Magnitude of Assumed Impacts of New Model of Family Medicine
| Practice Outcome | ||||
|---|---|---|---|---|
| New Model Feature | Up-Front Training Costs | Number of Services | RVUs per Service | Physician Time per Service |
| RVU = relative value unit; MD/DO = medical doctor or osteopathic physician; CPT = Current Procedural Terminology; RN = registered nurse. | ||||
| * Substitutes for CPT 99212. | ||||
| Open-access scheduling | None | −6.5% | 10% | None |
| Online appointment | 1 d × 2 administrative staff | None | None | None |
| Electronic health records | 3 d × number of users | None | 1% | −5% |
| Group visit | 2 d for 1 MD/DO + 2 d per clinical staff person | None | None | −50% |
| E-visits | None | None* | None | Half of CPT 99212 |
| Chronic disease management | None | None | None | None |
| Web-based information | Part of office expenses | None | None | None |
| Team approach (leveraging staff) | $2,000 + 5 d for 1 MD/DO + 5 d per clinical staff person | None | None | −5% |
| Clinical practice guideline software | $2,000 + 3 d for 1 MD/DO +3 d per clinical staff person | None | None | −3% |
| Outcomes analysis | 5 d for 1 MD/DO and clinical staff person | None | None | 5 d/y |