Outpatient Surgery Magazine

Salary Survey - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 86 of 110

population of patients," says Dr. Keswani. "If someone's ADR is just 10% and their peers are at 30%, they know there's an issue that needs to be addressed." These physicians, the outlier performers whose ADR is less than 20%, are the ones to focus your efforts on, whether it's through remediation, additional scope training or even reassessing the privileges they're allowed to have in endoscopy. "Getting people's ADR from 42% to 45% may have little to no effect," says Dr. Keswani, "but if you look at all the studies, the relative risk of your patient developing cancer if they get scoped by a person with a fair or a very low ADR compared to someone with a high ADR is quite significant. It's almost 5 times higher." 2. Split-prep is the only prep. At many facilities, split-prep bowel treatment — taking half the prep drink the night before the procedure and the other half the morning of (say 5 hours prior to the colonoscopy) — is the standard. But if you're not doing split prep, you need to start. "You need to make sure all patients coming in for a colonoscopy are getting split-dose bowel preparations," says Dr. Keswani. "It's another structural thing you can implement in your lab that markedly improves the overall quality of the colonoscopy." And this improved quality translates to higher ADR. "Using split-prep J A N U A R Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 8 7 • PEER PRESSURE Semi-annual physician report cards that benchmark GI docs to their peers with similar patient populations highlight poor performers and boost ADRs. Pamela Bevelhymer, RN, BSN, CNOR

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