Making the Business Case for Office-Based Hysteroscopy Procedures
For OB/GYN practices looking at the possibility of providing office-based hysteroscopy procedures, the benefits such a move would offer patients is a primary consideration. However, practices must weigh those against multiple economic factors—including capital outlay and reimbursement.
To help practices make a more informed decision, this paper provides an overview of the business case for inoffice hysteroscopy—looking at it from the perspective of both patients and providers.
A FOCUS ON PATIENTS
“See and treat” is the approach many patients appreciate. They want the convenience of having a condition diagnosed and treated in the physician’s office during a single visit. The benefits of such an approach are clear—including faster diagnoses, fewer follow-up appointments, and a reduced financial burden.
By providing in-office hysteroscopy, physicians are able to “see and treat” patients with specific conditions. In turn, these patients experience the very tangible benefits of time savings, financial savings, improved clinical outcomes, and enhanced safety. For example, new mothers are often unable or unwilling to be away from their newborn for an entire day as a result of being under anesthesia. With in-office hysteroscopy, this can often be avoided with effective pain management—allowing these women to make sure they’re taking care of themselves without feeling like they’re sacrificing the care of their child.
Another area in-office hysteroscopy can provide a substantial patient benefit is fertility treatment. When physicians use hysteroscopy to facilitate embryo implantation, errors can be reduced, and outcomes can be improved when they have a clear view of the uterine cavity.
Finally, for some patients, having a procedure in an operating room isn’t preferred—or even possible. For example, vulnerable patients (such as those who are elderly or who are pregnant) can be at a higher risk of contracting infectious diseases (including COVID-19) or might not be good candidates for anesthesia. An in-office hysteroscopy procedure is often a preferred option for these patients.
EVALUATING THE COST-BENEFIT EQUATION FOR PHYSICIANS
Providing evidence that supports the patient benefits of office-based hysteroscopy is the first step in making the case for transitioning procedures into the office. The numbers also must work for the physician.
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