一个基于电子健康记录的自动自我调度工具,以改善患者访问:回顾性队列研究
Smitha Ganeshan1, Andrew W Liu2, Anne Kroeger3
1Department of Medicine, University of California San Francisco, San Francisco, CA, United States.
Journal of medical Internet research
|March 19, 2024
概括
电子健康记录工具Fast Pass有助于填补取消的预约,改善患者的访问并产生300万美元的收入. 然而,在报价接受方面的人口差异表明潜在的获取不平等.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 患者访问 患者访问
背景情况:
- 在大型医疗中心,长时间的预约等待时间和护理获取困难是普遍存在的.
- 患者不出现和最后一分钟取消创建未填充的临床位,加剧护理延误.
- 医疗系统利用各种工具来尽量减少没有出现的人数,并填补预约缺口.
研究的目的:
- 为了评估基于电子健康记录 (EHR) 的自我调度工具,Fast Pass.
- 评估Fast Pass对填补取消预约时间和改善患者访问的影响.
- 确定该工具对此前非计划性访问的临床收入的影响.
主要方法:
- 追溯队列研究分析Fast Pass优惠和从EHR安排数据 (2022年6月 - 2023年3月).
- 分析的结果包括报价的接受,预约的完成和产生的收入.
- 按预约专业分层,并根据付款人组合计算患者服务收入.
主要成果:
- 60,660个Fast Pass优惠导致5,399次访问完成,填补了21,978个可用时机.
- 患者平均提前14天预约,该工具估计产生了300万美元的专业费用.
- 老年患者,非白人族裔和非英语使用者不太可能接受Fast Pass的报价.
结论:
- 基于EHR的自动调度工具可以通过填补未填补的预约时间来改善患者的访问和获取收入.
- 报价接受率的人口差异凸显了数字工具在加剧医疗保健准入不平等方面的潜力.
- 需要制定战略,确保公平地获得和使用这种面向患者的技术.
相关概念视频
01:30Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
01:30Health Information Technology and Healthcare Information System
837
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:
837
01:19Purpose of Health Records II
967
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
967
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
01:29Documentation in Long-Term and Home Healthcare Setting
888
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
888
01:15Methods of Documentation VI: Case Management Model
571
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...
571