优化门诊放射瘤咨询工作流程,通过使用时间驱动的基于活动的成本计算:效率和财务影响
Julius Weng1, Shane Mesko2, Gregory Chronowski1
1Division of Radiation Oncology, MD Anderson Cancer Center, Houston, TX.
JCO oncology practice
|February 8, 2024
概括
基于时间驱动的基于活动的成本计算 (TDABC) 提高了辐射瘤学的临床效率. 工作流变化减少了患者接触时间和成本,同时提高了患者的满意度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 瘤学实践管理的管理
背景情况:
- 临床效率对于基于价值的医疗保健至关重要.
- 门诊放射瘤诊所面临着影响患者护理和成本的工作流的挑战.
- 优化患者流动对于改善医疗保健服务至关重要.
研究的目的:
- 通过基于时间驱动的基于活动的成本计算 (TDABC) 来识别大量门诊放射瘤诊所的工作流程的低效率.
- 评估实施新的临床工作流对效率和患者满意度的影响.
- 量化与工作流改善相关的财务节省.
主要方法:
- 在GI,生殖泌尿 (GU) 和胸部放射瘤学部门以及社区网站上进行了一项质量改进研究.
- 基于时间驱动的基于活动的成本计算 (TDABC) 用于绘制和优化门诊咨询工作流程.
- 使用电子医疗记录收集了患者接触指标,并通过曼-惠特尼U测试比较了时间指标.
主要成果:
- 总体而言,患者接触周期时间在GI减少了21%,在GU减少18%,在社区网站减少12%.
- 每次咨询的财务储蓄中位数在各部门从30美元到52美元不等.
- 患者满意度仍然很高,99%的人报告提供足够的提供者时间,91%的人及时提供护理.
结论:
- 基于时间驱动的基于活动的成本计算 (TDABC) 有效地确定了提高临床效率的机会.
- 基于TDABC分析的工作流修改导致遭遇周期时间的显著减少.
- 实施的变化带来了巨大的经济节约和高患者满意度.
相关概念视频
01:21Cancer Survival Analysis
346
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
346
01:26Methods of Documentation II: POMR
951
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
951
01:15Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
01:30Health Information Technology and Healthcare Information System
840
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
840