You wake up in the morning groggy and clammy.
You’re congested and coughing; it hurts to swallow. All your joints are achy.
You drag yourself to the kitchen and while you make a cup of tea, you call your primary care doctor’s office.
Sure,
they can get you in … in three to four weeks. That’s too long to figure
out whether you have strep, flu, pneumonia, COVID, or a viral cold.
Meanwhile,
another person, who is struggling with depression and anxiety, reaches
out to their existing provider and is told they couldn’t be seen for
five to six weeks.
Their next call was to Delphi Enhanced Primary Care in Bedford.
“That
person signed up with us, and we saw them the same day that they signed
up,” said Andy Vailas, president of Delphi. “They were able to talk to
the doctor for a significant amount of time, figure out some of the
issues that were going on, and put together a model to help those
problems.
“It’s scary to think about how that time frame could be a huge factor in that individual’s life,” Vailas said.
The average wait time for a new patient to see a primary care doctor is 21 days according to a 2022 survey by Merritt Hawkins.
At
a typical practice, primary care physicians may have some 1,500 to more
than 3,000 patients on their panel. A patient may get to spend 15
minutes with their provider – if they aren’t reassigned to a different
practitioner – when they finally get an appointment.
“The
biggest thing is people don’t have access to care,” Vailas said. “They
want to be able to see their doctor when they can, around their
schedule, and the traditional model really doesn’t allow for that.
Delphi
is different. “We had a patient just last week … they were blown away
that they could pick the day that they wanted to come and see the doctor
and pick the time in which that could happen,” Vailas said.
Delphi
physicians have a patient panel of 600 each, meaning patients typically
can get a same-day or next-day appointment. Plus, they can spend 40
minutes to an hour or more with their doctor to dig into the root of
their symptoms.
Patients
pay a monthly or annual fee to be a member, which helps the clinic
maintain a smaller panel size. While Delphi recognizes that $120 per
month or $1,200 a year is an additional expense for patients, they’ve
found that by addressing health issues in the early stages, they can
save the patient from the expense of more serious concerns down the
road. Delphi also accepts insurance, including Medicare.
Vailas explained that Delphi believes that improving access to healthcare will improve the quality of care.
“The
longer you wait, the bigger of a problem it could become, right? … The
longer you wait, that sore throat could turn into a more serious
infection,” Vailas said. “With more access, it allows you to treat the
root cause of an issue rather than the symptoms.”
When
a new or existing patient seeks an appointment, they can call or text
the office or reach out via Delphi’s website. After a relationship is
established, patients can reach their physician directly by phone or
text any time of day or night.
Doctors
have more flexibility in their schedule and have been willing to see
patients later than typical weekday hours or on weekends, Vailas
explained.
“That’s the
beauty of an independent practice. You can set your own schedule,”
Vailas said. “Our physicians are open to seeing patients later or
earlier than our regular scheduled business hours, or there is
potentially a chance they have to come in on a Saturday because it is a
more serious situation.”
For true emergencies, patients are still advised to go to the hospital’s emergency department for care.
Since Delphi doctors have a smaller patient panel to keep track of, they can offer more customized care.
“One
of our doctors has done home visits. … This specific individual went to
an assisted living facility because the patient had transportation
issues,” Vailas said. “It really will be a case-by-case basis. It may
not be the case for everyone.”
In
addition to calling or texting their physician for guidance or coming
to the office, patients can schedule video telemedicine appointments.
Vailas
did note however that more patients seem to be leaning away from the
virtual visits. He highlighted that while Delphi is happy to communicate
with patients by phone, text, or web, no one is required to download an
app or set up a password to become a member.
Part
of the practice’s commitment to access to quality care is the thought
and follow-through that goes into specialist referrals.
“The
difference between Delphi and others is that we make sure that you’re
in the hands of not only a very good specialist, but we like to focus on
independent specialists because of their availability, similar to how
we operate,” Vailas said.
Since physicians can dedicate more time to individual patients, they are more involved in the process of specialist care.
“We
preach advocacy as well as access,” Vailas said. “We had a patient who
we referred to an ear, nose, and throat specialist … and this specialist
was booking out, like a month, two months. Our doctor was able to get
on the line and speak to that physician, and we were able to get that
patient in the next day for a visit because they told them the situation
that the patient was in and that they couldn’t wait five or six weeks.”
Whether
you are seeking preventative care or need help managing a chronic
condition, contact Delphi to access primary care that is available on
your terms.
“We almost
want to turn back the clock, go back to the days when people had their
own doctor that they could see whenever they needed,” Vailas said.
“That’s our biggest, biggest area of focus, is access to your doctor
whenever you need them, focusing on quality of visits, not quantity.”

20 Washington Place, Bedford NH 03110
(603) 255–5579
https://delphihc.com/