Primary Care Clinic — Chronic Pain Integration
Challenge
A six-provider primary care group in a suburban market was fielding increasing patient requests for pain management alternatives beyond standard pharmacological protocols. Patients were self-referring to external acupuncture providers, creating care fragmentation and satisfaction score pressure. The clinic lacked the infrastructure and licensure pathway to build an in-house acupuncture program.
Implementation
The partnership assigned two licensed acupuncturists to the clinic on a twice-weekly schedule. Treatment rooms were allocated from existing exam space. Referral criteria were developed with the medical director and integrated into the EMR order set. Scheduling was coordinated through the clinic's existing front desk workflows.
Workflow Integration
Physicians identify candidates during routine visits and place an internal referral order. The acupuncturist reviews the chart, delivers treatment in a designated room within the same facility, and submits SOAP notes to the EMR within 24 hours. Monthly coordination meetings include the lead physician, practice manager, and the clinical partnership coordinator.
Operational Outcomes
weekly referrals at steady state
patient show rate for scheduled appointments
average EMR note turnaround
Patient Experience
Patients reported convenience as the dominant factor in engagement. Eliminating the need to travel to an external provider reduced appointment no-shows and improved continuity. The clinic retained patients who were previously leaving the practice for pain management options.
Provider Experience
Physicians noted improved care coordination and reduced time spent managing fragmented pain treatment records. The front desk adapted to the new schedule within the first two weeks with minimal training.