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Updated: Sep 6, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Consumer-centric approach to enhance access to pediatric specialty care
Michael J Comunale1, Terence S Dermody, Michelle Peters
1UPMC Children's Hospital of Pittsburgh, 4401 Penn Ave, Pittsburgh, PA 15224.
Objectives:
Health systems must adapt to an increased consumer-centric environment to remain relevant in an ever-growing competitive health care landscape in which convenience is a key driver of patient satisfaction and loyalty. To adapt to this new environment, health systems must redesign processes to transform the delivery of ambulatory care and provide near real-time access to specialty care.
Study Design:
A pediatric academic medical center in western Pennsylvania used a process-improvement approach to enhance timely access to specialty care and deliver a consumer-centric patient experience.
Methods:
Critical factors in this process included engagement of key stakeholders, implementation of scheduling best practices, development of a set of scheduling guidelines, increased use of advanced practice providers, and use of data analytics to measure and benchmark performance.
Results:
The time to schedule a new patient appointment decreased from 42 to 4 days and the patient satisfaction access domain increased by 57 percentile points.
Conclusions:
These factors should scale to other institutions, thereby enabling generalizable results.
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