Advanced Access Project Team Presentation

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Advanced Access Project Team Presentation San Mateo Medical Center Innovative Care Team October 30, 2008

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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

Transcript of Advanced Access Project Team Presentation

Page 1: Advanced Access Project Team Presentation

Advanced Access ProjectTeam Presentation

San Mateo Medical Center

Innovative Care TeamOctober 30, 2008

Page 2: Advanced Access Project Team Presentation

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

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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

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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

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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

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Results (Measures) Insert graphs

from your measures here

Clinic Weekly Supply and Activity

050

100150200250300350400

Date

Num

ber

of P

atie

nts

Supply

Activity

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Clinic Average Delay for Short Appts

0

10

2030

40

50

6070

80

90

Date

Day

s

Clinic Average

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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

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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

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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 (%

)

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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

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Results (Measures)Panel Size by Provider

0

100

200

300

400

500

600

700

800

Date

Co

un

t

Haddad Ashe Talcove Spangler Patel

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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

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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

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SMMC Uses Web-Based Technology

to Screen Patients

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Pre-registrationTwo Days Before The Visit

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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