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County consultant reports clinic use below benchmark; HR schedules HRAs and wellness dates
Summary
A benefits vendor presented first‑quarter clinic and wellness statistics including a 74.5% clinic utilization rate (below the 80% benchmark) and a 98.2% patient satisfaction score; the vendor outlined HRA and annual physical scheduling for July–September and wellness coaching timelines.
Sumner County’s benefits consultant presented first‑quarter clinic utilization and wellness data and outlined scheduling for health risk assessments and annual physicals.
Key details: The consultant said the county’s clinic network completed 387 virtual visits in Q1, reported an overall clinic utilization rate of 74.5% (the program benchmark is 80%) and recorded a patient satisfaction score of 98.2. Behavioral health visits totaled 214 for the quarter and the vendor reported employee and dependent engagement at 31.4%.
Why it matters: Commissioners asked whether low utilization at some sites justified changing hours or locations. The consultant identified two smaller sites, Westmoreland and White House clinics, that operate limited hours (about two-and-a-half days per week) and said those locations’ restricted schedules reduce utilization relative to clinics open six days a week.
Operations and schedule: The consultant tabled HRA and annual physical dates: HRAs will begin July 1 and finish by Sept. 30; health coaching must be completed by March 27 of the following year. Additional HRA dates were scheduled the week of Aug. 11–15, and events will be offered at government facilities including the Administration Building, Sheriff’s Office, EMS facilities and a clinic site for employees who prefer an HRA event rather than a full physical.
Contract and cost sharing: Staff clarified that clinic operations are provided under a shared contract between the county and the Board of Education; monthly charges are split between the two entities based on eligible employee counts. The exact historical split percentage was discussed but not confirmed in the meeting record; consultants said staff can provide combined county/Board of Education utilization figures on request.
Questions from commissioners: Board members asked for combined county/Board utilization numbers (rather than county‑only data) and requested more detail on staffing levels at small clinics; the consultant said some sites operate with one nurse practitioner and a medical assistant. Commissioners also asked whether the vendor uses a single‑hour appointment standard to calculate utilization; the consultant confirmed utilization is calculated on an hourly appointment standard.
Next steps: Commissioners asked the vendor to provide combined utilization metrics and to evaluate whether increasing hours at smaller locations would raise utilization toward the 80% benchmark.
