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Performance metrics for advanced access.

Diwakar Gupta1, Sandra Potthoff, Donald Blowers

  • 1Graduate program in Industrial and Systems Engineering, Department of Mechanical Engineering, University of Minnesota, Minneapolis, USA.

Journal of Healthcare Management / American College of Healthcare Executives
|August 19, 2006
PubMed
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Advanced access scheduling improves patient care by reducing wait times and enhancing appointment availability. Strategies are discussed to overcome challenges and maintain this outpatient scheduling success long-term.

Area of Science:

  • Health Services Research
  • Outpatient Management
  • Healthcare Operations

Background:

  • Advanced access is an outpatient scheduling strategy designed to provide same-day appointments.
  • The goal is to minimize patient wait times and improve care continuity by balancing appointment supply and demand.

Purpose of the Study:

  • To propose performance measures for monitoring advanced access implementation.
  • To discuss strategies for sustaining advanced access in clinical practice.

Main Methods:

  • The study reviews the principles and challenges of advanced access scheduling.
  • It proposes key performance indicators (KPIs) for evaluating its effectiveness.
  • Strategies for long-term sustainability are discussed based on operational factors.

Related Experiment Videos

Main Results:

  • Sustaining advanced access requires addressing variations in physician practice styles, patient panel compositions, and patient preferences.
  • Time-varying demand patterns present ongoing challenges to maintaining supply-demand balance.
  • Performance measures are crucial for ongoing evaluation and adjustment.

Conclusions:

  • Advanced access can significantly improve patient access and care continuity when effectively implemented and managed.
  • Continuous monitoring and strategic adjustments are necessary to overcome inherent practice challenges and ensure long-term success.
  • Clinic directors can utilize proposed measures and strategies to optimize their advanced access systems.