Magnitude of Assumed Impacts of New Model of Family Medicine
| Practice Outcome | ||||
|---|---|---|---|---|
| New Model Feature | Clinical Staff Time per Service | Office Expense | Administrative Staff | Malpractice Premium |
| 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 | None | None | None |
| Online appointment | None | $1,920/y | −10% in reception time and cost | None |
| Electronic health records | −5% | $35,000 per MD/DO, amortized over 5 y | −10% | −5% |
| Group visit | −50% | $250 per group visit | None | None |
| E−visits | Half of CPT 99212 | $3,000 | None | None |
| Chronic disease management | 1 RN per 200 patients | None | None | None |
| Web-based information | None | $10,000/y | Part of office expenses | None |
| Team approach (leveraging staff) | +5% | None | None | None |
| Clinical practice guideline software | +3% | None | None | None |
| Outcomes analysis | 5 d/y | None | None | None |