A question on the SOAPM list this morning made me realize that I haven't updated the S:W ratio data here in quite some time.  The ratio has maintained a steady drop since we started measuring and with good reasons:

• Vaccines work
• Practices are paying attention to preventive care
• We've had a few low-viral seasons
• High Deductibles actually make patients think twice before coming in for a runny nose (as they should)

If someone asks nicely enough, I can do an ICD comparison for the last few years and you see how things have changed.

Back to the question at hand.  What is the S:W ratio for independent pediatric practices?  Let's go to the tape.