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Productivity measures associated with a patient access initiative.

William H Gable1, Theodore N Pappas, Danny O Jacobs

  • 1Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.

Annals of Surgery
|April 25, 2006
PubMed
Summary
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Implementing a 7-day access initiative for new patients significantly boosted financial performance in academic medical centers. This patient access improvement led to more visits, procedures, and charges, enhancing overall productivity.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Surgical Oncology

Background:

  • Patient access to clinical services is a significant challenge at academic medical centers.
  • Conflicting priorities of academic surgeons impede patient entry into the healthcare system.

Purpose of the Study:

  • To evaluate the financial impact of a patient 7-day access initiative.
  • To determine if improving patient access affects financial performance in academic surgical practices.

Main Methods:

  • Designed a streamlined new patient appointment process with a 7-day access goal.
  • Centralized scheduling and utilized subspecialty team search capabilities.
  • Compared 7-day access metrics from 2004-2005 with baseline data from 2001-2003.

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Main Results:

  • Median new patient wait times decreased from 21 to 10 days.
  • The initiative correlated with significant increases in patient visits, new patients, and operative procedures.
  • Hospital and physician charges saw substantial growth during the initiative periods.

Conclusions:

  • A 7-day access initiative can substantially enhance the financial productivity of general surgery groups in academic settings.
  • Simplifying patient access to services offers clear benefits to academic surgical practices.
  • Sustaining the achieved productivity levels presents ongoing challenges.