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Improving patient access to an interventional US clinic.

Joseph R Steele¹, Ryan K Clarke, John A Terrell

¹From the Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1479, Houston, TX 77030.

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|January 17, 2014

Summary

Implementing a continuous quality improvement project significantly reduced neurointerventional ultrasonography (US) clinic wait times. Structural changes in staffing and workflow decreased appointment delays from 25 days to just 1 day.

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Area of Science:

Medical Imaging
Quality Improvement
Healthcare Operations

Background:

Neurointerventional ultrasonography (US) clinics face significant scheduling delays due to increasing patient volume.
These delays impact patient access to critical diagnostic procedures.

Purpose of the Study:

To implement a continuous quality improvement project to enhance patient access to a neurointerventional US clinic.
To reduce the mean wait time for the next available appointment.

Main Methods:

A multidisciplinary team analyzed scheduling and workflow using an Ishikawa diagram and flowchart.
A staged intervention was implemented, focusing on staffing, room utilization, same-day scheduling, and workflow optimization.
Key changes included staffing adjustments, new scheduling procedures, and lead technician rotation.

Main Results:

The mean time to the next available appointment decreased from 25 days to 1 day.
The number of available daily appointments increased from 38 to 55.
The project demonstrated a net present value exceeding $275,000.

Conclusions:

Structural changes in staffing, workflow, and room utilization can significantly reduce scheduling delays for critical imaging procedures.
Coordinated provider efforts are crucial for improving operational efficiency in specialized clinics.
Continuous quality improvement is effective in optimizing patient access to neurointerventional services.