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Advanced Access Project Team Presentation. San Mateo Medical Center Innovative Care Team October 30, 2008. General Aim Statement. - PowerPoint PPT Presentation
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Advanced Access ProjectTeam Presentation
San Mateo Medical Center
Innovative Care TeamOctober 30, 2008
General Aim Statement The Innovative Care Clinic (ICC) uses a team
approach and strives for high quality care that addresses total health with emphasis on self empowerment, education, and prevention by improving access and efficiency
Clinical Goals for Diabetics 60% of patients will have A1c <7.0 60% of patients to have Blood Pressure
<130/80. 80% of patients will have LDL< 100. 80% of patients will be given Pneumovax 80% of patients will get a yearly retinal
screening 80% of patients will have a yearly foot exam 80% of patients will have a yearly
mammogram
Access Aims by June 2009 Implement Advanced Access with goal of 50% of
patients calling for an appointment to be seen that day
Establish and actively manage panels for all providers
Decrease the No Show Rate to less than 20% Decrease ER visits by 20% for paneled patients Increase provider productivity by 10% All patients will receive a response from a defined
health care team by the end of the day Perform 1,000 retinal screen for diabetics utilizing
the new diabetes Retinal Camera
Office Efficiency Aims Decrease cycle time to less than 60 minutes Advanced chart preparation for each provider Pre-registration two days prior to visits for all
patients Create patient care teams consisting of a
provider, MA, PSA, and RN Follow up visit given to each patient prior to
leaving the clinic Implement medication management program Institute patient and staff satisfaction monthly
survey
Results (Measures) Insert graphs
from your measures here
Clinic Weekly Supply and Activity
050
100150200250300350400
Date
Num
ber
of P
atie
nts
Supply
Activity
Clinic Average Delay for Short Appts
0
10
2030
40
50
6070
80
90
Date
Day
s
Clinic Average
Results (Measures) Insert graphs
from your measures here
Weekly Clinic No-Show %
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
Date
Per
cen
t (%
)
Clinic Total
Results (Measures) Insert graphs
from your measures here
Cumulative No-Show % by Provider
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
Date
Pe
rcen
t (%
)
No-Shows
Results (Measures)Continuity by Provider
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Provider
Per
cen
t (%
)
Results (Measures)Average Visits Per Patient Ratios
0
0.5
1
1.5
2
2.5
3
3.5
4
Jun-08 Jul-08 Aug-08 Sep-08
Average Visits PerPatient To Their PCP -12 Month Period
Average Visits PerPatient To PCC - 12Month Period
Average Visits PerPatient To ER - 12Month Period
Results (Measures)Panel Size by Provider
0
100
200
300
400
500
600
700
800
Date
Co
un
t
Haddad Ashe Talcove Spangler Patel
Results (Measures) Insert graphs
from your measures here
Insert graphs from your measures here
Panel size by Provider
0
100
200
300
400
500
600
Date
Co
un
t
Birman Rubenstone Ramirez Shukla
Access/Efficiency Improvement: Best Practices, Good Ideas, and Successes
Space evaluation and reconfiguration New staff recruitment and hiring Creation of patient care teams Chronic Disease Management/CDEMS Medication Management Program AEMR implementation
SMMC Uses Web-Based Technology
to Screen Patients
Pre-registrationTwo Days Before The Visit
Challenges, Issues, Questions Staff acceptance/capacity for
change Magnitude of data collection Development of teams and work
flow Project evaluation Time requirement for training staff
