Primary Care Practice Redesign

Redefining Primary Care in an Evolving Rural & Community Healthcare Landscape

The U.S. healthcare system stands on the cusp of an era marked by a shortage of primary care physicians. As the baby boomer generation ages, the demand for medical care grows, and expanded insurance coverage under the Affordable Care Act is ushering in more patients. With the impending retirement of nearly one-third of the physician workforce and fewer physicians opting for careers in primary care, the need for a transformative approach is evident—especially in rural settings. Stroudwater Associates’ Primary Care Practice Redesign is leading the way in helping rural and community hospitals make changes to their primary care practice model that result in powerful impacts on the hospital and the patients.

The Way Forward

Team-Based Model of Care

Team-based care is a paradigm shift. It places every member of the rural hospital staff at the helm of patient care, ensuring:

Enhanced Patient Relationships

Physicians, NPs, and PAs have more time to listen, think deeply, and build trust with patients.

Increased Efficiency and Revenue

The model accommodates more patient volume and provides high-quality care, maximizing revenue opportunities.

Optimal Utilization of Resources

Providers can see more patients and expand their panel size without overburdening the system.

Innovations in Workflow for a Superior Primary Care Experience

The experience of primary care is enriched by:

Redesigning Office Practices
for Team-Based Workflow

An optimized primary care environment divides office visits into distinct stages.

Medical Assistants document patient concerns, update medical histories, review health maintenance tasks, administer vaccines, and inform about Advance Care Planning.
Both the provider and assistant enter the room. The MA assists as a scribe while the provider verifies data, interacts with the patient, and performs the exam.
Diagnoses and treatment plans are formulated jointly by the provider and patient, with the assistant handling documentation.
The provider reviews all documentation and orders. Meanwhile, the assistant ensures the patient understands their instructions, provides required information, and schedules follow-ups.

Tangible Benefits of Practice Redesign in a Rural or Community Hospital

Financial Performance

Estimated revenue increases by $145,000/physician/year. Profit margins can surge up to 25% due to enhanced patient service revenue and standardized operations. Provider turnover costs, estimated at $1.2 million/FTE, are significantly reduced.

Patient Experience

A transition to a team-based model resulted in 91% of patients recommending the provider, up from 80%. Feedback includes praises such as “I see a team” and “They are working together.”

Patient and Provider Engagement

Empowered patients lead to improved outcomes. Moreover, reduced turnover ensures enhanced provider-patient relationships. The transformation is complete when the team feels ownership of the process.

Embracing the STEPS to Implementing Team-Based Care

Guided by the American Medical Association’s STEPS framework, our team focuses on:

Engaging the change team

Determining team composition

Choreographing workflows for the new care model

Intensifying communication among all parties

Using a phased approach for model implementation

Optimizing the care model for continual improvements

The Primary Care Practice Redesign Team


Senior Consultant

Clinical & Quality



Physician Practice



Clinical & Quality

Pioneering the Future of Primary Care in Rural Hospitals

In a realm of challenges and change, our team partners with rural and community hospitals to help transform their primary care practices. With our patient-centric, efficiency-driven redesign, we ensure a future where all involved, from providers to patients, benefit from superior care delivery.

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