ITEMS IN FPM ON TOPIC:
Nonclinical process improvement
This model can make patients true partners in improving their care and that of others.
The change you're pursuing is more likely to succeed if you can answer "yes" to each of these questions.
What stands in the way of your practice achieving its goal?
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.
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.
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.
Yes, it worked in the past. No, it won't work in the future.
The article describes successful strategies for managing messages -- from pharmacy requests to lab results to patient phone calls -- in a busy primary care office.
Left unchecked, leaks can sap your practice of time, efficiency, goodwill and cash.
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.