This project began in planning phase in 2020. A team of clinicians, nurses, practice managers, directors, health IT experts, and data analysts aim to strategically increase staff support in clinics to achieve improved measures of practice performance. We calculated a positive return on investment and received approval from the health system for 3 pilot locations. The project “went live” in February 2023 in one family medicine clinic, one internal medicine clinic, and one pediatric clinic. We identified the following initiatives: increasing RN-led Medicare Wellness Visits, reducing appointment no show rates, increasing Transitional Care Management services, performing on quality measures. We also measure and monitor patient experience, care team function and satisfaction, access measures, productivity, patient portal utilization, and contribution margin via a dashboard created specifically for this project. Recognizing contribution margin as a key performance indicator, we partnered with a team member from business intelligence to build a new dashboard for volume and performance metrics. As of 10/30/24, we demonstrate pre-pilot net revenue per month of $499,073 and post-pilot net revenue per month of $548,733. Contribution margin per visit improved from negative $7 pre-pilot to positive $10 post-pilot. Our pilot was deemed successful and is now termed a project with spread to two additional family medicine clinic locations in July 2024.
The FM Department at the Zucker School of Medicine at Hofstra/Northwell created a GME POCUS program for the residents at the residency programs in the form of electives and a 12 week track (both ambulatory and inpatient). Simultaneously, the medical school had a UME curriculum for the students in POCUS starting from their first year. Upon the students entering the hospitals with their devices and entering residency programs, there was a need for credentialling of these individuals as well as the need for faculty to have the skills for oversight of new trainees. As such a standardized CME program was created along with delineation of privileges and credentialing guidelines.
