Open Access Lessons at SFHC
Open Access transition at SFHC very smoothSignificant improvement in cycle time, “red zone”
time, and time to 3rd next available appointmentWorsening of parameters for provider continuity--
why?
P leas e enter your organiz ation name in this c ell
No
v-0
8
De
c-0
8
Ja
n-0
9
Fe
b-0
9
Ma
r-0
9
Ap
r-0
9
Ma
y-0
9
Ju
n-0
9
Ju
l-0
9
Au
g-0
9
Se
p-0
9
Oc
t-0
9
No
v-0
9
De
c-0
9
Ja
n-1
0
Fe
b-1
0
Ma
r-1
0
Ap
r-1
0
Ma
y-1
0
Ju
n-1
0
Ju
l-1
0
Au
g-1
002468
101214161820
A verag e T ime to 3rd Next A vailable A ppointment by P rovider
No
v-0
8
De
c-0
8
Ja
n-0
9
Fe
b-0
9
Ma
r-0
9
Ap
r-0
9
Ma
y-0
9
Ju
n-0
9
Ju
l-0
9
Au
g-0
9
Se
p-0
9
Oc
t-0
9
No
v-0
9
De
c-0
9
Ja
n-1
0
Fe
b-1
0
Ma
r-1
0
Ap
r-1
0
Ma
y-1
0
Ju
n-1
0
Ju
l-1
0
Au
g-1
00
20
40
60
80
100
P hys ic ian C ontinuity
No
v-0
8
De
c-0
8
Ja
n-0
9
Fe
b-0
9
Ma
r-0
9
Ap
r-0
9
Ma
y-0
9
Ju
n-0
9
Ju
l-0
9
Au
g-0
9
Se
p-0
9
Oc
t-0
9
No
v-0
9
De
c-0
9
Ja
n-1
0
Fe
b-1
0
Ma
r-1
0
Ap
r-1
0
Ma
y-1
0
Ju
n-1
0
Ju
l-1
0
Au
g-1
00
20
40
60
80
100
O ffic e Vis it C yc le T ime
No
v-0
8
De
c-0
8
Ja
n-0
9
Fe
b-0
9
Ma
r-0
9
Ap
r-0
9
Ma
y-0
9
Ju
n-0
9
Ju
l-0
9
Au
g-0
9
Se
p-0
9
Oc
t-0
9
No
v-0
9
De
c-0
9
Ja
n-1
0
Fe
b-1
0
Ma
r-1
0
Ap
r-1
0
Ma
y-1
0
Ju
n-1
0
Ju
l-1
0
Au
g-1
00
20
40
60
80
100
Value-added time as perc ent of total c yc le time (R ed Zone)
Open Acces s
St a r t ed
New l ea r n e
r s
H1 N1 outbreak / vac c ination c ampaig n - man y routine prac tic es d isrupted
Open Access: Whither Next?
Continue to tweak %pre-booking vs %open access booking
Pre-books now include PAPs, procedure booking (to double book with residents), folks who need rides, DARTs patients, folks with mental illness or dementia, “physiological” pre-books (e.g. Pre-natals)
How to improve provider continuity?
Recommended
