New Microsystem Knowledge Added to 5 P Assessment

1. SAMPLE POSTER : Microsystem Path Forward Practice Name Here Improvement Theme: Access and Efficiency TimeFrame: April – November 2007 PICTURE OF TEAM or other practice photo optional Names of Team Members INSERT FISHBONE(S) Global Aim: Reduce handoffs, waits and delays in core processes. Starts when patient calls for appointment and ends when patient leaves office visit. We expect to improve access to appointment, reduce cycle time, optimize roles, and improvement patient and team satisfaction. Specific Aims: Reduce 3rd available appointment for physical exam or long appointment type from 23 days to 0 days in 6 months. Reduce cycle time from 60 min to 25 min for a 15 min appointment in 2 months. Reduce # of phoncalls for prescription refills and internal processing time by 50% in 3 months. Reduce # of no shows by 50% in one month. 4 PDSA Ramps – annotated with specific change ideas or identify change ideas tested for each PDSA Insert Flowcharts – before and after changes • Key Lessons from PDSAs and Data • sample • Patient reminder calls result in significant rebooking • Morning huddles take too long using EHR for today’s data needs • Reducing backlog for diabetics by lengthing revisit requires a follow up phone call. • Significant number of patients choose not to complete previsit card. • Patients do not know that their appointment time is 15 minutes with physician. Measures and Results Annotated Run Charts Bullet Summary of Opportunities for achieving aims based on microsystem assessment data, fishbones, current state flow charts. sample * Revisit interval for diabetes can be lengthened – no clinical basis for current standard 3 SDSAs List Standards in Play Book New Microsystem Knowledge Added to 5 P Assessment