Decreasing Wait Times at a Reproductive Health Clinic
Summary
The Carroll County General Health District, in response to patients' desire to spend less time waiting in its clinics, sought to reduce the time a patient spends in the reproductive health clinic. Many patients in the reproductive health clinic were voicing their displeasure with the time they had to wait throughout their visit. Through the use of flowcharts, histograms, and a fishbone diagram, the team determined that the way it handles and distributes paperwork throughout a patient's visit needed to be changed. The team eliminated redundant paperwork, made paperwork available on the website, and provided the option for patients to fill out paperwork while they waited in an exam room for the practitioner. The team reduced the average time a patient is at the clinic by slightly more than 6 minutes. The goal was 6.5 minutes. The team will continue with the changes because the post-intervention time studies were conducted with one fewer staff member working in the clinic.
Allende, L. Public Health Quality Improvement Exchange. Decreasing Wait Times at a Reproductive Health Clinic. Wed, 05/28/2014 - 21:59. Available at http://www.phqix.org/content/decreasing-wait-times-reproductive-health-clinic. Accessed October 10, 2024.
Comments
Thank you for sharing this
Thank you for sharing this work. I like how you decided to work on this particular QI project - priority for the community, ability to measure change and feasibility to complete in a noted time frame. The lesson you learned and shared cannot be overstated. Perceptions of what causes a problem may not be accurate and can possibly steer us away from improving it.
It is interesting to see
It is interesting to see common problems among health clinics. I like the break down of wait times as this compares to our clinic also.
Our clinic staff conducted a
Our clinic staff conducted a QI project to improve the "no-show" rate. After implementing several strategies, the rate improved. Now into year 2, with staff turn over, the rates have fallen again. Our PDCA cycle is in the ACT phase or revisiting strategies with staffs and hopefully over time, a return to the improved "show-rates" we initially experienced. This goes to show that the process is continuous, not a "once and we're good" event!
Jane Palmer RN/BSN
Public Health Nursing Supervisor
North Central Public Health District
Decreasing wait times seems
Decreasing wait times seems to be a common subject matter in public health. Our health department has identified this topic as our focus for the upcoming year. Reviewing the information in this submission has given me another reference point and efficiency suggestions. Having this information posted is great and really drives home the need for this QI forum.
Sara Warren
Hi, can you please share
Hi, can you please share details on how you conducted your time studies (baseline and post-implementation)? We are doing an identical project in our health department and this information would help us with planning and execution of data collection.
Gurleen Roberts, MPH
Director of Quality Management
Cobb & Douglas Public Health
Marietta, GA
gurleen.roberts@dph.ga.gov