Website Northwest Primary Care
Care for every stage of life
About Northwest Primary Care
Northwest Primary Care has been a part of the greater SE Portland community since 1960 when a local physician founded Clackamas Internal Medicine. In 1976, two other local physicians created Milwaukie Family Practice and in 1994 the two practices combined to form Northwest Primary Care Group as it is today. The Talbert Clinic began serving patients in 1995 and Sellwood/Moreland Clinic opened its doors to the community in 2006. Northwest Primary Care employs Family Medicine and Internal Medicine physicians, as well as practitioners. The Northwest Sleep Health and Northwest Therapy divisions are also an important part of the family. Northwest Primary Care is physician-owned with all of the owners actively practicing in the clinics.
Northwest Primary Care is a physician-owned organization dedicated to providing comprehensive, patient-centered care for the whole family. Since they are not owned by an insurance company or hospital system, they are able to make their patients their foremost priority. The physician-owned, Patient-Centered Primary Care Home structure means that patients will receive excellent medical care, as well as personal attention and support from the dedicated team of practitioners.
Because NW Primary Care Group is physician-owned, the owners actively participate in the management of the clinics. This hands-on approach fosters an open dialogue between the entire team and their patients, which means that patient’s concerns will be heard, and the system can be more readily adapted to ensure consistent, quality care that meets the needs of each patient. NW Primary Care Group is always working to improve the quality of service so that they can continue to meet and exceed patient’s care expectations for many years to come.
NW PRIMARY CARE GROUP TRADITION
Northwest Primary Care was founded with the objective of providing quality, patient-centered health care to the Southeast Portland community. Northwest Primary Care is a business built on involvement with patients and community, as well as consideration and equitable treatment for employees. They take pride in their accomplishments, strong work ethic, commitment to quality, and building of traditions. They understand the dedication it takes to create a family culture, and value each patient as essential members of the community. Providers will act in partnership with the patient to make the best decisions about their care and ensure that they receive the information and support needed to take an active role in managing their health care.
The team of practitioners is committed to excellence, providing state-of-the-art, cost-effective care by continually learning, training, rewarding service excellence, and collaborating with other practitioners to ensure thorough, accurate care. The practitioners uphold patient trust by maintaining high standards of ethics and accountability and providing expedient care without compromising quality.
The practitioners act as the foundation of their Patient-Centered Primary Care Homes by working in collaboration with patients and other practitioners to coordinate care across all systems. The practitioners are committed to creating a safe and welcoming environment by honoring confidentiality, embracing personal diversity, and ensuring that all patients and team members are treated with courtesy and respect. The team respects and values patient’s time and strives to limit wait times and provide same-day response to immediate care needs.
With 31 providers, NW Primary Care Group specialties include family medicine with obstetrics and sports medicine, internal medicine, sleep specialists, and audiology. The provider staff includes physicians, nurse practitioners, physician assistants, a clinical pharmacist, a registered dietician, physical therapists and physical therapy assistant. The group has 14 shareholders and 17 employed practitioners.
Services include primary care, telehealth visits, immediate and after-hours care, laboratory services, pharmacy, audiology, sleep medicine, radiology, wound care and a research division.
Services are provided in Southeast Portland at the following locations:
Dwyer Clinic, Northwest Research, Milwaukie Clinic, Northwest Hearing, Sellwood Clinic, Northwest Sleep Health, Oregon City Clinic, Northwest Therapy, Happy Valley Clinic
NW Primary Care Group employs 146 full-time staff and five part time staff. There are five site managers, one finance director, one IT director and one marketing staff manager that report directly to the CEO. The workforce is very stable, with children of current staff working for the group in some instances. Several of the management staff have been with the organization for many years.
At Northwest Primary Care, we strive to provide the best care for every patient, every day, at every stage of life in times of wellness and illness. As your health partner, we pledge to be respectful and strive to be timely, to take responsibility, to deliver excellence, and to honor your confidentiality.
To respect: Treat our patients, employees and colleagues with courtesy and respect, embracing personal diversity so all feel welcome.
To be timely: Strive to limit wait times, honor appointment dates and provide same-day response to immediate requests. We value time and accuracy, always working in a timely manner without compromising quality.
To take responsibility: Provide comprehensive care by working as a team with our patients and other health care practitioners alternative and traditional to insure thorough, accurate care with a high standard of ethics, trust and responsibility.
To strive for excellence: Take ownership, be accountable and take responsibility for success in our patient care and in our jobs. Provide the most up-to-date and cost-effective care by continually learning, training, improving teamwork and rewarding service excellence.
To honor confidentiality: Never divulge confidential information and be discreet with all health care and personal information.
Medical Group Net FFS Revenues + Payer Mix
NET FFS REVENUES
2020 YTD: $20,540,685
2019 YTD: $22,834,813
Net Capitation Revenues
2020 YTD: $5,419,842
2019 YTD: $2,142,791
Total Net Revenues
2020 YTD: $25,960,527
2019 YTD: $24,981,063
The clinic participates in the Comprehensive Primary Care Plus (CPC+) initiative with CMS, which will come to an end in 2021. CPC+ covers approximately 1,000 Part B members. The group is currently evaluating options for 2022. The funding is provided on PMPM basis and accounts for $900,000 in revenue. The group did financially well last year due to COVID and patients saying home, which will create high risk returns this year.
PAYER MIX (based on total billing)
The practice management system and EHR is Greenway. The group has been on Greenway since 2005. The physicians like it and it is working well for them, with no plans to change vendors.
There are two Providence community hospitals in the services area. Patients go to both facilities and to Portland Providence for tertiary care. There are a couple of insurances (Healthnet being one) that contract with Adventist hospitals.
About the Position
The current CEO who has been with the organization for 24 years is retiring at the end of 2021. There is a desire to have some overlap between the new CEO and retiring CEO to share institutional knowledge.
The CEO is responsible to the Board of Directors of Northwest Primary Care for the administration, direction, and coordination of all clinic activities, except those directly involving professional medical judgment.
The CEO has a primary obligation to the corporation as a whole and reports to the Board of Directors.
The administrator supervises all support personnel, appoints supervisors and delegates authority and responsibility when and where needed as indicated.
Directly Responsible for
• Board of Directors Support
• Practitioner Support and Operations
• Finance, Patient Business and Information Systems
• Personnel Supervision and Management
• Legal and Accounting Relationships
• External Business Relationships
• Other support services as directed by the Board of Directors
Board of Directors (BOD) Support
• Responsible for the maintenance of all professional standards and procedures as delineated by the Board of Directors.
• Implement corporate directives as determined by the BOD.
• Take necessary corrective action to keep costs commensurate with the clinic’s objectives and recommend appropriate action the Board of Directors.
• Present monthly reports to the Board or Directors regarding Operations and Finances needed by the BOD.
• Present ad hoc information as requested by the BOD.
• Present recommendations on planning, policy, organization, control and other such details of clinic operations which may be necessary or desirable for corporate continuity.
Practitioner Support and Operations
• Coordinate and take required action with the Medical Director in the support of practitioners.
• Update corporate management structure as needed to meet NWPC goals and objectives
• Work with supervisors to ensure staff are supporting patients and practitioners to the best of their ability.
• Work with supervisors to facilitate Building and Equipment monitoring and maintenance.
• Work with supervisors to ensure sufficient and appropriate medical supplies and injectables are available.
• Develop, review and refine the Department Operations Policies and Procedures manual.
• Meet regularly with supervisory staff to inform them of needs, developments and receive reports from them regarding the operations of their departments.
• Implement appropriate communication means to keep all operation and administrative staff informed of clinic goals and achievements.
Administrative, Legal and Financial Relationships
• Initiate and evaluate new business opportunities.
• Develop and maintain corporate relationships (Hospital Systems, Governmental, NGO’s, IPA’s)
• Coordinate with Corporate Legal Counsel as needed.
• Coordinate with Corporate Accounting, Banking, Retirement Plans as needed.
Finance, Patient Business, Marketing and Information Systems
• Work with the Finance Director to ensure all financial systems including General Accounting, Payroll, Accounts Payable and Vendor Contracting systems meet corporate needs and objectives.
• Work with the Finance Director to ensure all Patient Business systems including Patient Scheduling, Coding, Business Office, Credit and Collections, Referral and Medical Records systems meet corporate needs and objectives.
• Direct and manage Information Technology and Information Management personnel and services to meet corporate needs and objectives.
• Work with the Finance Director to ensure the corporate fee schedule is updated annually.
• Work with the Finance Director to ensure all Payor contracts are updated annually.
• Work with the Finance Director to ensure corporate Accounts Receivable and Payor adjustments are reviewed and managed monthly.
• Work with the Finance Director to prepare an annual operating budget and capital acquisition budget for approval by corporate Finance Committee.
• Ensure NWPC successfully markets its services to ensure a steady source of new patients.
• Ensure NWPC provides good patient care through monitoring of patient experiences.
Personnel Supervision and Management
• Serve as liaison and primary channel of communication between the Board of Directors and Employees.
• Develop, Review and refine the corporate Employee Personnel manual.
• Develop, Review and refine the corporate Policy and Procedures manual.
• Appoint and supervise Managers and other supervisory positions.
• Assist in the recruitment and orientation of all new practitioners and staff.
• Ensure Personnel Management Records and Services meet regulatory and operational Employer requirements.
Legal and Accounting Relationships
• Act as liaison with the corporate attorney to ensure legal federal, state and local requirements are met, and corporate contracts are reviewed as needed.
• Act as liaison with the corporate Accounting and Tax CPAs to ensure the annual Reviewed Financial Statements and annual Audited 401k/Pension Plan are completed as well as Federal, State and local taxes are complied with.
• Act as liaison with the corporate 401k/Pension Plan support services (i.e. Trustee, Financial Consultant, Administrative Services.)
• Act as liaison with the corporate Staff Benefits consultant.
• Act as liaison with the corporate Professional Liability and General Insurance Agencies to ensure all necessary liability coverage is placed appropriately.
• Ensure NWPC meets or exceeds all Federal and State regulatory requirements.
External Business Relationships
• Act as liaison with Providence Health System to ensure corporate needs and objectives are met through positive relationships.
• Act as liaison with Oregon Independent Medical Group Coalition (OIMC) to ensure corporate needs and objectives are met.
• Act as liaison with national, state and local medical industry associations and agencies.
Other support services as directed by the Board of Directors
Required Service Skills
Employees of Northwest Primary Care Group are required to consistently implement the Clinic’s Service Culture.
• To respect: Treat our patient’s, employees and colleagues with courtesy and respect, embracing personal diversity so all feel welcome.
• To be timely: Strive to limit wait times, honor appointment dates, and provide same day response to immediate requests. We value time and accuracy, always working in a timely manner without compromising quality.
• To take responsibility: Provide comprehensive care by working as a team with you and other healthcare practitioners – alternative and traditional – to insure thorough, accurate care with high standard of ethics, trust, and responsibility.
• To strive for excellence: Take ownership, accountability and responsibility for success in our patient care in our jobs. Provide the most up-to-date and cost-effective care by continually learning, training, improving teamwork, and rewarding service excellence.
• To honor confidentiality: Never divulge confidential information and be discreet with all health care and personal information.
Requires full range of body motion to include, lifting up to 50 pounds. Requires eye-hand coordination and manual dexterity to operate telephones and computers. Skilled in English grammar and spelling.
The ideal candidate will have private practice medical group leadership experience. The group is fiercely independent and desires to remain independent. Background could include finance, business or operations. Strong financial acumen and negotiating payer contracts will be essential.
The following are goals for the next six months to one year:
• Renegotiating payer agreements. Managed care is doing well this year and next year may be a downturn. A key will be to understand the contracts and negotiate for favorable outcomes.
• Keeping abreast of and preparing the group for the RVU and coding changes and the impact on reimbursement
• Exploring having more APCs to mitigate the providers seeing more patients in order to keep the bottom line stable. The group has had difficulty in recruiting qualified APC applicants.
• Understanding the current trends in primary care
• Learning the organization for a period of time before making any changes. The operational leadership team do well in running the day-to-day operations.
• Building trust with the practitioners
• Maintaining the good processes that are in place and the remaining on the lower end of cost of care
• Evaluating the space needs if more APCs are hired, which could include consolidation of two sites or adding a sixth site
About the Community
Portland, Oregon’s largest city, sits on the Columbia and Willamette rivers, in the shadow of snow-capped Mount Hood. It is known for its parks, bridges and bicycle paths, as well as for its eco-friendliness and its microbreweries and coffeehouses. Iconic Washington Park encompasses sites from the formal Japanese Garden to Oregon Zoo and its railway. The city hosts thriving art, theater and music scenes.
Portland is the perfect launchpad for adventure, with the vast Oregon Coast, Mount Hood, verdant wine country and epic waterfalls all within easy driving distance of the city. Whether your interests are surfing, skiing, sipping or just trying something new, the regions outside Portland are all ripe for exploration. From the fishing city of Astoria to the tide pools of Yachats, the Oregon Coast is a rugged, unspoiled treasure that begins 90 minutes from Portland. Portland has four distinct seasons but none of them are extreme. Summers average around 80 degrees, Fall around 50 degrees, Winter around 40 degrees and Spring around 60 degrees.
In the city’s classic quirky fashion, Portland’s six main geographical sections (Northeast, Southeast, Northwest, Southwest, South and North Portland) are referred to by residents as the city’s “quadrants.” Divided on either axis by Burnside Street and the Willamette River, each “quadrant” has its own unique community, style and things to do.
Portland is home to numerous art galleries and museums. Portland boasts a world-class symphony, ballet and opera, as well as several theater groups and jazz clubs. The Metro Washington Park Zoo and Oregon Museum of Science & Industry are a must see. The Japanese Gardens, Chinese Gardens, International Rose Test Gardens, and annual Rose Festival, are just a few of the many events held each year. This city enjoys amazing displays of art and culture at the Portland Art Museum, the Oregon History Center, the historic Old Town District and Pittock Mansion. The calendar is packed with performances by the Oregon Symphony, the Oregon Ballet Theatre and the Portland Opera, as well as events like Cinco de Mayo (May) and the Rose Festival (June) Jazz Festival, Beer and Wine Festival and so many more.
If you’re looking for outdoor adventures, camping, fishing, hiking, river rafting, kayaking, biking, snow skiing, windsurfing, and rock climbing are all available. Portland has 9,400 acres of parks, including the smallest park in the world (Mill Ends Park) and the largest urban wilderness (Forest Park). Within an hour’s drive of downtown Portland are the three ski slopes on Mt. Hood or the beautiful Oregon Coast. The outdoors is what Portland is all about. A lifestyle that appreciates the beauty and respects the land. Portland has been named the “Greenest City in the US” for several years.
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