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Published on: June 20, 2020
Improving Developmental-Behavioral Pediatric care workflow
Neelkamal S Soares1, Rebecca A Baum, Kevin D Frick
1*Autism & Developmental Medicine Institute, Geisinger Health System, Danville PA; †Developmental-Behavioral Pediatrics, Nationwide Children's Hospital, Columbus, OH; ‡The Johns Hopkins Carey Business School, Baltimore, MD.
Insights
Developmental-Behavioral Pediatric (DBP) practice is complex and variable, impacting care quality and efficiency. This study identifies workflow challenges and proposes solutions to improve DBP services.
Area of Science:
- Developmental-Behavioral Pediatrics
- Health Services Research
Background:
- Developmental-Behavioral Pediatric (DBP) practice is characterized by complexity and variability across all stages of patient care.
- Workflow variations in DBP can indicate inefficiencies and inconsistent quality, posing challenges in the current healthcare landscape.
Purpose of the Study:
- To characterize current DBP practice.
- To identify common challenges within DBP workflows.
- To explore potential solutions for enhancing quality and efficiency in DBP.
Main Methods:
- A workshop was convened with DBP practitioners.
- The workshop focused on analyzing current DBP practices and identifying challenges.
- Findings were synthesized to propose future directions.
Main Results:
- DBP practice involves multifaceted workflows, from pre-visit triage to post-visit care coordination.
- Variability in these workflows is a significant concern for quality and efficiency.
- Common challenges were identified across the DBP care continuum.
Conclusions:
- Addressing workflow variability is crucial for the viability of DBP practice.
- Improving DBP workflow can lead to enhanced quality of care and operational efficiency.
- Further research and implementation of identified solutions are recommended to optimize DBP services.
Abstract:
: Experience and available research suggest that Developmental Behavioral Pediatric (DBP) practice is both complex and variable. Variability involves multiple aspects of DBP care, from activities before the visit (e.g. triage and collecting information) to activities during (e.g. history taking and testing) and after the visit (e.g. care coordination). Together these activities represent workflow, a series of clinical events by which health care is delivered. In complex systems, workflow variation often suggests the presence of inefficiency or inconsistent quality. Given the current environment of increasing health care costs and an increasing focus on quality, DBP practitioners must be mindful of these concepts for the field of DBP to remain viable. In order to characterize current DBP practice and identify common challenges, a workshop was developed with the ultimate goal of identifying potential solutions for improving both quality and efficiency. This paper summarizes the workshop findings and proposes future directions to foster improvements in DBP workflow.
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