I was intrigued by a footnote in a current article and followed it to this study published a couple of years ago. The authors surveyed nine medical practice administrators who had experience with the medical home model. They developed the following PROPOSED staffing ratios for a patient-centered medical home.
Staff FTEs / 1 Physician FTE (with a provider panel of 2,150)
- 1.42 clerical
- 1.33 RN, Medical assistant, Tech, LPN
- 0.4 RN care manager
- 0.25 Nurse practitioner/physician assistant
- 0.25 health coach
- 0.25 social work and mental health providers
- 0.2 pharmacist
- 0.1 nutritionist
- 0.05 clinical data analyst
- 4.25 TOTAL OF THE ABOVE
Note: The numbers that I report above are a little different from what you are going to see in the published article. There was an error in some of the line items in Table 2 in the published article. I contacted the author, Dr. Mitesh Patel, who sent me a corrected table.
Source: Patel, M.S., Arron, M.J., and others. (2013, June). Estimating the staffing infrastructure for a patient-centered medical home. American Journal of Managed Care, 19(6), 509-516. Retrieved from http://www.ajmc.com/journals/issue/2013/2013-1-vol19-n6/Estimating-the-Staffing-Infrastructure-for-a-Patient-Centered-Medical-Home/ Posted by AHA Resource Center (312) 422-2050, email@example.com