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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Related Experiment Videos

Improving access to pediatric subspecialty care: initial failures and lessons learned.

Maria T Britto1, Terri L Byczkowski, Amy M Anneken

  • 1Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. Maria.Britto@cchmc.org

Quality Management in Health Care
|November 21, 2008
PubMed
Summary

Strategies to improve appointment availability initially failed at a large academic medical center. Focusing on supply and demand with data-based tools and clear expectations for physician attendance shows promise for enhancing access.

Related Experiment Videos

Area of Science:

  • Healthcare Management
  • Operations Research in Medicine
  • Academic Medical Centers

Background:

  • Strategies proven successful in primary care were applied to a tertiary-care academic medical center.
  • Initial implementation of these strategies did not yield expected improvements in appointment availability.

Purpose of the Study:

  • To examine the effectiveness of appointment availability improvement strategies in a tertiary-care setting.
  • To identify reasons for the initial failure of these strategies.

Main Methods:

  • Matched intervention and control clinics for an access improvement initiative.
  • Utilized run charts, linear models, and control charts to analyze supply, demand, and appointment availability.
  • Developed a clinic chart integrating supply, demand, and future projections.

Main Results:

  • Intervention clinics did not show improved access.
  • Standard analytical tools failed to clarify the relationship between supply, demand, and appointment availability.
  • A comprehensive clinic chart revealed that supply could not meet demand, shifting focus to supply enhancement.

Conclusions:

  • Detailed, data-based tools are crucial for selecting effective interventions.
  • Clear institutional expectations for physician clinic attendance are vital.
  • A combination of data-driven tools and institutional support shows promise for improving healthcare access.