PMID: 16617945Apr 19, 2006Paper

Sustained improvement for specialty clinic access

Joint Commission Journal on Quality and Patient Safety
Mary Therese HankinsonMarvin Blumenfrucht

Abstract

Veterans Affairs New Jersey Health Care System (VA NJHCS) used the advanced clinic access (ACA) strategies and applied "facility communication model" principles to improve access to care at two medical centers and a community-based outpatient clinic. Implementation of the facility model included the integration of a performance improvement (PI) structure, use of the technology, and staff participation. VA NJHCS participated in a Veterans Integrated Service Network (VISN 3) collaborative consisting of five network facilities from June 2001 to January 2002. Specialty clinics were to develop the capacity to schedule a specialty clinic appointment in less than 30 days. ACA strategies were as follows: reduction of appointment types, reduction of demand, development of service agreement with primary care, and standardized documentation using templates. The VA NJHCS average waiting time for a next-available urology clinic appointment decreased 85.9%, versus a 26.2% reduction in the Veterans Health Administration (VHA) national average. In June 2005, the average days waiting time for a next-available urology clinic appointment at VA NJHCS was 14.2 days, or 24.6 days (63.4%) better than the VHA average of 38.8 days. Waiting time reducti...Continue Reading

References

Feb 25, 2003·JAMA : the Journal of the American Medical Association·Mark Murray, Donald M Berwick
Feb 25, 2003·JAMA : the Journal of the American Medical Association·Mark MurrayKevin Grumbach

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Citations

Sep 26, 2007·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Z John ChenSamuel B Ho
Nov 21, 2008·Quality Management in Health Care·Maria T BrittoUma R Kotagal
Jan 10, 2009·Journal of General Internal Medicine·Usha SubramanianDavid G Marrero
Mar 7, 2009·Nature Clinical Practice. Urology·Jessica T CaseyChris M Gonzalez
Aug 25, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Lipika Samal, Jeffrey A Linder

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