Reliant Medical Group (RMG) is a 250-provider medical practice in Central Massachusetts.   RMG has a long history of working in a capitated/risk model, has a mature relationship with electronic records and other technologies, and has been continually improving and innovating for many years.  With over 20 sites of outpatient care, many planned on now-outdated operating methods, idiosyncratic preferences of the individual occupants and/or the configuration that the existing space would allow, and more than half of RMG’s primary care facilities under a master lease agreement that might not be renewed, this provided an unprecedented opportunity to redesign the distribution of care sites, envision new workflows and patient experience, and develop a built environment where form can truly follow function.

The Innova Group worked with Reliant Medical Group to:

• Develop an ideal geographic distribution of new and current sites of care that optimizes access, capital costs, operational costs, and population health management goals
• Create a standardized template for an RMG “Medical Office Building of the Future”
• Create a common vision for end-to-end flow of patients, staff, and providers in the new facilities (pre-visit through post-visit)
• Identify the space requirements and flow to support Patient Centered Medical Home (PCMH), lean operations, and virtual care
• Develop basic operating rules and standards for allocation of space, room sizes/types, approach to resource sharing, etc. in the ambulatory environment though benchmarking and facilitation of consensus among multiple stakeholders
• Develop key room configuration design standards (e.g. exam room, consult room, etc.)
• Create functional narratives for future space development
• Ensure the planned operating and care distribution model has positive economics