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Post COVID-19 waitlist reduction in a memory disorder clinic.

Sydney Hurt1, Ian Moore1, Kalpana P Padala1,2

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Summary
This summary is machine-generated.

Implementing new consult management criteria significantly reduced wait times for dementia evaluations in a VA memory clinic. This quality improvement project streamlined patient care, cutting waitlists from six months to under one month.

Keywords:
COVID-19consult managementdementiageriatricmemory clinicneuropsychologypandemicwaitlist

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Area of Science:

  • Neuropsychology
  • Geriatrics
  • Healthcare Management

Background:

  • Neuropsychologists and dementia evaluation teams in the Veterans Health Administration (VA) experience significant patient backlogs, exacerbated by the COVID-19 pandemic.
  • Long waitlists can lead to delayed patient care, necessitating effective strategies for waitlist reduction.

Purpose of the Study:

  • To enhance clinical efficiency within an interdisciplinary memory disorder clinic at the Central Arkansas VA healthcare system.
  • To implement comprehensive criteria for streamlining consult management and reducing patient waitlists.

Main Methods:

  • Utilized the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework and the Practical, Robust Implementation and Sustainability Model (PRISM).
  • Developed and applied consult management criteria through chart reviews to triage referrals effectively.
  • Incorporated increased administrative support and provider education.

Main Results:

  • Reviewed 195 consults between August 2023 and April 2024.
  • Approximately 40% of referrals were successfully triaged to alternative services.
  • Reduced clinic waitlist from approximately 6 months to less than 1 month, with sustained results.

Conclusions:

  • Implementation of consult management criteria significantly improved clinic efficiency.
  • Prioritization of patients and alternative referrals optimized care delivery.
  • The QI project successfully reduced waitlists and improved patient access to timely dementia evaluations.