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
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- Winter '16
- Melissa, Rubio