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What is the Optimal Panel Size in Primary Care? A Systematic Review

4 August 2019 . Prepared for: Department of Veterans Affairs Veterans Health Administration Health Services Research & Development Service Washington, DC 20420

What Is the Optimal Primary Care Panel Size?: A Systematic Review

Background: Primary care for a panel of patients is a central component of population health, but the optimal panel size is unclear. Purpose: To review evidence about the association of primary care panel size with health care outcomes and provider burnout. Data sources: English-language searches of multiple databases from inception to October 2019 and Google searches performed in September 2019.

Estimating a Reasonable Patient Panel Size for Primary Care Physicians ...

PURPOSE Primary care faces the dilemma of excessive patient panel sizes in an environment of a primary care physician shortage. We aimed to estimate primary care panel sizes under different models of task delegation to nonphysician members of the primary care team. METHODS We used published estimates of the time it takes for a primary care physician to provide preventive, chronic, and acute ...

Standardizing Primary Care Physician Panels: Is Age and Sex Good ... - AJMC

Primary care physician panels vary markedly in work effort needed. Age/sex adjustment is sufficient to account for this for children, but not for adults.

Who is the author of The Right Sized Patient Panel?

Weber R, Murray M. The right-sized patient panel: a practical way to make adjustments for acuity and complexity.

Why is the workload of a physician not captured by panel size?

Even when adjusted for the case-mix complexity of their patient populations, the comparative workload of physicians may not be fully captured by panel size because of the work involved in seeing other physicians' patients (non-attributed). Physician A may see many non-attributed patients from their colleagues, while Physician B may see fewer non-attributed patients. The more non-attributed patients in a physician's panel, the greater the workload relative to calculated panel size. That is, a manageable panel size for Physician A will be lower than that for Physician B.

How long is a patient considered new?

A patient is considered “new” if he or she has not had a face-to-face service in the last 3 years from the previous date of service.

What is the first step in panel size optimization?

Quiz Ref ID#N#The first step in panel size optimization is to attribute individual patients to a single physician or clinical care team. In some organizations, patients have pre-selected their PCPs through the insurance/health plan, while in other settings, patients are permitted to change PCPs regularly or see multiple PCPs.

Why is it important to take into account the variables in panel size?

to adjust the effective panel size. Taking into account these variables allows for greater equity in panel size expectations across different physician practices.

How long is the look back period for a patient?

Define the look-back period (the duration of the patient's care in the practice). A look-back period of between 18 and 36 months is commonly accepted when assigning patients to a particular physician.

What is a clinical team?

is a group of patients assigned to one specific physician or clinical team. The team is dedicated to the care of those within that panel.