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Practice Expansion: From Specialty Clinic to Full-Service Primary Care
Practice Expansion: From Specialty Clinic to Full-Service Primary Care
Client: Independent specialty practice
Engagement: Service line expansion, operational build-out, and value-based care readiness
The Challenge
The client had an established wellness and weight loss clinic led by providers and dietitians, and wanted to expand into adult primary care and women’s health. Their EHR was in place, but it had been built entirely around the existing wellness line. Templates, workflows, order sets and reporting had to be rebuilt to support primary care. The practice also needed the regulatory certifications, public health connections, staffing, policies and physical space for a much broader scope of care, all while keeping the existing clinic running.
What MyVitaLink Delivered
Service Line Design & Launch
Designed and launched adult primary care alongside the existing wellness and weight loss clinic
Stood up a dedicated MA and lab visit schedule to support the expanded scope
EHR Build-Out & Interoperability
Reconfigured the practice’s EHR from a single-specialty build into a full primary care platform, including templates, workflows and order sets
Coordinated and implemented interfaces with the state health information exchange, immunization registry and communicable disease reporting systems
Built reference lab and in-house testing workflows
Regulatory & Certifications
Coordinated required certifications, including the CLIA certificate for in-house waived testing
Aligned clinical operations with state and federal reporting requirements
Policies, Procedures & Compliance
Developed the entire policy and procedure manual, employee handbook and clinical standing orders
Created a medical assistant training program to standardize clinical workflows and competencies
Created a standardized credentialing and payer enrollment policy and procedure
Established document control with assigned owners and a review calendar
Recruiting, Hiring & Onboarding
Recruited for the Medical Director position and a start-up lead medical assistant to build clinical operations from the ground up
Active recruitment of NP/PA providers to expand capacity
Clinical Space & Supply Chain
Set up exam rooms for primary care and women’s health visits
Managed initial supply ordering and established ongoing ordering processes
Quality & Value-Based Care Foundation
Defined quality and reporting roles and structure from day one
Ensured EHR was "Report Ready" for future ACO/Value based care contracts with standard quality metrics. Ensuring that mappings were done and reporting correctly
What’s Next
MyVitaLink continues to partner with the practice through ACO enrollment and value-based care contracting with commercial and Medicare payers. That work positions the practice to capture quality incentives and shared savings as its primary care panel grows.
Results
Under 60 days from engagement to soft launch of primary care
New service lines added to an existing wellness practice: adult primary care and women’s health
Medical Director and lead MA hired, with NP/PA recruitment underway
Complete operational foundation built: policy and procedure manual, employee handbook and MA training program
Public health interfaces in place: health information exchange, immunization registry and communicable disease reporting now in place or in progress
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