Advanced Applications of Home-Based Primary Care - Virtual Workshop-Staffing Model References

Staffing Model References

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The document provides examples of different staffing models used in medical practices along with some relevant metrics and targets.<br /><br />1. **Pod System Example**:<br />   - Not detailed in the provided text.<br /><br />2. **Independent Practice**:<br />   - Handles a patient census of 1,900.<br />   - Staffing includes:<br />       - Physicians: 1.1 Full-Time Equivalent (FTE) across 3 part-time physicians.<br />       - Nurse Practitioners/Physician Assistants (NP/PA): 9.2 FTEs involving 12 providers.<br />       - Medical Assistants (MAs): 5 FTEs.<br />       - Scribes: 5 FTEs.<br />       - Patient Care Coordinators/Office Support: 8 FTEs.<br />       - Administrative Staff: 2 FTEs.<br /><br />3. **Home-Based Primary Care (HBPC) Program, affiliated with a Health System**:<br />   - Manages a patient census of 800.<br />   - Staffing includes:<br />       - Practice Administrator: 0.25 FTE.<br />       - Physicians: 1.1 FTE.<br />       - Nurse Practitioners (NPs): 3 FTEs.<br />       - Registered Nurses (RNs): 1.5 FTEs.<br />       - Medical Assistants (MAs): 1.5 FTEs.<br />       - Administrative Staff: 2.5 FTEs.<br /><br />**National Visit Per Day Averages**:<br />   - Providers accompanied by an assistant average 8-10 visits per day.<br />   - Providers traveling alone, particularly in rural areas, average 5-7 visits per day.<br />   - Aiming for 45 visits per week is suggested as a target goal.<br /><br />**Patient Panel Sizes**:<br />   - Example 1:<br />       - Patient Panel per Provider: 200<br />       - Patients per Care Manager: 200<br />       - Patients per Medical Coordinator: 400<br />   - Example 2:<br />       - Patient Panel per Provider: 170-200<br />       - Patients per Triage Medical Assistant (MA): 300-400<br />       - Patients per Care Manager (Non-Clinical Support): 400-500<br /><br />This summarizes different staffing models, visit targets, and patient panel sizes, illustrating aspects of practice management within health systems.

Keywords

staffing models

medical practices

patient census

Full-Time Equivalent

Independent Practice

Home-Based Primary Care

visit targets

patient panel sizes

practice management

health systems