University Health Services

I work for the City Health Care Partnership within the Primary Care Medical Services, I work for 4 different GP practices as the Data Quality Manager but main base been at Kingston Medical Centre in the Central appointments team, at Kingston Medical Centre we have 4 full time GP’s, 3 Nurses, 2 Health Care Assistants, 7 Receptionists, 2 Admin members based in the Central appointments

Retailing choices – Patients have several choices to receive services, through the hospital, a clinic visit, and now the minute clinic. Mayo has two Minute clinics’ that are a walk-in center and are used to assess and treat minor conditions, and monitor chronic conditions of patients and no appointment is required. The wait time is usually less than 15 minutes. (Keckley, Ph.D., P. H., 2008).

Making the health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to take better decisions.

| ▪Decrease waiting time.▪Reduce crowding during the lunch period.▪ Increase patients.▪ More convenient especially for employed patients who want to do physical examination.

There are many factors to why appointments are delayed or re-scheduled that are beyond the structuring of time, however, there are some ideas that can help ease the annoyance of having to wait. The best thing to address is making sure the patient feels comfortable. Keep people abreast of the wait time and what’s going on. People understand things happen. However, they don’t want to feel forgotten. Some doctor’s offices have grasped the ideas of distraction, provide TV with news and valuable information, brochures and literature read, even hiring nurses or

t is our goal to accommodate provider requests to add patients on to be seen. However, please refrain from scheduling patients from 12:00 pm – 12:30 pm. If you receive a requests from a provider to schedule patients during those hours, please contact me or Leigh Tuttle for approval. We need to ensure that all staff are taken lunch and also ensure that we have staff availability to assist the provider during those hours.

Healthcare just like any other type of service industry is reliant on possessing satisfied clientele. Scheduling practices help to manage the patient flow by establishing certain guidelines regarding how late a patient can arrive, and still be seen without disrupting the patient flow

One reason some offices run continuously late is the doctor trys to see to many patients on a given day.Moreso, when this happens the payient dosen’t get the attention thay require from the physician.Running patient through

Reassign the number of exam rooms to better optimize utilization and fulfill demand; MD cycle time is 19.4 minutes and NP cycle time is 32.8 minutes. Redirecting exam rooms to MD’s would also reduce the wait time for next available appointment thus improving patient satisfaction with wait time. For example,

Benefits Increase quality of care Bedside charting access Ability to access your patients records at one time All information in one place

Another way to alleviate the overcrowded schedule is by making patient appointments for every other time slot. If a patient calls in for an

Providing EMR, this will provide accuracy for the patients. They may have better check points when the goes into the hospital and they are having surgery the files are provided with plus medical history.

In order to alleviate the long wait times, the clinic either needs to hire more physicians at an additional cost of $55,000 each, or the clinic needs to find ways to increase the utilization of the nurse practitioners to reduce the burden carried by the physicians. In light of the comparatively high cost of hiring physicians as compared with the cost of increasing the utilization of the nurse practitioners, we recommend taking the following steps instead of simply hiring additional physicians.

Upon arrival a patient should have been made aware about a delay therefore he/she would not get inpatient. The appointment itself should not be rushed. A health proffessional should have explained everything in a clear and precise manner giving patient the opportunity to voice any concern or ask any additional questions. In regards to the appointment itself, the

This allows more access to doctors without having to have many doctors on site 24-7 (Banner Health, 2012).