Otolaryngic Allergy

9 What percentage of your patients are Self-Payer 7.3% Medicare 25.3% Private Payer 51.7% Medicaid 15.7%

10 Number of Physicians in Office N = 1328

11 Provide Services in Out-Patient Department (HOPD) and/or Ambulatory Surgical Center (ASC) Percentage of Services in HOPD and ASC Settings Median No 10.4% 50% 40% 45% 40% 30% Yes 89.6% 20% 10% Yes, in HOPD: 66.6% 0% HOPD ASC Yes, in ASC: 64.5% N = 1328

12 Have Ownership In 35.0% 30.0% 25.0% 20.0% 15.0% 32.8% 29.9% 10.0% 4.5% 5.0% 0.0% Any Ownership ASC Physician-Owned Hospital N = 1328

13 Practice Uses An Electronic Medical Record (EMR) System Plan to Participate in the Medicare EHR Meaningful Use Incentive Program No 33.0% No 24.6% Yes 67.0% Yes 75.4% N = 1328

14 Report Quality Measures No 50.5% Yes 49.5% N = 1328

15 LPN, MAs, etc General Staff Audiologists Receptionists Billing/Collections Staff Registered Nurses Speech-Language Pathologists Practice Business Managers Medical Record Clerks Physicians Assistants Nurse Practitioners Transcribers Independent Contractors Otolaryngology Technicians Current Number of FTE Support Staff Employed by Primary Practice LPN, MAs, etc General/Admin Audiologists Receptionists Billing/Collections Staff Registered Nurses Speech-Language Pathologists Practice Business Managers Medical Record Clerks Physicians Assistants Nurse Practitioners Transcribers Independent Contractors Otolaryngology Technicians

16 Total Weeks Worked Per Year < >50 Median: 48.0 Weeks Per Year

17 Total Hours Worked per Week 55% 5.5% 1.2% 24% 2.4% 16.6% 33.8% 10.0% 0% 30.5% < 20 hours 20 to 30 hours 31 to 40 hours 41 to 50 hours 51 to 60 hours 61 to 70 hours More than 70 hours Average = 52.0 hours per week

18 Are you reimbursed by any local l hospital for on-call services? No 78.4% Yes 21.6% 0% 20% 40% 60% 80%

19 New vs. Established Patients Per Typical Week 50% 45% 40% New Patients Est. Patients Percent of Responden nts 35% 30% 25% 20% 15% 10% 5% 0% < than Median - 27 Median - 50

20 How Hours Are Spent in Typical Week In Emergency Room 0.6 Making Hospital Rounds 1.4 Calling Patients In Hospital 3.6 Hospital/ER Rounds 4.6 Administrative Activities 5.0 Operating Room 12.0 On Call 25.9 Office Hours

21 How Number of Surgeries are Expected to Compare to Last Year 60% 50% 49.1% 40% 30% 20% 21.2% 2% 27.3% 10% 0% 2.3% More Less Same Do Not Perform Surgery N=1328

22 2010 Personal Net Income Compared to % 40% 31.5% 32.2% 36.4% 30% 20% 10% 0% Higher Lower Same

23 Change in Median Income By Region: 2008 vs % 4% 14% -7% 7% 13% 5% New England Northwest North Central Mid Atlantic Southwest South Central South Atlantic

24 Use Payment Plans for Patient Balances Use Payment or Credit Agency No 30.9% No 41.0% Yes 69.1% Yes 59.0% Charge Interest: 20.6% Average Interest Charged: 0.6% N = 1328

25 Services Currently Provided in Your Practice Audiology 86.4% Hearing Aid Sales 71.8% Balance laboratory 42.2% Speech Pathology Radiology RAST lab Clinical Laboratory Other None of these 29.8% 24.0% 14.7% 11.2% 17.8% 9.9%

26 Plan to Add Services to Practice Within Next 12 Months Clinical Lab 0.3% Audiology 1.8% RAST Lab 2.0% Radiology 2.0% Speech Path. 2.5% Balance Lab. 2.9% Hearing Aid Sales 2.9% None 87.2% 0% 20% 40% 60% 80% 100%

27 Audiological Practitioner in Practice 100% 86.9% 80% 60% 40% 20% 13.6% 2.7% 1.7% 9.3% 0% Audiologist Technician Other Physician Do not provide service

28 Do you employ or contract t out for audiology tests? Contract Out 22.3% Employ 77.7% 7%

29 Provide Imaging Services in Office Yes 25.4% No 74.6% N = 1328

30 Own a CT Scanner No 27.9% Yes 72.1% N = 1328

31 Accredited d in Imaging or Plan Accreditation ti in Next 12 Months 60% 50.2% 40% 32.1% 20% 17.7% 0% Yes Plan to within ihi 12 months No N= 243 (Those who own a CT scanner)

32 Change in Practice Revenues in Past 3 Years Elective Procedures 15.7% 29.7% 44.1% Hearing aid sales 11.7% 29.5% 30.8% In office imaging In office surgical 8.1% 6.9% 14.4% 15.8% 22.0% 49.6% Increased Decreased Stayed the same Allergy Services 18.4% 11.9% 21.4% Audiology Services 26.4% 22.4% 38.4% 0% 20% 40% 60% Percentages do not add up to 100% because Do Not Provide Services are not included.

33 Change in Professional Plans in Next 3 Years 80% 63.3% 60% 40% 23.9% 19.4% 20% 12.4% 69% 6.9% 3.3% 2.0% 2.3% 2.3% 0% Continue as I am Increase patient volumes Retire Seek employment in a nonclinical/nonmedical setting Hire an associate Work as locum tenens Close practice to new patients / reduce workload Consider employment by hospital / health system Leave practice with 3 physicians or less for larger group practice

34 In your opinion, i the number of practicing i otolaryngologists is In the area from which you draw your patients: In the United States as a whole: 60% 53.5% 60% 54.4% 40% 34.3% 40% 35.2% 20% 20% 12.1% 10.4% 0% Too Few Just Right Too Many 0% Too Few Just Right Too Many

35 Your Opinions: Socioeconomic Agree Neutral Disagree Reimbursement and/or medicolegal issues are forcing me to limit the scope of my practice. Administrative burdens with payers are making me consider dropping my private payer contracts. It s a priority for my practice to increase patient volume. Potential ti long term decreases in Medicare reimbursement are making me consider closing or limiting my practice to Medicare patients based on potential long-term decreases in Medicare reimbursement % 23.1% 32.8% 34.3% 31.2% 34.5% 65.0% 21.0% 14.0% 42.8% 25.3% 31.9% 0% 25% 50% 75% 100%

36 Your Opinions: Patient Care Agree Neutral Disagree I have adequate time to spend with my patients during office hours. With more diagnostic & treatment options, I spend more time in direct patient care. 51.0% 13.7% 35.3% 22.4% 45.3% 32.3% I am satisfied with the complexity of my patient case mix. There is greater demand for service from my practice than we can currently provide. 74.2% 13.6% 12.3% 36.70% 24.40% 38.90% 0% 25% 50% 75% 100%

37 Multi-Year Opinion Trend: The practice of medicine is % 10.7% 8.3% 8.0% 6.7% 6.8% 7.0% 75% 50% 25% 0% 31.1% 28.5% 29.0% 17.1% 17.4% 17.1% 17.9% 26.9% 25.2% 25.9% 15.4% 16.3% 28.8% 32.8% 34.0% 34.9% 36.8% 36.1% 12.4% 13.1% 12.0% 14.2% 15.8% 14.6% Not at all favorable Not very favorable Neutral Somewhat favorable Very favorable N = 1328