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  • 1.  Ambulatory Staffing Metrics for Primary Care Clinics

    Posted 06-01-2026 14:59

    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!



    ------------------------------
    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 06-02-2026 08:46

    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 06-02-2026 16:19

    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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