APCM Administrative Follow-Through: A Case Study

For one primary care practice, APCM follow-through had become difficult to maintain consistently. The patient list was extensive, documentation needed to stay current, and the physician was balancing patient care with the administrative work required to keep the program moving.

The practice had tried outside support before, but the list was not being maintained as expected. The issue was not simply having someone assigned to the task. The workflow needed someone consistently working through the list and keeping the records current.

That is where the daily ownership became important. The VMA reviews the patient list daily, calls patients to confirm treatment plan follow-through, and records updates such as vital signs, complaints, medication and treatment reminders, and upcoming appointments. She then updates the EHR and the practice’s tracking spreadsheet.

Over time, that daily follow-through makes the work easier to track. Care plan updates, chronic condition documentation, specialist information, and monthly activity are less likely to sit unfinished or scattered across different places.

This is still an early workflow example, not a final outcomes report. But it shows the practical difference between having a task assigned and having the work consistently owned.

For practices managing similar recurring work, the question is simple: who is keeping the list, the records, and the follow-up current month after month?