Question: A primary care group has dramatically increased their access to patients over the past ten years. As the group added partners, they expanded from its

A primary care group has dramatically increased their access to patients over the past ten years. As the group added partners, they expanded from its initial one location to the present four satellite locations over the past ten years. The next phase of focusing on access was an after-hours clinic option that rotated one night each week across each location. This approach allowed the physicians as well as the staff to have some quality-of-life balance but still service patient needs. In the past year, the group also followed that approach with weekend hours. Some of the younger partners in the group have increasingly suggested that while these approaches have been beneficial in todays marketplace, they are insufficient for the market in response to customer expectations. A core number of the physicians have suggested that it is a two-fold challenge of not only leakage but not even knowing where patients are going for after-hour care. The group has a strong brand name and has 42 primary care physicians and 15 nurse practitioners. The group has recently allowed patients to schedule appointments online through the patient portal, but a significant number of the physicians were resistant to the change. To maintain the groups access advantage, what are three possible approaches this group might consider?

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