A. Empanelment Exercise
Practice Empanelment Exercise
Name:
Date:
Information on patient visits to clinic in past year
| Patient | Provider 1 | Provider 2 | Provider 3 |
|---|---|---|---|
| John | 1* | 3 | 1 |
| Lisa | 1 | 1* | 1 |
| Nancy | 2* | 0 | 0 |
| Lucy | 1* | 4 | 5 |
| Samantha | 1 | 4* | 5 |
| Timothy | 2 | 2* | 4 |
| George | 1 | 3 | 2 |
| Michael | 1 | 1 | 1* |
| Bianca | 0 | 0 | 2* |
| Carl | 1* | 1 | 2 |
* Last provider seen
Where would you obtain these data for a practice?
Assign patients to a panel based on data above
| Patient | Provider 1 | Provider 2 | Provider 3 |
|---|---|---|---|
| John | |||
| Lisa | |||
| Nancy | |||
| Lucy | |||
| Samantha | |||
| Timothy | |||
| George | |||
| Michael | |||
| Bianca | |||
| Carl |
5600 Fishers Lane Rockville, MD 20857