Children's National Medical Center / Children's National Health System

Improving Performance Across the Physician Enterprise


When Children's National Medical Center in Washington, D.C. wanted to improve performance across its physician enterprise, they turned to ECG.

the challenge

Children’s National Medical Center is a 303-bed tertiary and quaternary children’s hospital that performs nearly 15,000 surgeries and manages more than 370,000 outpatient visits in 45 specialties annually. Recognized as one of the nation’s leading clinical and research institutions and consistently ranked among the best pediatric hospitals in America, the organization was seeking guidance on performance improvement opportunities with its physician enterprise of over 500 physicians across the spectrum of pediatric subspecialties.

the process

ECG collaborated with Children’s National to identify performance improvement opportunities that would build upon and extend previous initiatives. The engagement included an assessment of operational and structural elements of the physician enterprise and identification of areas of underperformance. Payer contract rate structures and payment methodologies, revenue cycle performance, clinic operations, provider-based billing, organization and management structure, and physician deployment, productivity, and compensation were evaluated. Next, a prioritized list of targets by functional area or division/department was created along with an action plan and associated timelines for achieving the improvements.

the outcome

During the first year, Children’s National realized $7 million dollars in additional revenue from implementing ECG’s recommendations, and the new physician leadership structure is in place. ECG is providing ongoing support with negotiation of payer contracts.