A quality improvement intervention to increase access to pediatric subspecialty practice

Rubina A. Heptulla, Steven J. Choi, Peter F. Belamarich

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE: To improve access to new pediatric endocrinology appointments in an urban academic hospital faculty-based practice. METHODS: Three strategies were implemented to increase the number of appointment slots: new patient appointments were protected from conversion to follow-up appointments; all physicians, including senior faculty, were scheduled to see 3 to 4 new patients per session; and sessions devoted exclusively to follow-up appointments were added based on demand. The main outcomes for this quality improvement activity were waiting times for new and follow-up appointments, monthly visit volume, the per-provider visit volume, differences in the proportion of new visits, and clinic arrival rates pre- and postintervention. RESULTS: Thirteen months after the intervention, average wait for a new patient appointment decreased from 11.4 to 1.7 weeks (P , .001) and follow-up appointment wait time decreased from 8.2 to 2.9 weeks (P , .001). Mean monthly total visit volume increased from 284 to 366 patient visits (P , .01) and mean monthly visit volume per provider increased from 36.8 to 41.0 patients (P = .08). New patients were 27% of the visit volume and 35% after the intervention. CONCLUSIONS: Access to our pediatric specialty care clinic was improved without increasing the number of providers by improved scheduling.

Original languageEnglish (US)
JournalPediatrics
Volume131
Issue number2
DOIs
StatePublished - Feb 2013

Fingerprint

Quality Improvement
Appointments and Schedules
Pediatrics
Endocrinology
Urban Hospitals
Ambulatory Care
Physicians

Keywords

  • Health care provider/service
  • Hospital performance
  • Office practice
  • Quality improvement
  • Workforce

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

A quality improvement intervention to increase access to pediatric subspecialty practice. / Heptulla, Rubina A.; Choi, Steven J.; Belamarich, Peter F.

In: Pediatrics, Vol. 131, No. 2, 02.2013.

Research output: Contribution to journalArticle

@article{9d45b98640494c9aa4015620f147e42a,
title = "A quality improvement intervention to increase access to pediatric subspecialty practice",
abstract = "OBJECTIVE: To improve access to new pediatric endocrinology appointments in an urban academic hospital faculty-based practice. METHODS: Three strategies were implemented to increase the number of appointment slots: new patient appointments were protected from conversion to follow-up appointments; all physicians, including senior faculty, were scheduled to see 3 to 4 new patients per session; and sessions devoted exclusively to follow-up appointments were added based on demand. The main outcomes for this quality improvement activity were waiting times for new and follow-up appointments, monthly visit volume, the per-provider visit volume, differences in the proportion of new visits, and clinic arrival rates pre- and postintervention. RESULTS: Thirteen months after the intervention, average wait for a new patient appointment decreased from 11.4 to 1.7 weeks (P , .001) and follow-up appointment wait time decreased from 8.2 to 2.9 weeks (P , .001). Mean monthly total visit volume increased from 284 to 366 patient visits (P , .01) and mean monthly visit volume per provider increased from 36.8 to 41.0 patients (P = .08). New patients were 27{\%} of the visit volume and 35{\%} after the intervention. CONCLUSIONS: Access to our pediatric specialty care clinic was improved without increasing the number of providers by improved scheduling.",
keywords = "Health care provider/service, Hospital performance, Office practice, Quality improvement, Workforce",
author = "Heptulla, {Rubina A.} and Choi, {Steven J.} and Belamarich, {Peter F.}",
year = "2013",
month = "2",
doi = "10.1542/peds.2012-1463",
language = "English (US)",
volume = "131",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "2",

}

TY - JOUR

T1 - A quality improvement intervention to increase access to pediatric subspecialty practice

AU - Heptulla, Rubina A.

AU - Choi, Steven J.

AU - Belamarich, Peter F.

PY - 2013/2

Y1 - 2013/2

N2 - OBJECTIVE: To improve access to new pediatric endocrinology appointments in an urban academic hospital faculty-based practice. METHODS: Three strategies were implemented to increase the number of appointment slots: new patient appointments were protected from conversion to follow-up appointments; all physicians, including senior faculty, were scheduled to see 3 to 4 new patients per session; and sessions devoted exclusively to follow-up appointments were added based on demand. The main outcomes for this quality improvement activity were waiting times for new and follow-up appointments, monthly visit volume, the per-provider visit volume, differences in the proportion of new visits, and clinic arrival rates pre- and postintervention. RESULTS: Thirteen months after the intervention, average wait for a new patient appointment decreased from 11.4 to 1.7 weeks (P , .001) and follow-up appointment wait time decreased from 8.2 to 2.9 weeks (P , .001). Mean monthly total visit volume increased from 284 to 366 patient visits (P , .01) and mean monthly visit volume per provider increased from 36.8 to 41.0 patients (P = .08). New patients were 27% of the visit volume and 35% after the intervention. CONCLUSIONS: Access to our pediatric specialty care clinic was improved without increasing the number of providers by improved scheduling.

AB - OBJECTIVE: To improve access to new pediatric endocrinology appointments in an urban academic hospital faculty-based practice. METHODS: Three strategies were implemented to increase the number of appointment slots: new patient appointments were protected from conversion to follow-up appointments; all physicians, including senior faculty, were scheduled to see 3 to 4 new patients per session; and sessions devoted exclusively to follow-up appointments were added based on demand. The main outcomes for this quality improvement activity were waiting times for new and follow-up appointments, monthly visit volume, the per-provider visit volume, differences in the proportion of new visits, and clinic arrival rates pre- and postintervention. RESULTS: Thirteen months after the intervention, average wait for a new patient appointment decreased from 11.4 to 1.7 weeks (P , .001) and follow-up appointment wait time decreased from 8.2 to 2.9 weeks (P , .001). Mean monthly total visit volume increased from 284 to 366 patient visits (P , .01) and mean monthly visit volume per provider increased from 36.8 to 41.0 patients (P = .08). New patients were 27% of the visit volume and 35% after the intervention. CONCLUSIONS: Access to our pediatric specialty care clinic was improved without increasing the number of providers by improved scheduling.

KW - Health care provider/service

KW - Hospital performance

KW - Office practice

KW - Quality improvement

KW - Workforce

UR - http://www.scopus.com/inward/record.url?scp=84873459908&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84873459908&partnerID=8YFLogxK

U2 - 10.1542/peds.2012-1463

DO - 10.1542/peds.2012-1463

M3 - Article

C2 - 23339218

AN - SCOPUS:84873459908

VL - 131

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 2

ER -