Changes in Patient Satisfaction Staff Satisfaction and Efficiency Following the Implementation of the Air Force Primary Care Optimization Program

Abstract

Efficiency staff satisfaction and, possibly, patient satisfaction increased following implementation primary care optimization' (PCO). support staffing increased 62%, but was still below Air Force goals. Only 33% of'optimized' providers had a full complement of support staff. Enrollment increased 32% while daily productivity increased 21 to 35% depending on the calculation method utilized. Two areas of staff satisfaction: workload, and compensation, decreased following PCO. Five areas of staff satisfaction: treatment team, patient relationships, facility Support, efficiency, and quality, increased following PCO. The number of hours worked per week, nursing support, and the staff position were key variables affecting staff satisfaction. Other important variables included age, gender, and type of employee. Administrative activities were related to lower satisfaction. Efficiency gains have been impressive, but 18% more efficiency will be needed to meet the Surgeon General? 5 goal of an average enrollment of 1500 patients per provider. As primary care optimization matures and the leadership continues to press for more productivity, PCO staff satisfaction may decline because of longer hours' and a more hectic work pace. Staff satisfaction and patient satisfaction should be monitored closely to ensure that further increasing productivity does not have an adverse effect on these important factors.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2001
Accession Number
ADA420629

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  • George P. Johnson

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  • Air Force
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