ppt课件-clinic name quarterly report, june2011- u c s fat s f g h（诊所的名字季度报告,june2011 - u c脂肪年代f g h）.pptVIP

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ppt课件-clinic name quarterly report, june2011- u c s fat s f g h（诊所的名字季度报告,june2011 - u c脂肪年代f g h）.ppt

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SFGH Children’s Health CenterQuarterly Report # 2, September 2011 The Children’s Health Fairies Lannie Adelman, RN, MS, MBA Shonul Jain, MD Shannon Thyne, MD Katie McPeak, MD Mabel Chan, MD Jennie Trinh Aim Statement Original AIM Statement “For primary care patients, decrease total patient time at clinic visits (including registration, clinician time, immunizations, and labs) to 90 minutes per patient by January 1, 2012.” Ultimate goal of increasing patient visits and therefore improving access Route to improvement is through streamlining/shortening the patient visit Focus on improving communication/efficiency through use of huddles pre-visit preparation (checklists) Achieving AIM Changes tested or implemented this Quarter Multiple PDSAs refining a checklist as tool for huddle Feedback from MEA and MDs leading to simplified check list (see next slide) Multiple PDSAs refining Huddle process Process is not empowering the whole team – maintaining MD-centered care Huddles don’t work when “we don’t have enough hands” “When I arrive, there is not someone there who is assigned to me. I would like to have the same person throughout the entire clinic.” Schedule variations are impeding huddle capacity Learnings from PDSAs Our original concept of a huddle may not work. The checklist is a helpful tool, but the most important part of team “huddle” is the preparation and open communication between providers and staff. Need to continue to facilitate “prepping” prior to clinic. Need to facilitate the ability to have a time in the beginning of clinic to communicate with each other. Pre-visit Checklist Changes tested or implemented this Quarter Other Changes Implemented Modified MEA schedules to improve staff ratios Added “RN leader” to group of primary care MEAs to help problem-solving and team efficiency Charts being available the day prior to clinic for “prepping” Focus on communication: Created posted schedule display to help anticipate busy clinic days Increased frequency o