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Related Experiment Videos

Navigating ambulatory referral: a standardized process.

N McDonald1, M Pinard, F Richardson

  • 1STAR Project Team, Hospital For Sick Children, Toronto.

Healthcare Management Forum
|May 2, 2000
PubMed
Summary
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The Hospital for Sick Children improved patient referrals by implementing three changes using the Plan-Do-Study-Act framework. This initiative streamlined access and encouraged more appropriate patient referrals.

Area of Science:

  • Healthcare Management
  • Quality Improvement in Healthcare
  • Pediatric Patient Pathways

Background:

  • Ontario healthcare reforms in the mid-1990s necessitated a review of hospital referral systems.
  • The Hospital for Sick Children in Toronto identified a need to optimize patient access and referral appropriateness.

Purpose of the Study:

  • To examine and improve the patient referral process at The Hospital for Sick Children.
  • To implement and evaluate three significant changes to streamline healthcare access.
  • To assess the impact of process improvements on referral patterns.

Main Methods:

  • Utilized the Plan-Do-Study-Act (PDSA) framework for iterative improvement.
  • Implemented three distinct, major changes to the existing referral system.

Related Experiment Videos

  • Monitored and summarized the outcomes of the implemented changes.

    • Main Results:

    • The implemented changes led to a streamlined patient referral process.
    • Improvements encouraged a higher rate of appropriate patient referrals.
    • The PDSA framework facilitated systematic testing and refinement of interventions.

    Conclusions:

    • The PDSA framework is effective for implementing and evaluating changes in hospital referral processes.
    • Strategic modifications to referral systems can enhance healthcare access and appropriateness.
    • Continuous quality improvement initiatives are vital for pediatric healthcare delivery.