Article Figures & Data
Tables
PCP Characteristics Survey Response Primary care specialty (%) Family medicine 65% General internal medicine 23% Pediatrics 12% Sex Male 42% Female 58% Years in practice (%) 1–4 25% 5–9 12% 10–14 17% 15–19 11% ≥20 35% Mean clinical full time equivalent Family medicine 0.6 General internal medicine 0.7 Pediatrics 0.8 Mean panel size (n) Family medicine 1078 General internal medicine 1219 Pediatrics 1331 - Table 2. Work Relative Value Units (wRVUs) and Mean Primary Care Provider (PCP) Survey-Generated Workload by Type of Encounter
Encounter Sample Size (n) wRVU (If Applicable) PCP Survey-Generated Workload, Mean (SD) Face-to-Face Hospital care Admission 142 1.92–3.86 3.20 (0.94) Discharge 137 1.28–1.90 2.80 (1.04) Rounds 132 0.76–2.00 2.14 (0.90) Obstetric care Inpatient (labor management) 75 14.37* 2.86 (1.25) Outpatient 85 0.97 1.03 (0.55) Preventive health visit New patient, age 40–64 185 2.33 2.51 (0.82) Established patient, age 40–64 185 1.90 1.82 (0.71) Emergency department consult 132 0.45–3.80 2.38 (1.12) Off-site facility, established patient (skilled nursing facility) 136 0.76–2.35 2.21 (0.88) Office visit (level 3) New patient 184 1.42 2.08 (0.69) Established patient (Reference) 0.97 1.00 Non–Face-to-Face Telephone call (incoming and outgoing) 185 N/A 0.63 (0.49) MyChart messaging/E-visit (incoming and outgoing) 184 N/A 0.59 (0.53) Letter generation 185 N/A 0.45 (0.54) Orders only 184 N/A 0.41 (0.38) Medication refill 185 N/A 0.35 (0.45) Allied health/nurse only visit 169 N/A 0.32 (0.40) ↵* Includes the delivery wRVU component of the normal spontaneous vaginal delivery global package wRVU.
SD, standard deviation.
- Table 3. Total System-based Work Relative Value Units (wRVUs) and Primary Care Provider (PCP) Site-based Workload by Patient Clinical Risk Group (CRG) Status (N = 105,288)
CRG Status (in Order of Severity) Total System-Based wRVUs PCP Site-Based Workload Face-to-Face Encounters Non–Face-to-Face Encounters Total Encounters (Face-to-Face and Non–Face-to-Face) Healthy 21.1 (27.3) 6.3 (5.3) 6.6 (9.4) 12.9 (13.1) History of significant acute disease 49.1 (58.8) 9.2 (7.5) 11.4 (15.7) 20.6 (21.1) Single minor chronic disease 44.5 (50.6) 11.2 (9.3) 15.1 (17.3) 26.3 (24.4) Minor chronic diseases in multiple organ systems 56.4 (73.7) 12.3 (9.2) 18.2 (17.4) 30.5 (25.3) Significant chronic disease 53.7 (66.7) 10.1 (8.5) 17.8 (21.4) 27.9 (27.7) Significant chronic diseases in multiple organ systems 102.8 (91.7) 20.0 (17.3) 36.8 (34.9) 56.8 (46.7) Dominant chronic disease in ≥3 organ systems 301.2 (38.5) 30.4 (6.2) 103.0 (31.5) 133.4 (25.3) Dominant/metastatic malignancy 93.7 (107.7) 11.3 (6.3) 20.0 (23.1) 31.3 (27.1) Catastrophic 185.1 (217.2) 12.1 (12.5) 24.0 (31.9) 36.2 (40.3) Data are presented as mean (standard deviation).
Patient Characteristics Sample Size (n) Average Score (SD) Chronic pain/fibromyalgia/myofascial pain 183 79.3 (17.2) Alcohol or drug overuse/abuse 185 75.5 (17.3) Somatization disorder 179 73.9 (20.0) Unspecified psychiatric condition/personality disorder 184 73.2 (20.1) Total prescription medication count >10 180 72.6 (21.1) Chronic opioid/stimulant use (ADD/ADHD) 185 72.2 (20.0) Homelessness 174 69.8 (22.9) Bipolar 182 68.5 (20.8) Dementia/cognitive impairment 179 66.7 (18.5) Schizophrenia 165 65.9 (21.7) Eating disorder 172 65.1 (22.3) Uninsured/underinsured/lack of resources 184 64.4 (22.7) Case management support (eg, community-based care manager) 177 64.0 (23.0) Social disruption 178 63.5 (21.5) Autism 164 63.1 (21.3) Interpreter needed 184 62.4 (23.2) Cerebral palsy/global developmental delay/genetic syndrome 176 61.4 (22.3) Congestive heart failure/congenital heart disease 183 61.3 (18.9) Medicare, <65 years old (on disability or has renal failure) 172 60.9 (20.9) Transplant 172 58.8 (24.5) Depression/anxiety 185 57.8 (21.4) Diabetes (type 1 or type 2) 183 57.0 (20.4) Cancer (current or history of cancer excluding nonmelanoma skin cancer) 177 56.4 (19.9) Gender identity/transgendered 146 53.3 (26.6) Chronic kidney disease 183 52.2 (20.7) Asthma/COPD/cystic fibrosis 185 50.6 (18.5) Literacy problems 176 50.0 (22.2) Learning disability 178 49.1 (21.6) >5 No-shows or patient cancellations within 3 years 183 48.0 (25.9) Obesity 185 47.3 (21.2) Hypertension 184 36.8 (19.4) ADD, attention deficit disorder; ADHD, attention deficit/hyperactivity disorder; COPD, chronic obstructive pulmonary disease; SD, standard deviation.
