Input Data for the Model
| Parameter | Mean (95% CI) |
|---|---|
| CDA strategy | |
| Scribe annual wage plus benefit cost15 | $26,741 ($21,879-$38,896) |
| Probability of turnover of scribes, per month16 | 8.3% (6.3%-10.4%) |
| ATBC strategy | |
| MA FTE per full-time MD before ATBC (increased to 2.0 FTE per full-time MD after ATBC)17 | 0.73 (0.44-0.97) |
| MA annual wage plus benefit costs18 | $41,360 ($34,122-$48,598) |
| Probability of turnover of MAs, per month20 | 1.1% (0.8%-1.4%) |
| Both strategies | |
| Visits per day by full-time MD17 | 17.5 (14.03-4.2) |
| Days per year worked by full-time MD17 | 220 (208-232) |
| Revenue per visit17 | $102 ($91-$113) |
| Visit duration, min17 | 24.4 (18.3-30.5) |
| Proportion of visit no-shows among new visits21 | 6% (3.5%-11.5%) |
| Payments per patient per month under capitation12 | $19.43 ($16.65-$27.76) |
| Visits per patient per year under capitation17 | 2.2 (2.0-2.4) |
ATBC = advanced team-based care; CDA = clerical documentation assistant; FTE = full-time equivalents; MA = medical assistant; MD = doctor of medicine.
Note: Dollar values are in 2017 US dollars adjusted for inflation based on the Consumer Price Index.