At a recent strategic planning retreat of a 40-person multispecialty group, the administrator made a presentation that focused on the coming year’s plans to establish the organization’s first two primary care satellites

At a recent strategic planning retreat of a 40-person multispecialty group, the administrator made a presentation that focused on the coming year’s plans to establish the organization’s first two primary care satellites, which would be located in two of the community’s growing suburbs. These satellites would require the hiring of four family practitioners and other support staff. When the administrator finished her presentation, one of the most senior physicians stood up and said, “This is a foolish expenditure. We’re so busy now in this group, we can’t even see another patient. Our revenue was up 14% according to the previous financial presentation we heard. There is no reason to change what we’re doing.” How might you respond to this physician?

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