Medical Group Management Association
Join Now
Announcement: Improved Navigation. We have upgraded our top bar navigation for a faster and more accessible experience. To provide feedback, please email service@mgma.com.
Top House Ad

Staffing evolution: Responding to a new environment

Insight Article - February 23, 2018

Staffing Models

Practice Efficiency

In the mid-19th century, Charles Darwin published On the Origin of Species by Means of Natural Selection, describing how species respond to their environment by adopting the traits that best enable survival. His theory of evolutionary change described how modern organisms are different from those that lived in the past and why separated populations adopt different forms and behaviors.

In many ways, medical groups exhibit a similar pattern of evolutionary change as practices respond to their local and national environments.

Among an administrator’s most complex tasks is staffing the right mix of skills and number of employees while keeping practice overhead as low as possible. Between meeting demands to increase patient volume and improve clinical support for providers, and complying with ever more complex regulations and demands from payers, staffing is one of the areas that no matter what a practice executive does, someone will not be pleased.

The need to balance demands and costs encourages practices to continuously examine staffing levels — one of the most frequently benchmarked metrics. Since staffing levels are a key performance indicator, it is important to know that they do not remain the same and that different types of practices have very different staffing levels and skill mix. Additionally, staff needs change over time as new demands are made on practices.

It is difficult for a practice to evaluate how staffing has changed over time, but MGMA’s national surveys offer insight into how practices staffed in the past and how they staff today.

Figure 1 compares clinical support staff per full-time-equivalent (FTE) physician as reported by participants in the MGMA Cost Survey in 2006 and again in the 2017 MGMA DataDive Cost and Revenue. During this 10-year period, many changes in clinical practice and in administration are reflected in staffing. Among the changes have been the widespread adoption of EHRs, a multitude of new clinical procedures, the implementation of digital technologies in the practice, and new data collection and reporting requirements associated with the shift from fee-for-service to forms of value-based payment.

Sign in to access this material

Member Login Become a Member

About the Author

David N. Gans
David N. Gans MSHA, FACMPE
Retired senior fellow, industry affairs MGMA

David N. Gans can be reached at davegans406@gmail.com.

X

Shopping Cart

Your cart is empty

Subtotal:
Click here if your organization is tax exempt
X

A State Sales tax exempt certificate must be on file and taxable items cannot be ordered online. For immediate assistance during normal business hours of 7:00am to 5:00pm MT M-Th and 7:00 am to Noon MT on Friday, please call toll-free: 877-275-6462, ext. 1888

X

Checkout

Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country

Grand Total:
Saved credit card is required for opt-in to autorenew.

Questions? Contact the MGMA Service Center for assistance during checkout or review our return policy for more information.
X

Confirmation

,
,

Total:
Payment:
Balance:
 

Thank you for your purchase! If you purchased an event, you will be receiving a follow-up email from our Learning Management System regarding the product/event purchased and no further action is required.


Loading...