Increasing my productivity would be my main proposal

positive patient-provider relationships, therefore increasing patient satisfaction. Increasing my
productivity would be my main proposal strategy. Due to my current average of 20 patients per day and
experience over the past 2 years as a FNP, I could increase my average to 24 patients per day, therefore
increasing revenue for the practice. The way I can evident this is by utilizing a productivity-based
formula. I am going to assume the primary care practice is a fee-for-service practice since it does not
state whether or not it is in our discussion question. According to Buppert (2015), "fee-for-service
reimbursement is payment for specific healthcare services under a fee schedule" (p. 303). Health
services may include, but are not limited to, office visit, surgery, or suturing of a wound. (Buppert, 2015).
For example, if I am currently averaging 20 patients per day at $70 per patient visit, on average, I am
bringing in $1,400 per day of revenue to the practice. So, if I increase my average of patients per day to
25 at $70 per patient visit, on average, I will produce $1,750 per day of revenue, which amounts to a
$350 per day increase in practice revenue. When a primary care practice functions under a fee-for-

service system of reimbursement, the practice will generate more revenue as the nurse practitioner
increases the amount of services provided (Buppert, 2015). As we are already aware, employing a nurse
practitioner allows a physician to focus on more complex cases, reduces patient waiting times and will
provide a primary care practice with increased revenue (Kreimer, 2014). Another beneficial factor of
employing nurse practitioners is they can manage patient flow by accommodating more patients when in
fact a primary care practice is busy, which will also increase revenue (Kreimer, 2014).
Patient satisfaction has become an imperative attribute to the healthcare industry, therefore, primary
care practices are utilizing patient satisfaction surveys as a tool for measuring the quality of the staff and
overall performance of the practice (Kreimer, 2014). Another way to demonstrate my positive
contribution to the practice is by providing data and documents (patient satisfaction surveys) that
evident the quality of care I am able to provide to my patients. Buppert (2015) advises that any NP who
looks forward to renewing a contract should start gathering data to use in negotiating a good contract a
year ahead of time. By displaying the positive feedback from patient satisfaction surveys and proposing
to increase my number of patients seen per day, I feel the physician will have little to no difficulty on the
decision of whether or not to renew my contract. I feel it is imperative for nurse practitioners to