valence

n. /ˈveɪ·ləns/

The capacity of something to unite, react, or interact with something else.

Are you struggling to support your primary care organization?

The providers see the patients, but you have to deal with the bottom line:

Is your clinic generating what it needs to continue to be solvent?

Do you like pushing for increasing encounter numbers?

Are your providers happy with access tactics like power-hours, stacking acutes and same-days, or double booking?

Do you know what you need to needs to change?

Primary care providers are passionate and high achievers, BUT providers who underbill have to work more hours and see more patients to hit their clinics production metrics.

This results in the entire feeling undervalued, burnt-out, and unsuccessful doing a job that they would love to love.

Without sustained clinic-based professional development—guided by expert colleagues and responsive to providers' needs—the status quo of underbilling and over scheduling in primary care compounds.

Primary care needs an overhaul

Primary care providers continue to leave the profession at alarming rates. In recent studies, 7% of providers are leaving medicine annually (double the rate of 2010).

Among PCPs, 30% aged 35 to 49 years stated that they planned to leave their practices within 5 years.

The new analysis found that job turnover in the primary care physician workforce leads to an additional $979 million in annual excess health care costs across the U.S. population.

Its time to break the cycle

Interoducing:
ValenceMD™

Generate clinical capacity

Empower primary care providers with the information and tools required to accurately communicate the value of their care

Its time to teach the hidden curriculum

Primary care providers are never trained to document the value of their work

Until now

Build Provider Performance Capacity through Professional Development

Clinicians do extraordinarily complex work.

But medical training doesn't teach how to effectively document and code to reflect the value of the care provided.

The result is a hidden performance gap–and value left on the table.

A physician-developed methodology for translating clinical work into accurate, compliant, measurable value.

Our work follows a simple progression:

THE ValenceMD™ FRAMEWORK: Verity + Praxis

Verity: Before changing clinician behavior, we first develop insight.

Clinicians learn to recognize the complexity, cognitive work, longitudinal care, and separately reportable services already present in everyday primary care.

We facilitate providers to identify where their current documentation and coding habits may not accurately reflect the value of the care that was actually provided.

Knowledge alone rarely produces sustained behavior change.

Praxis is the supported translation of insight into everyday clinical behavior: how clinicians structure encounters, recognize complexity, document decision-making, select appropriate codes, and build repeatable habits.

Verity changes what clinicians see.

Praxis changes what clinicians do.

Your team with ValenceMD™

Your clinicians will have a clear understanding of the actual value of the care they provide in each and every encounter based on the structures set by CMS. Your team will have specific and actionable tools to reflect that value unambiguously in their documentation.

Generate more value in every single patient encounter

2.4 - 2.8 wRVUs / encounter

Before they know better, many clinicians generate as low as1.8 wRVU/e

The wRVUs generated in each encounter reflect the complexity, counseling, longitudinal care, and level of service that a clinician provides. Although there are rare very high and very low value encounters, most primary care visits should generate at least 2.4 wRVUs.

Meeting productivity seeing fewer than 250 patients per month

Often administrators have to push for 300+ encounters per month to reach productivity

When the wRVUs clinicians generate per encounter is optimized to capture the FULL value of the work in each and every visit, the clinical team can generate 600+ RVUs encounter per month seeing a reasonable 55 patients per week. This means providers are not pressured to see more patients or write more notes----they are capturing the value that already exists in the encounters they are already seeing

2.6 Codes / encounter

Before they know better, most clinicians document and code only one code per encounter even if they are providing additional services

Clinicians do so much in a single visit. Some of the service value is included in standard E&M level of service codes, however primary care includes services like longitudinal asynchronous care and counseling patients on behavioral changes that are add-ons to primary care. With the ValenceMD™ framework, providers see the care they are providing in terms of the individually reportable services and code each of those services within a single encoutner.

“Working with Dr. Thompkins for one session increased my annual salary by $48,000!”

-MD

Available at every level of engagement

The ValenceMD Framework

Clinician Performance and Professional Development:

Scaled for your organization's readiness, need and size.

Tier 1

Self directed online curriculum you can offer as a targeted intervention for providers who are under-performing or utilize for group and individual onboarding

Tier 2 - Verity and Praxis

Live professional development sessions with a clinical expert.

Single or series based, interactive, physician-led sessions introduce high-impact concepts incrementally, giving clinicians time to discover opportunities within their own practice and apply each skill before progressing to the next. Clinic wide individual and group coaching applies the concepts from the professional development sessions to real clinician performance and documentation behaviors.

Verity -

Understanding value in the clinical setting and in documentation
Recognizing complexity and cognitive work
Limitations of exclusively preventative visit services
E/M levels 3, 4, and 5
Longitudinal care codes
Separately reportable add-on services and counseling codes
Recognition of recurring missed opportunities

Praxis -

Compliant documentation parameters
Documentation refinement
Template development
Personalized performance goals
Troubleshooting barriers to adoption
Follow-up and reinforcement

Tier 2 Add-Ons

Individual Provider Targeted Optimization

Let's face it, often the clinicians in the room are the more motivated of the team. Who really needs to hear the training is often the provider who isn't in the room. Generate change for high impact providers who would benefit from personal attention and accountability.

Performance Lens

I analyze your organizations pre-intervention and post-intervention data to identify current behaviors and high value interventions, evaluate early changes and identify remaining opportunities over time. Interval performance review tracks meaningful change and ensure that new behavior is sustained over time. Leadership receives ongoing report of observed changes, remaining barriers, and recommendations for sustaining gains.

Tier 3 - ValenceMD™ Integration

Education can teach a clinician what to change. Coaching can help them learn how.

But some organizations want greater support to ensure those changes become part of everyday practice. ValenceMD Integration extends the Verity and Praxis programs into a high-touch implementation partnership.

Clinic-wide and individual provider productivity analysis
Individualized clinician development plans
Individual longitudinal coaching sessions per clinician
Longitudinal tracking of adoption and performance
Customized EMR templates integrated with your IT team
- Templated phrases
- Streamlined documentation
- Charge-favorite optimization
Clinician–leadership facilitation
Troubleshooting organizational barriers
Ongoing implementation and sustained change support

Contact Dr. Thompkins now

Email me directly: TheDrThompkins@gmail.com

or submit a request for contact here and I will reach out

Meet
Dr. Thompkins

I'm so glad to meet you! I'm a grateful practitioner of the practice of medicine and the art of living. It is an honor for me to work in full-spectrum family medicine and also to support clinicians making meaningful change in their practice to generate value and prevent burnout.

It is my greatest gift to work with systems to identify what's not working and provide grounded and specific training---bringing the entire system into greater integrity and alignment with its values. In my experience, primary care providers are passionate, complex thinkers and like to know their hard work is making a difference. My goal to eliminate barriers to the experience of success --for individual clinicians and for the practice as whole-- has guided to me working primarily with documentation and coding practices that underpin the real consequences of organizational solvency and provider compensation.

You are the expert in you organizations needs and values, let me help you reach those goals!