7. 6 Relay Health System is in the explorative stages of transforming one of its primary care sites , Mitchell Family Practice , into a pilot patient- centered medical home . The initial Focus of the pilot program will be on chronic disease management , An assistant admin - istrator has developed estimates of annual patient visit volume for patients with COPD diabetes , or hyperlipidemia , as well as annual direct , indirect , and constant hours for the various tasks performed by clinical support staff . Table EX 7. 6 Total Patient Visit Volume 15, 325 Total Direct Patient Care Hours 5, 708 Total Indirect Patient Care Hours 7 , 663 Constant Hours 1 , 040