By: Victoria Lee, InternAnamika Desai, Director, Physician Relations Department

History

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Purpose

Significance

Methodology

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Prior to the introduction of the Stark Law, there was no regulation of physician self-referral

practices

Physicians could ultimately refer patients to medical facilities that favored their financial

interest

This lead to overutilization of

services, increase in healthcare costs, and

monopolization of healthcare services

Analyze past physician outreach expense records

Isolate key data components from the expense records

Research better documentation techniques

Convert data from past expense records into Excel

Assemble data to form pivot tables

Use pivot tables to determine total expenses per physician and service

line

Implement a routine of yearly updates for Physician Liaisons on changes in the Stark Law during the first

meeting of each year

Create a set of instructions to guide Physician Liaisons through the operations of

the new procedures

Measure change through a 360-feedback system

Outcomes

Outcomes (cont.)

The new procedure allows for access to updated expense reports at any time

As of 2015, the non-monetary compensation limit per physician must not exceed $392 per year

Total Spend per MD and Total Spend per Service Line Reports allows for Physician Liaisons to efficiently

monitor and stay updated on expenses per physician throughout the year

Current report shows that RWJUH is in compliance with the Stark Law

Evaluation

Acknowledgements