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"Attorney Lynne J. Fiscella, Riverside Health System's corporate counsel, has watched
Anderson and his team. She agrees...the team approach improves outcomes because
it elicits the participation of the patient in history-taking more than some traditional
models - and yields pertinent details that patients tend to leave out when the physician
is in a hurry."
- Medical Economics,
August 3, 2007
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"At Riverside Medical Group,
we are excited about Dr. Peter Anderson's teamcare approach to outpatient care.
While enhancing the patient's experience by providing more individualized treatment
and generous practitioner time, it also provides measurable financial benefits.
When compared to the typical family practitioner, Dr. Anderson is able to treat
approximately 25%
more patients during a normal workday. Additionally, the coding and documentation
improvements afforded by the teamcare concept have improved his net reimbursements
by 17.5%. It is our desire to see more primary care physicians adopt this model
of outpatient practice."
- Christopher A. Plyler
Chief Financial Officer
Riverside Medical Group
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“I am a strong proponent. My nurses love it. They are licensed professionals, capable of
doing 70-80% of the work and they enjoy it because it is more fulfilling for them to
practice up to the limit of their license.”
- Wallin Litwa, MD
St. Peters Health Partners, Troy, NY
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The Results Are Dramatic And Measurable!
The Riverside Health System conducted a study on the effectiveness of the "Family
Team Care" model. They specifically pulled data from the electronic medical record
for NCQA's Heart Stroke Recognition Program. "Twenty-six of the physicians in the
group (24 family physicians and 2 general internists) had enough ischemic vascular
disease patients to meet the eligibility requirements for the program, and Dr. Anderson's
performance on those measures was near the best in our group. The remarkable part
of that, of course is that his productivity is the best in the group for family
physicians. If we can substantially increase the throughput of a physician and at
the same time improve patient satisfaction and quality, then we have an ethical
duty, I believe, to pursue that course," says Dr. Charles O. Frazier, Director of
Medical Information at Riverside Health System.
"In summary, Dr. Anderson has found a way to elevate his productivity and salary,
while increasing patient satisfaction and performance on specific quality measures.
I have become a believer in this model, and I will do anything I can to help him
elevate his performance even more, and to disseminate the results of his model widely,"
adds Dr. Frazier.
Likelihood of Returning to Hilton Family Practice - Goal: 95%
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Patients require the care they need to restore or maintain their health and timely,
quick, access to their physician. Satisfied patients are loyal and provide the
patient base for the practice. Patient satisfaction is important for the "life"
of the practice. Satisfied patients do not look elsewhere for care and the satisfied
patient will recruit new patients for the practice. Using ninety-five percent as
an indicator of excellent customer service, the patients of Hilton Family Practice
indicated their likelihood to return for future care. This was measured with a patient
satisfaction survey. The graph below demonstrates the likelihood to return to Hilton
Family Practice as measured with satisfaction survey results for seven months in
2007.
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Comparison of Employee Satisfaction
*BPA Scores Between Hilton Family Practice
& Riverside Medical Group
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• Hilton Family Practice
• Riverside Medical Group
Patient satisfaction is important to customer loyalty and physician office efficiency.
Office practice is a team effort involving the physician and the office employees.
Satisfied employees contribute to patient satisfaction. Employee satisfaction is
measured and analyzed throughout the Riverside Health System using the Business
Practice Assessment of Success Profiles. Hilton Family Practice has consistently
had BPA scores above seventy-four indicating a high level of employee satisfaction.
Hilton Family Practice is a practice of Riverside Medical Group, a 2007 Employer
of Choice.
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Collections
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The visit and financial results of Family Teamcare in 2007 for Dr Peter Anderson
are as follows:
- Average patients seen per month #593, with 25 days off in 2007 for vacation or holiday.
Average percentage of Evaluation and Management codes: 99212's 1%, 99213's 50%, 99214's 49%
- Average hours working per week (this refers to time spent in all professional activities):
42-45 hours, with 5 weeks PTO
- Average charges per month $84,000
- Average collections per month $49,100
- Average collections per visit $89.00
- Total collections for 2009 $633,000
- Personal salary with benefits $235,000
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