1). Additionally, the walk-in appointment system may increase variability in arrival patterns of patients, variability in type and level of services needed, variability in service rates, and variability in capacity. As a result, rendering of services have suffered, as have patient satisfaction due to increased wait times. Variability can be reduced by allowing “walk-in appointments” on low volume days and at low census times (e.g. 4pm -6p M-F and Saturday mornings or between 12n-1p or after 4p Wed – Fri, see Figs. 1 and…
In the past decade, hospice in general has been coming under fire for keeping patients too long in their services should their prognosis improve. According to the Union Tribune, it was announced on February 13 of 2013; San Diego Hospice had filed bankruptcy and closed due to the Medicare audits that investigated patient eligibility. This type of publicity not only brought a negative light upon San Diego hospice but all across San Diego including Vitas. While the change may not come too easily, steps must be taken toward reshaping the public view in order to regain their trust to put their loved ones into Vitas services. Additionally, with the economy still not in a great state, lack of efficiency is costing the company. As the Patient Care Administrator of Telecare, I was responsible for maintaining a smooth flow of calls without tying up the customers on hold for too long. One of the biggest flaws that contributed to high call volume was the lack of both communication and following of scheduled breaks. Too often, employees were all taking lunches or breaks around the same time creating a heavy back up of calls as the only remaining employees could not handle them all. Vitas recently implanted a break management system called Workforce Management that not only observes peak and down call…
Employee performance both quantitatively and qualitatively, will be monitored monthly or in a more frequent basis when deemed appropriate by supervisor.…
One major issue today in the medical care industry is extended wait times. Patients are frustrated with the time it takes to be called in to see their health care provider. They don’t understand all of the work that is involved in getting each patient’s care right and precise. With this being said, the TransforMed national demonstration project, or NDP, has an idea on how to shorten the average wait time for a patient (Gerdes, M.D, 2010). Cycle time is the total time spent by the patient in the medical care provider’s office (Gerdes, M.D, 2010). The concern was that there were no cycle time standards and patients were spending up to two to three hours waiting to see their doctor!…
Due to these exhausting circumstances some physicians have moved to a “concierge” modeled healthcare practice which often means the physicians case load is lower, they often only see premium or private pay patients and as a result are able to have more of a hands on and quality care approach to their extended time with the patients. Patients perks to this concierge approach is that the physician are more accessible through email, phone 24/7, are often available for same day appointments and available for more face to face interaction at appointment times lasting between 45-60 minutes. As a physician the perks include lower amount of cliental, more one on one time to better know and serve patient for equal or even higher pay.…
When looking at the intake process of patients, into a medical facility, it is an obvious realization that we have made progress in making the patients experience proficient and pleasant. However there is always room for improvement in any type of facility. How many times have you been to the doctor and waited long than 20 minutes? Have you ever been rescheduled because you were 20 minutes late? This paper will provide a simplistic strategy that will help the implement to improve patient efficiency to minimize the patients wait time. This strategy will not only help new patients, but it will provide convenience during check in for new patients.…
1. Discuss ways in which the EMR might change the clinical workflow and the logic for why they are changed.…
Budgeting healthcare has become an important issue in today’s society. The cost of healthcare is soaring each year causing private companies, as well as the government funded programs more money for coverage. The purpose of this paper is to attempt to provide a blue print to understand Comparative Effectiveness Research. Although Comparative Effectiveness Research has been cited as a way to promote healthy living and possibly lower health care cost.…
In health care, we know comparative effectiveness research as the comparison of treatments to determine which carry the greatest benefits and harms for which patients, with results assisting patients and clinicians in making more informed health care decisions. It is about doing your homework and then making a bet.…
Urgent care is pushing the boundaries of the quality of care that can be provided in an urgent care facility. According to the American Academy of Urgent Care Medicine (2014), “Since 2008, the number of facilities has increased from 8,000 to 9,300. The public’s desire for immediate access to medical care has been the driving force behind this monumental growth” (AAUCM, 2014). Urgent care facilities have begun volunteering to become accredited organizations, meaning that they will now be held to the highest standards of quality. This will now assure that the care being provided to patients in an urgent care facility will match the care one would receive in an emergency room. The increase in urgent care facilities becoming accredited greatly enhances the attraction for some of the best providers. This brings in highly qualified physicians who have a strong drive to practice medicine in an urgent care setting. Meaning not only do patients get access to highly trained physicians and an accredited care facility; they also have the availability of that facility on nights, weekends, and holidays. The increase in accessibility benefits the urgent care facility. More often than not when a patient shows up to an urgent care facility their wait will be under an hour, and they will be able to see an actual physician. As urgent care medicine continues to progress in the health care…
Rising operating expenses mean every staff member has to focus on improving efficiency and productive that supports the revenue stream. Sometimes, patient services suffer with this hyper-focused approach. Relieving internal staff of billing duties allows them to turn their attention toward face-to-face care delivery and developing positive relationships with…
Aside from the bits and pieces mentioned throughout the paper regarding quality improvement and risk management that insurance companies, health organizations, and patients’ themselves have to do, this section discusses in further detail the risk management tools and quality tools that may be utilized through social, cultural and political impacts.…
Evidence-Based Practice (EBP) is an evolutionary step in the nursing model of excellence in professional practice. A healthcare culture focused on excellence and world-class patient care requires that nursing research and EBP are integrated into the professional practice model and nursing care delivery. (Promoting Evidence-Based Practice and Translational Research, July-September, 2010)…
This thesis has been read by each member of the following supervisory committee and by majority vote has been found to be satisfactory.…
Medicine has changed in the past years in many ways. With the change and inventions of new cures, technology, and less invasive procedures, medicine has become a whole different world. Though there has been many enhancements that increase the productivity and treatment outcomes in medicine, the delivery method and care has changed along with it, and not for always for the best. Hospitals are what people find security and safety from all illness and diseases they have come across, but with the change of the economy and budget cuts, the first thing to cut is patient care and service. When people think of hospitals they think of long lines, waiting for hours for a simple procedure or question, medications that aren’t helpful and no care or relationship with the doctor. Patients get less time with physicians and more time with physician assistants and nurses. Many hospitals and clinics have made it known at the first meeting that after the initial appointment, the remainder of appointments will be either with the nurse practitioner or physician assistant. With less care and relationship from the physician, patients start to wonder why pay high dollar for less service, and that’s where the issue arises.…