|
Post by Tanya Munroe on Feb 20, 2018 11:39:00 GMT -5
We recently got this question and some very helpful answers! Q: Our providers are wanting to shift from doing 2 groups per day & clinic in the afternoon to just 2 groups per day. They are looking for ways to address leadership with this ask. Their numbers are up and steady in groups. A: In our practice we average 10 patients per group and have a morning group and an afternoon group, 20 patients per day. After collecting data from clinic, we found that because no show rates are lower in Centering, the centering provider sees more patients than the clinic provider. I would also say that for any provider, doing 2 groups/day plus regular clinic is a recipe for burnout. Provider sustainability and happiness is important and saves money over time. Most clinics offer 4 hour clinic sessions. It is reasonable and customary to have a morning group and an afternoon group. Or afternoon and evening groups. Any more is really not sustainable unless a site has very low volume. A: Centering was designed to replace a 4 hour clinic session. (1 hour for prep, 2 hours for group and 1 hour for documentation and followup) . When people go over 10 to 12 patients a group it can be more then they do in a clinic session. Smaller groups last for shorter times (less time needed for assessment and conversation). Mary Fitzmaurice shared the attached policy for seeing additional patients IF the groups were smaller then required. This can preempt the cancelling group conversation and is predicated on the add-on patients being uncomplicated. Sample Policy for adding patients after group.docx (14.39 KB)
|
|
|
Post by Mary Fitzmaurice on Feb 20, 2018 11:52:33 GMT -5
I would add that the policy above is for groups scheduled 9-11am or 130-330pm.
|
|
|
Post by Margie on Feb 20, 2018 12:03:52 GMT -5
In reality, 2 groups plus an afternoon clinic or two clinic sessions and a evening group can be done when people are enthusiastic and throwing all their energy into getting Centering up and running but it becomes unsustainable very quickly. This leads to burnout and somehow the number of people recruited for Centering starts to drop - groups become less efficient from the productivity point of view. In order for it to be successful over time, we have to pay attention to and nurture the people who are facilitating groups. This means making the demands realistic. I have worked with clinics who keep their Centering as a clinic because it means higher provider satisfaction and lower provider turnover... a win win for providers and the clinic. I would take this back to the steering committee and explore the Provider productivity requirements at the site.
|
|