2012 FPA Primary Care Survey of Network Referral Specialists Results. William Nersesian, MD, MHA FPA Chief Medical Officer

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1 2012 FPA Primary Care Survey of Network Referral Specialists Results William Nersesian, MD, MHA FPA Chief Medical Officer

2 Methodology and Return Rate Requested PCC admins to send survey to 2-4 providers, depending on clinic size Sample included physicians, NPs, PAs Return = 35% of requested sample Return = 13.3% of overall network PCPs (but not a truly random sample)

3 71 Survey Respondents Fairview Medical Group mid-level provider 10% Independent FPA mid-level provider 7% Independent FPA primary care physician 24% Fairview Medical Group primary care physician 59%

4 Most Important Criteria when Selecting a Specialist Communicate back to referring provider 37% Technical expertise 55% Patient Feedback 41% Access ASAP care 46%

5 Number of Respondents n=71 Referral Criteria Top Box Results Most to Least Important % 46% 41% 37% 24% 21% 3% 2

6 Cardiology U of M Heart at Fairview Most Frequent Referrals by Location Uptown 6% Blaine 7% Don t Use 8% Maple Grove 4% Edina 31% U of M Campus 10% Wyoming 14% Burnsville 20%

7 U of M Heart at Fairview Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 89% Access to ASAP Care % 16% 77% Patient Feedback % 69% Comm. back to referring provider % 30% 65% Access to Routine Care % 31% 64% Provider-to-Provider Consultation % 23% 71%

8 Cardiology Top 2 Box Measures Cardiology Location Blaine n=5 Burnsville n=14 Edina n=22 Maple Grove n=3 U of M Campus n=7 Uptown n=4 Wyoming n=10 Technical Expertise Access ASAP Care Patient Feedback Comm. Back to Ref. PCP Access Routine Care Provider Consultation 60% 80% 40% 40% 60% 60% 100% 93% 71% 71% 79% 79% 100% 86% 77% 77% 64% 73% 100% 100% 67% 33% 67% 33% 86% 71% 57% 71% 86% 57% 50% 25% 50% 75% 75% 75% 80% 40% 70% 40% 30% 60%

9 Neurology Most Frequent Referrals by Location FV Wyoming 16% Mpls. Clinic Neurology Edina 39% Neurology Clinic UMMC FV 21% Mpls. Clinic Neurology Burnsville 24%

10 Minneapolis Clinic of Neurology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 21% 75% Access to ASAP Care % 54% 43% Patient Feedback % 32% 66% Comm. back to referring provider % 36% 63% Access to Routine Care % 41% 52% Provider-to-Provider Consultation % 41% 54%

11 Fairview Neurology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 78% Access to ASAP Care % 30% 61% Patient Feedback % 39% 48% Comm. back to referring provider % 22% 74% Access to Routine Care % 39% 48% Provider-to-Provider Consultation % 28% 67%

12 Neurology Clinic UMMC, Fairview Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 80% Access to ASAP Care % 33% 47% Patient Feedback % 50% 38% Comm. back to referring provider % 50% 44% Access to Routine Care % 40% 27% Provider-to-Provider Consultation % 50% 29%

13 Neurology Top 2 Box Measures Neurology Clinic/Location FV Brooklyn Park n=5 FV Wyoming n=12 Mpls Clinic Neurology Burnsville n=17 Mpls Clinic Neurology Edina n=28 Mpls Clinic Neurology Golden Valley n=9 Neurology Clinic UMMC, FV n=16 Technical Expertise Access ASAP Care Patient Feedback Comm. Back to ref. PCP Access Routine Care Provider Consultation 40% 40% 0% 60% 60% 60% 100% 75% 75% 83% 42% 75% 59% 47% 47% 53% 47% 47% 79% 39% 71% 71% 50% 57% 89% 44% 78% 56% 67% 56% 75% 44% 38% 44% 25% 25% (List includes only practices receiving 5 or more evaluations.)

14 OBGYN Most Frequent Referrals by Location FV Eagan 9% Southdale OBGYN 9% OBGYN Specialists 18% FV Riverside 10% FV Wyoming 13%

15 Fairview OBGYN Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 86% Access to ASAP Care % 6% 91% Patient Feedback % 25% 72% Comm. back to referring provider % 19% 78% Access to Routine Care % 15% 76% Provider-to-Provider Consultation % 17% 80%

16 OBGYN Specialists Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % Access to ASAP Care % 91% Patient Feedback % 92% Comm. back to referring provider % 92% Access to Routine Care % 18% 73% Provider-to-Provider Consultation % 82%

17 Southdale OBGYN Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % Access to ASAP Care % Patient Feedback % Comm. back to referring provider % 50% Access to Routine Care % 83% Provider-to-Provider Consultation % 83%

18 OBGYN Top 2 Box Measures OBGYN Clinic/Location Technical Expertise Access ASAP Care Patient Feedback Comm. Back to ref. PCP Access Routine Care Provider Consultation Clinic Sofia n=5 Fairview OBGYN n=35 OBGYN Specialists n=12 Southdale OBGYN n=6 80% 60% 80% 80% 80% 80% 86% 89% 66% 71% 74% 69% 100% 83% 92% 92% 67% 75% 100% 100% 100% 50% 83% 83% (List includes only practices receiving 5 or more evaluations.)

19 Oncology Most Frequent Referrals by Location U of M Physicians Cancer Care FV Mpls 13% MN Oncology Edina 34% U of M Physicians Cancer Care FV Wyoming 14% MN Oncology Burnsville 23%

20 Minnesota Oncology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 96% Access to ASAP Care % 87% Patient Feedback % 6% 91% Comm. back to referring provider % 94% Access to Routine Care % 15% 83% Provider-to-Provider Consultation % 91%

21 U of M Physicians Oncology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 93% Access to ASAP Care % 22% 76% Patient Feedback % 81% Comm. back to referring provider % 14% 81% Access to Routine Care % 19% 74% Provider-to-Provider Consultation % 85%

22 Oncology Top 2 Box Measures Oncology Clinic Technical Expertise Access ASAP Care Patient Feedback Comm. Back to ref. PCP Access Routine Care Provider Consultation MN Oncology n=47 96% 87% 91% 94% 83% 87% UMP Oncology n=42 93% 74% 81% 81% 74% 79%

23 Orthopedic Most Frequent Referrals by Location TCO Burnsville 11% TCO Edina 28% St. Croix Ortho 13% FSOC Burnsville 33%

24 Fairview Orthopedic Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 91% Access to ASAP Care % 85% Patient Feedback % 22% 76% Comm. back to referring provider % 7% 91% Access to Routine Care % 9% 87% Provider-to-Provider Consultation % 89%

25 Twin Cities Orthopedics Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 93% Access to ASAP Care % 85% Patient Feedback % 76% Comm. back to referring provider % 26% 71% Access to Routine Care % 83% Provider-to-Provider Consultation % 75%

26 St. Croix Orthopaedic Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 60% Access to ASAP Care % 50% Patient Feedback % 60% Comm. back to referring provider % 50% 30% Access to Routine Care % 44% Provider-to-Provider Consultation % 60% 30%

27 Orthopedic Top 2 Box Measures Orthopedic Clinic Technical Expertise Access ASAP Care Patient Feedback Comm. back to ref. PCP Access Routine Care Provider Consultation Fairview Orthopedic n=47 St. Croix Orthopaedic n=42 Twin Cities Orthopedic n=43 89% 85% 74% 91% 85% 85% 60% 50% 60% 30% 40% 30% 93% 83% 76% 71% 79% 71%

28 Otolaryngology Most Frequent Referrals by Location Paparella Ear Head Neck Institute 18% Southdale OT 14% ENT Specialty Care of MN 45% FMG OT 23%

29 ENT Specialty Care of MN Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 92% Access to ASAP Care % 88% Patient Feedback % 24% 68% Comm. back to referring provider % 8% 88% Access to Routine Care % 16% 80% Provider-to-Provider Consultation % 73%

30 Fairview Medical Group Otolaryngology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 60% Access to ASAP Care % 50% Patient Feedback % 60% Comm. back to referring provider % 50% 30% Access to Routine Care % 44% Provider-to-Provider Consultation % 60% 30%

31 Paparella Ear Head & Neck Institute Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 50% Access to ASAP Care % 67% Patient Feedback % 50% 40% Comm. back to referring provider % 40% Access to Routine Care % 60% Provider-to-Provider Consultation % 33%

32 Minneapolis Otolaryngology, P.A. Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 78% Access to ASAP Care % 78% Patient Feedback % 63% Comm. back to referring provider % 67% Access to Routine Care % 67% Provider-to-Provider Consultation % 56%

33 Southdale Otolaryngology Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 75% Access to ASAP Care % 75% Patient Feedback % 75% Comm. back to referring provider % 75% Access to Routine Care % 75% Provider-to-Provider Consultation % 75%

34 Midwest ENT Specialists Overall Performance Combined Measures Measure Lowest (1-2) (3-4) Highest (5-6) Total Evaluations Technical Expertise % 83% Access to ASAP Care % 83% Patient Feedback % Comm. back to referring provider % 83% Access to Routine Care % 67% Provider-to-Provider Consultation % 17% 67%

36 Referral Criteria Cardiology Cardiology Top Box Results Compared to Referral Criteria 39 Do not use this slide? Technical expertise Access ASAP care Patient feedback Comm. back to ref. PCP Access routine care Provider Consultation

Fairview Southdale Provider List

Fairview Southdale Provider List Covered/Cobertura/Caymiska Spine and Brain Clinic at Fairview Southdale Wound Healing Institute at Fairview Southdale Hospital Noncovered/ No hay cobertura/caymis la an