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  • 1.  Ambulatory Staffing Metrics for Primary Care Clinics

    Posted 2 days ago

    Hi everyone,

    Curious to learn how others are structuring primary care staffing models for clinical teams.

    Are you using defined FTE ratios tied to provider staffing, or a more flexible model based on volume/workload (e.g., wRVUs, panel size, acuity)?

    Specifically, I'm trying to understand what others are seeing for:

    • MA-to-provider ratios

      • Example: 1 MA per 0.6–1.0 provider FTE

    • LPN support models

      • Example: 1 LPN per ~4 provider FTEs (0.25 per provider)

    • RN integration in primary care teams

      • Are you staffing RNs per provider (e.g., 0.5–0.7 per 1.0 provider FTE), per panel size, or embedding them based on care management needs?

    Would appreciate insight into:

    • What baseline model you use
    • What drivers trigger increases (volume, complexity, value-based care, etc.)
    • Any lessons learned balancing efficiency with safe, team-based care

    Thank you in advance for sharing your approaches!



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    Alaphia Henson MSN, RN NE-BC
    Assistant Director Patient Care Services: Primary Care/Population Health Collaborative
    Emory Healthcare
    Atlanta, GA 30322
    404-783-2025
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  • 2.  RE: Ambulatory Staffing Metrics for Primary Care Clinics

    Posted yesterday

    It is always so fascinating to me when other teams seem to be looking at similar things that we are across the country!

     

    My organization does not have a great system and currently uses MGMA benchmarking standards by specialty to determine our staffing matrix based on wRVUs. We set a standard wRVU expectation and staff to that productivity – which doesn't account for exceeding that expectation for productivity, panel size, or acuity.

     

    Jessica Schonefeld, MSN, RN, AMB-BC
    Sr. Director, Clinical Practice Optimization

    Clinical Administration
    Orlando Health Medical Group (OHMG)

     






  • 3.  RE: Ambulatory Staffing Metrics for Primary Care Clinics

    Posted 17 hours ago

    My organization is working through this as well.  We are currently performing a baseline assessment of which role is performing each office activity.

    I'm interested in hearing how others are addressing current staffing models.



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    Dedria Sowder, MSN-Ed, RN, AMB-BC, NPD-BC, CPN
    Leadership SIG Past Chair
    Clinical Educator, Carilion Clinic
    Roanoke Virginia
    540-314-3028
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    Original Message


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