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Appointment standardization evaluation in a primary care facility.

¹Mayo Clinic Minnesota, Rochester, Minnesota, US.

International Journal of Health Care Quality Assurance

|June 15, 2016

Summary

This summary is machine-generated.

Standardizing appointment lengths in primary care clinics negatively impacts efficiency and patient access. Individualized scheduling based on provider preferences significantly improves cost savings and patient throughput.

Keywords:

Appointment scheduling Appointment slot Provider preference Standardization

Related Experiment Videos

Area of Science:

Health Services Research
Operations Management
Primary Care Medicine

Background:

Standardizing appointment slot lengths in primary care clinics is a common practice.
However, the impact of standardization on clinic efficiency and patient access, considering provider preferences, is not well understood.

Purpose of the Study:

To evaluate the performance of standardizing appointment slot lengths in a primary care clinic.
To understand the impact of providers' preferences and practice differences on clinic operations.

Main Methods:

Collected treatment time data for each provider across six patient types: emergency/urgent care (ER/UC), follow-up (FU), new patient, office visit (OV), physical exam, and well-child care.
Developed a simulation model to analyze patient flow, wait times, provider idle time, costs, overtime, finish times, and patient scheduling.
Compared four scheduling scenarios: 20-minute slots for all, mixed 20/40-minute slots, individual provider preferences, and combined provider preferences.

Main Results:

Standardized scheduling increased costs by 57%, patient wait times by 83%, provider idle time by 5 minutes/patient, overtime by 22 minutes, and finish times by 30 minutes, while decreasing patient access by 11%.
Individualized scheduling saved up to 14% on costs and allowed for scheduling 1.5 more patients.
Combined provider preferences saved approximately 8% with no change in the number of patients scheduled.

Conclusions:

Standardization of appointment slot lengths based on provider preferences negatively impacts clinic service quality and patient access.
Individualized and combined provider preference scheduling models offer significant improvements in efficiency and patient throughput.