Table 5.

Details for Clinic Staffing in Six VA ACCs

Panel Size		FTE	Patient/FTE Ratio	Support Staff	Details
High outlier sites
Site 1	550	1.5	375	Specially trained clerks	ACC providers have considerable time for administrative tasks, much of which is also devoted to the ACC
Site 2	1700	4	425	2 pharmacy technicians	Workflow is highly streamlined and is aided by clinical management software
Site 3	250	1.5	167	None
Low outlier sites
Site 4	600	2	300	None	Pharmacists not dedicated to ACC; distraction may reduce effectiveness
Site 5	1000	1	1000	None	Approximately 1 additional FTE of resident labor in ACC
Site 6	800	1.5	533	1 pharmacy technician

Notes. Panel Sizes Were Determined from VA Automated Data (Rose et al. 2011b), whereas Pharmacist FTEs Assigned to the ACC during the Measurement Period (10/06-9/08) Were Determined through Interviews and Direct Observation. A Patient to FTE Ratio of No More Than 400 Is Generally Recommended by Consensus Guidelines (Ansell et al. 2008).

ACC, anticoagulation clinic; FTE, full-time equivalents (pharmacists, not counting support staff); VA, Veterans Health Administration.