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#1. Purpose
The Panel Size Handbook outlines procedures that relate to (1) the calculation of current panel sizes and (2) adjusted target panel sizes for member organizations in Ontario.Following these procedures will ensure that all member organizations calculate panel size using a consistent formula. This allows for meaningful comparisons and reliable projections.This handbook will be updated frequently to incorporate any adjustments made to calculations, frequently asked questions and lessons learned over time.
#2. Background
There has been increasing interest amongst member organizations to determine a defensible target panel size for primary care providers. Two studies have influenced this handbook (please contact the Alliance for Healthier Communities for copies of both studies). Both studies were comprehensive examinations of current panel sizes among member organizations and looked at possible predictive factors influencing panel size. Based on these studies, benchmark targets as well as an adjustment method have been developed.
#3. Scope
This handbook provides an overview of primary care provider panel size management in member organizations by standardizing the definitions for calculation and providing guidance to the management of important factors that influence panel size in member organizations.
Current primary care panel size can be measured by simply counting the number of clients that have had an encounter with a Physician, Nurse Practitioner, Registered Nurse, Registered Practical Nurse, or Physician Assistant within the last 3 years AND have had an encounter with a Physician or Nurse Practitioner anytime. The number of clients per Primary Care Provider is the current panel size divided by the number of full-time Nurse Practitioners and Physicians. Recording panel size is done in a standardized way throughout the sector which allows for meaningful comparisons.