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Area of Science:

  • Health Services Research
  • Clinical Operations Management
  • Health Informatics

Background:

  • Value-based healthcare delivery requires optimizing operational strategies to meet performance metrics.
  • Electronic Medical Records (EMR) offer a rich data source for analyzing clinical operations.
  • Understanding the interplay between different operational choices is crucial for efficient patient care.

Purpose of the Study:

  • To evaluate the effectiveness of using Electronic Medical Record (EMR) audit data for assessing clinic operational strategies.
  • To determine the impact of physician-determined patient appointment lengths on patient wait times and provider contact time.

Main Methods:

  • Utilized audit file data from Electronic Medical Records (EMR).
  • Analyzed patient appointment lengths as a key operational variable.
  • Assessed the correlation between scheduled visit duration and patient wait times/provider contact duration.

Main Results:

  • Shorter scheduled patient visit lengths (e.g., 15-minute appointments) were associated with increased total mean patient wait times.
  • Reduced provider care or contact time was observed with shorter appointment durations.
  • An operational strategy of shortening visit lengths negatively affected the goal of minimizing patient wait times.

Conclusions:

  • The operational strategy of setting shorter patient appointment lengths can inadvertently increase wait times and decrease quality interaction time.
  • EMR audit data is a valuable tool for identifying unintended consequences of operational strategies in healthcare settings.
  • Clinic leaders must carefully consider the trade-offs between appointment scheduling and patient flow efficiency for value-based care.