Where to start? The dysfunctional charting system in 2 EMR’s…archaic. NP’s having to schedule their own patients while staff is being paid to do it; constant micromanagement by people who clearly have never been involved in direct patient care. It’s not about the patients; it’s about numbers. All the doctor was worried about was how they were going to get the numbers up to qualify for a bonus. Lots of promises to reel you in, and then the amnesia starts. “Oh, did we say that?”….the concept is great, but the current model lacks. These poor patients are bombarded with phone calls to get them to enroll, so that, by the time the NP gets to them, they are suspicious of the program or don’t want to deal with it anymore. I don’t believe any of the support staff can read, because, no matter that you wrote that the person can’t do a telehealth visit, they schedule them one. And the meetings….meetings about meetings…again, patient care on the back burner here. Now, let’s talk about the driving —here, there, everywhere. “Oh, you just drove a 150 miles? 2 patients, but you want me to see 5?” Well, let’s repeat it again the next day. And let’s not forget the medieval reimbursement for gas at 44 cents/mile…..nope, not a typo. I think I got paid that 15 years ago. Crappy orientation that leads to a set up for failure.