# Introducing Virtual Visit Blocks to Optimize Space in Primary Care Practice

## TL;DR

This paper introduces virtual visit blocks to optimize space and expand workforce capacity in primary care clinics during the pandemic.

## Contribution

The novel approach of using dedicated virtual visit blocks to improve clinic operations and scalability is presented.

## Key findings

- Implementing VV blocks increased provider full-time equivalents from 8.51 to 10.25 in the pilot clinic.
- The model improved access, visit volumes, and patient satisfaction while maintaining work-life balance for providers.
- The success was replicated in a second clinic, showing the model's scalability and financial sustainability.

## Abstract

The COVID-19 pandemic significantly accelerated the adoption of telehealth in primary care settings, with many health care systems planning to continue offering virtual care indefinitely. This brief report describes the implementation of virtual visit (VV) blocks to optimize telemedicine visits and expand clinic workforce capacity. VV blocks, dedicated time slots exclusively for telemedicine, were introduced to free up physical space for additional on-site providers. By pairing the introduction of VV blocks with new provider hires, our health system successfully expanded its workforce, increasing provider full-time equivalents in our pilot clinic from 8.51 to 10.25. These changes led to improved access, higher visit volumes, and similar patient satisfaction. Providers also reported benefits in terms of work-life balance and efficiency. The VV block model proved effective in addressing space and resource constraints, improving both operational outcomes and financial sustainability. The success of this pilot was replicated in a second clinic, demonstrating scalability. The long-term viability of telehealth initiatives hinges on the continuation of insurance payment parity and legislative support for telehealth policies. This article provides insights into how telehealth integration can optimize primary care delivery while navigating operational and financial challenges.