Workflow redesign

Innovations

Standardized Contact Process Based on Individual Physician Preferences Saves Nurses Significant Time When Trying to Reach Doctors 03/28/08

St. Rita's Medical Center uses a system based on individualized physician preferences that allows nurses to contact physicians at any time of day by making only one phone call, leading to significant time savings.

Enhancements to Interpreter Program Lead to Better Productivity for Interpreters, More Depression Screening, and Potential Reduction in Readmissions for Non–English-Speaking Patients 03/24/08

Cambridge Health Alliance enhanced its round-the-clock interpreter services by tracking key indicators that gauge the quality of these services; analyses of these data led to significant improvements in the program's telephone-based services and staff efficiency and the decision to implement depression screening in patients with limited English proficiency.

Open Scheduling and Related Strategies Lead to Zero Wait Time for Appointments and Few No Shows at Family Practice 03/18/08

Community Physician Network Family Medicine Care–Saxony, a seven-physician family practice in the suburbs of Indianapolis, ensures maximum patient access through a variety of scheduling and related strategies, including same-day appointments, extended hours, direct telephone access to physicians after hours, and electronic visits.

Revised Processes Related to Daily Opening Reduce Wait Times and Enhance Patient Satisfaction at Two Urban Clinics 03/16/08

Reformed first-hour operational processes at two clinic sites reduced wait times, increased patient satisfaction, and improved patient–provider interactions.

Group Primary Care Visits Improve Outcomes for Patients With Chronic Conditions 02/29/08

Hill Physicians Medical Group offers 60- to 90-minute group appointments for patients with chronic conditions such as diabetes, hypertension, and chronic obstructive pulmonary disease, as well as menopause, prenatal care, and precolonoscopy; the program has led to improved outcomes for diabetes patients and anecdotal reports of higher patient and physician satisfaction and reduced downstream utilization.

Placing Mental Health Specialists in Primary Care Settings Enhances Patient Engagement, Produces Favorable Results Relative to Evidence-Based Care 02/26/08

An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use.

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Six Sigma-Inspired Workflow Redesign Enhances Access to Care and Increases Patient Satisfaction, Visits, and Revenues in Obstetrics and Gynecology Residency Clinic 02/25/08

A hospital's obstetrics and gynecology residency training clinic used Six Sigma methodologies to identify and address inefficiencies in workflow.

Pediatric Critical Care Physicians Provide Remote Consultations to Emergency Departments in Underserved Rural Areas, Leading to Better Diagnosis and Treatment 02/25/08

An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.

Weight Management Program That Incorporates Mental Health and Chronic Disease Education and Screening Targets Low-Income Hispanic Children 02/25/08

The Lutheran Family Health Centers Network, in collaboration with its school-based health program at PS 24 in Brooklyn, NY, has developed a program known as Healthy Body/Healthy Mind (or Cuerpo Sano/Mente Sana in Spanish).

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