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.
