1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evidence would be helpful?

The area of primary care delivery capacity is poorly studied. MIPS data helps with volumes of services but is limited when it comes to the type of practitioner. There are ways to estimate primary care delivery but they are not widely understood and have not been compared to MIPS and other data.

2. Why are you struggling with this issue?

I developed the Standard Primary Care Year measuring tool. This tool estimates the future primary care delivery capacity by type of graduate. It is the product of years in a career, percent active in workforce over a career, percent in primary care for the active workforce, and a volume adjustment such as 15% less for nurse practitioners.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

Over time it is apparent that all sources of primary care have decreased to lower levels of primary care retention. Using the Standard Primary Care Year measuring tool, the changes in primary care delivery capacity can be estimated.

4. When do you need the evidence report?

Mon, 01/01/2024

5. What will you do with the evidence report?

It is important for most Americans, the ones most behind, to move from half enough generalists and general specialists to sufficient levels - particularly in primary care. Resolution is needed via the financial design to accomplish this. It does not appear possible to graduate enough of any source to be able to reach sufficient primary care because of declining primary care retention. Until the financial design results in better entry into and retention within primary care, the US will never reach sufficient levels.

Optional Information About You

What is your role or perspective? Basic health access researcher

May we contact you if we have questions about your nomination? Yes