You are the new administrative resident for a family practice clinic. On the first day of your new job, the clinic director gives you the following chart showing a snapshot of patient encounters over the course of a day in the facility.

You are the new administrative resident for a family practice clinic. On the first day of your new job, the clinic director gives you the following chart showing a snapshot of patient encounters over the course of a day in the facility.

There are currently 8 providers in the clinic. Providers 1 and 2 are Physician Assistants, Providers 3, 4, 5 and 6 are Nurse Practitioners and Providers 7 and 8 are Physicians. The clinic director tells you that although this statistical process control graph only represents activities for one, an 8 hour day, the outcomes are very consistent for each provider over the course of a week and for a month.

The director also tells you that although Provider 4 is seeing more patients per day than his peers, that this provider is also receiving low to average feedback from patients because they feel the provider is rushing them through their appointment. The opposite is true for Provider 3 where this provider always receives the highest patient satisfaction scores on a quarterly basis from patients.

Provider 8 is the clinic’s Fellow in Family Medicine, and reviews all the cases of the other providers on a regular basis. Provider 7 is an intern and just out of medical school the previous year.

Providers 1, 2, 5 and 6 have all been with the clinic since it opened 5 years ago . All four providers receive equal patient satisfaction feedback on a quarterly basis from patient encounters and both the PAs and the NPs have equal loads of administrative duties.

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