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. Author manuscript; available in PMC: 2012 Jul 11.
Published in final edited form as: Arch Intern Med. 2011 Apr 25;171(13):1150–1159. doi: 10.1001/archinternmed.2011.168

Table 4.

Physician and practice outcomes

Source No-show rate, practices without AA No-show rate, practices with AA Absolute change in no-show rate P value Visit volume, physician productivity, and compensation outcomes
Mallard et al., 200441 43% 19% −24% <.0001

  • Productivity 89%→122%, p<.0001.

  • New patient volume/month 78→95
O’Connor et al., 200643 21% 9% −12% <.02
Cherniak et al., 200742 18% 11% −9% 0
Bundy et al., 200529 16% 11% −5% (95% CI, −10 to −1) <.05
Lasser et al, 200536 17.2% 15.4% −1.8%
OR 0.80 (95% CI, 0.74 to 0.86)		 <.0001
Belardi et al., 200426 8.6%→7.8% 9.2%→6.7% −2.6% NS

  • Increased RVU/pt/session 1st quarter only (1.32→1.51); then back to baseline

  • No change patients/session

  • No change panel size for AA; significant increase for traditional
Salisbury et al., 200733 4.8→4.7% 4.3→3.4% −0.9% 0.85

  • No change in patients/session (difference 1.2, 95% CI −7.1 to 9.4)
Bennett et al., 200927 19.7% 19.3% −0.4% NS
Kennedy et al., 200365 10% 6% −4% NR

  • Charges/FTE increased $11,560 to 16,844

  • Revenue/FTE increased $4,978 to $10,316

  • Visit volume “increased”
Meyers et al., 200339 Family practice: ~3.7%
Pediatrics: ~3.5%
Military medicine: ~2.9%
Internal medicine: ~1.9%		 Family practice: ~2.4%
Pediatrics: ~2.9%
Military medicine: ~4%
Internal medicine: 0%		 Family practice: ~−1.3%

Pediatrics: ~−0.6%
Military medicine: ~1.1%

Internal medicine: ~−1.9%		 NR
Mehrotra et al., 200831 14% 14% 0% NR
Radel et al., 200140 “Financial performance improved”
Solberg et al, 2004 and 200625,34, Lewandowski et al., 200666 Office visits/patient*
 CHD 8.2→8.9, p<.0001
 DM 7.0→7.0, p=0.22
 Dep 11.4→10.9, p<.001

Total healthcare costs per person
CHD $16,631→$18736
DM $7607→$8407
Dep $6409→$7731

Financial performance

  • WRVU per FTE increased from 2,930 2 years prior to intervention to 3,980 2 years after intervention*

  • Physician production efficiency ($ paid per WRVU) decreased from $44.70 to $38.85

  • Average compensation increased from $123,581 per FTE to $148,200 per FTE

    * simultaneous change of physician payment from salary to WRVU-based system
Subramanian et al., 200948 Office visits/patient
OR 1.00 (95% CI, 0.92 to 1.08)
*

Data from Solberg 2004. In Solberg 2006, results reported as 10.8→10.4, p < 0.01.

AA, advanced access; NS, not significant; NR, not reported; FTE, full-time equivalent; RVU, relative value unit; WRVU, work relative value unit.