Table 3.
Topic | Provider Feedback | |
---|---|---|
IVM (n = 6 physicians, 3 NPs and/or PAs) | SVM (n = 5 physicians, 3 NPs and/or PAs) | |
Factors influencing practice model | Clinical volume | Physician preference |
NP/PA experience | Physician RVU targets | |
Desire to have collaborative model built on expertise/strengths of both physicians and NPs/PAs | Easier for physician to manage schedule, given difficulty with support staff managing schedule | |
Perception that model increases capacity and revenue | Perception that patient wants to see physician | |
Perception that shared visits cause delays for patient | Value added by both physicians and NPs/PAs | |
Confidence that RVUs high enough for physician to allow independent NP/PA visits | Physician desire to maintain control of patient care | |
Skills of each clinician applied where those skills are needed | Perception that physician billing generates more revenue | |
Physician satisfaction | Very satisfied | Very satisfied |
NP/PA satisfaction | Very satisfied | Moderately satisfied |
Managers of non–face-to-face clinical work | NPs/PAs, program RNs | NPs/PAs, program RNs |
Ideal practice model features | Program RNs perform triage, manage non–face-to-face clinical work | |
More robust clinical administrative support system for managing patient scheduling | ||
Truly collaborative team of physicians, NPs, PAs, RNs, administrative support |
Abbreviations: IVM, independent visit model; SVM, shared visit model; NP, nurse practitioner; PA, physician assistant; RVU, relative value unit; RN, registered nurse.