Dr. Vyas visualized a physicians group serving the entire Central Florida area as well as covering all hospitals and nursing homes. In 20 years, FPG has grown rapidly into a group consisting of 28 offices, 120 physicians, 42 affiliates, and a hospitalist group serving the healthcare needs of thousands of patients throughout the state of Florida. This expansion has been possible thanks to Dr. Vyas approach to healthcare. She was the first to enter into the managed care environment and start a "Team Care Approach", which ensures that a patient's care and treatment is planned and coordinated by a team consisting of a primary care physician, hospitalist, case manager, social worker, and above all, the patient and their family. With a commitment to clinical excellence throughout the continuum of care, Dr. Vyas implemented the Utilization Management Department (UM) and Disease Management Program. The UM department was created to provide coordinated health care to their patients along with continuum of care utilizing appropriate resources in a cost effective manner. The Disease Management program emphasizes the prevention of complications by utilizing evidence-based practice guidelines. Presently, Family Physicians Group offers CHF, CAD, Diabetes, and COPD disease management programs to their patients. Today, while maintaining the quality of patient care, Family Physicians Group has become one of the largest privately owned group practices rendering services to Orange, Osceola, Seminole, Lake, Polk, Hillsborough, and Pinellas Counties