Medical Group Strategy Council Physician Practice Roundtable Putting

Medical Group Strategy Council Physician Practice Roundtable Putting Access in Physician Terms Two reasons physicians should prioritize medical group access

4 Two reasons access expansion matters for physicians Status quo: Physicians see access as at odds with their individual physician interests Today’s goal: Physicians see the relationship between access and individual success Socialization “Access means more work and less control for me. ” “Access is good for me, my patients, and the group. ” Two reasons access matters 1 Your patients q Patient experience 2 Your wallet q Financial sustainability q Clinical outcomes q Group mission © 2019 Advisory Board • All rights reserved • advisory. com Source: Advisory Board interviews and analysis.

5 Patient experience Access key to winning patient loyalty Seven of Top 10 Scenarios Making Respondents Likely to Switch PCPs Are Access-Related 1 I can walk in without an appointment, and I’m guaranteed to be seen within 30 minutes 2 I can walk in without an appointment, and I’m guaranteed to be seen within an hour 3 Lab tests and x-rays done on site 4 I can get an appointment for later today 5 I will be treated by a doctor instead of an NP or PA 6 The clinic is open 24/7 7 The clinic is open on weekends 8 The clinic staff will coordinate any follow-up care 9 The provider helps me plan ways to stay healthy in the future 10 It will take me 10 minutes or less to travel to the clinic © 2019 Advisory Board • All rights reserved • advisory. com View The Market Innovation Center’s consumer surveys at advisory. com Source: Market Innovation Center, 2019 Updates in Primary Care Consumer Preferences, Washington, DC: The Advisory Board Company, 2019; Advisory Board interviews and analysis.

6 Clinical outcomes You can’t treat patients unless they can get in Poor patient access has clinical implications too Long appointment wait times…. …Lead patients to… 2017 average wait times by specialty, major markets Specialty Wait time (days) Dermatology 32. 3 Family medicine 29. 3 Ob/gyn 26. 4 Cardiology 21. 1 Forgo visits Delay treatment Go to inappropriate sites of care Orthopedic surgery 11. 4 © 2019 Advisory Board • All rights reserved • advisory. com Source: Merritt Hawkins, “ 2017 Survey of Physician Appointment Wait Times; ” Advisory Board interviews and analysis.

7 Group mission Strong patient access central to group mission To customize slide: • Write group’s mission statement in text box [INSERT GROUP MISSION STATEMENT] © 2019 Advisory Board • All rights reserved • advisory. com Source: Advisory Board interviews and analysis

8 Financial performance Access also impacts group, physician bottom line Unused appointment slots… …Leaving money on the table Potential revenue loss per physician 1 14% Appointment slots go unused due to provider template decisions ($26 K) Internal medicine ($45 K) Cardiology ($40 K) Orthopedics Study in brief: The high-performing physician network (Athena) Time to third next available appointment one of seven variables consistently correlated with strong physician group financial performance 1) Analysis based on number of visits and w. RVUs from Integrated Medical Group Benchmark Generator and 2019 MPFS conversion factor. © 2019 Advisory Board • All rights reserved • advisory. com Source: “The high-performing physician network, ” Athenainsight, 2017; Primary Care Access Benchmarks for Medical Group Leaders; Integrated Medical Group Benchmark Generator; Advisory Board interviews and analysis.

9 Improving group access is a financial imperative A closer look at our financial performance EDIT GRAPHIC TITLE: Gap to revenue target EDIT GRAPHIC TITLE: Declining visit volumes To customize slide: • Double click on graphics • Under “Design” tab, click “Edit Data” • Input group data in Excel sheet • Edit graphic titles Expected revenue Actual revenue Visits total Visits per patient, per year © 2019 Advisory Board • All rights reserved • advisory. com Source: Advisory Board interviews and analysis.

10 Sample additional resources Available with Advisory Board membership WEBINAR Building the All-Access Medical Group New Frontiers in Patient Access Understand how to maximize the capacity of your existing sites and capture available access across the network. WATCH NOW Hear about three tactics to raise the bar on access, including select same-day specialty care and technology-enabled primary care. WATCH NOW WEBINAR EXECUTIVE BRIEFING Broadening Access Opportunities 10 Steps to Centralized Scheduling Review actionable steps for navigating convenient care partnerships, building nontraditional work hours into the physician schedule, and leveraging virtual care. WATCH NOW Read about the foundational steps every group should take to ensure that they realize the full benefit of investments in scheduling infrastructure. READ NOW To access these and other related resources, visit: advisory. com/mgsc/accessexpansion © 2019 Advisory Board • All rights reserved • advisory. com Source: Advisory Board interviews and analysis.