Nonclinical process improvement

July/August 2015 Issue
Patient Advisory Councils: Giving Patients a Seat at the Table [Feature]

This model can make patients true partners in improving their care and that of others.

November/December 2014 Issue
Three Questions to Guide Any Change Effort [The Last Word]

The change you're pursuing is more likely to succeed if you can answer "yes" to each of these questions.

September/October 2014 Issue
Applying the "Theory of Constraints" to Solve Your Practice's Most Vexing Problem [Feature]

What stands in the way of your practice achieving its goal?

November/December 2013 Issue
The Benefits of Using Care Coordinators in Primary Care: A Case Study [Feature]

The drive away from fee-for-service and toward efficiency is requiring integrated health care groups to decrease hospitalization and procedures while still needing to maximize revenue. Including care coordinators can bridge this gap, helping identify and manage chronically ill patients who most need regular health services while freeing up physicians' time to provide care and actually increasing patient visits.

September/October 2013 Issue
Three Building Blocks for Improving Access to Care [Feature]

Most practices that implement same-day or open-access scheduling manage to improve patient access by reducing waiting times, but few achieve same-day or next-day access or sustainable improvements. Those that have sustained same-day access have done so by reducing demand and increasing capacity using the building blocks of improved access. These building blocks include panel size management, continuity of care, and the development of teams that add new capacity to deliver care without pushing work back to the physician. An interactive exercise, which follows a fictitious patient as she tries to schedule a same-day appointment with her family physician, is included with the article to help family physicians reflect on ways to improve access in their own clinics.

March/April 2013 Issue
Redesigning Your Work Space to Support Team-Based Care [Feature]

It's well known that the patient-centered medical home requires new modes of practice. Less known, and less understood, are the implications of these new modes for the layout of the office or clinic. The authors describe changes they have made in a series of neighborhood clinics to adapt the physical practice layout to patient-centered care and the needs of the clinical team.

January/February 2013 Issue
The Doctor-Centered Medical Home [The Last Word]

Yes, it worked in the past. No, it won't work in the future.

September/October 2012 Issue
Managing Messages [Feature]

The article describes successful strategies for managing messages -- from pharmacy requests to lab results to patient phone calls -- in a busy primary care office.

November/December 2011 Issue
Plugging Practice Leaks [From The Editor]

Left unchecked, leaks can sap your practice of time, efficiency, goodwill and cash.

September/October 2011 Issue
Remove Roadblocks and Improve Access to Preventive Care [Feature]

A family medicine residency clinic improved care for children with Medicaid by removing internal obstacles and using reminders to help ensure that preventive care is delivered, among other changes.

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