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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-72-oregon-community-health-information-network-electronic-medical-record-emr-implementation-and
January 01, 2023 - Conduct first Implementation Team meeting: clarify roles, responsibilities, assignments, meeting schedule … Schedule CIT visit to ‘Buddy Clinic’ if appropriate
Review ambulatory workflows, identify changes … staff/MDs
Complete the 3 month readiness survey and the 90 day checklist
Staff, clinician and locum schedules … Hardware installation including exam room computers
Finalize and lock into place the training schedule … and locum schedule
Conduct operational workflow meetings with all teams
Complete 2 month readiness
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kim-y-chen-ah-keith-e
January 01, 2023 - Subspecialists review requests within 72 hours and choose to (1) schedule next available regular appointment … , (2) schedule an urgent appointment or (3) do not schedule. … When reviewers do not schedule an appointment, they request additional information or suggest alternative … Referring and reviewing providers can communicate until issue is resolved - either schedule an appointment … makes the appointment.
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digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationhandbookfinal.pdf
February 01, 2012 - Wait times (in days) for the next available new patient appointment for four different
medical specialty … The table below shows a series of wait times (in days) for the next available new patient
appointment … Wait times (in days) for the next available new patient appointment for four different medical
specialty … Scheduling staff receive appointment requests through the eReferral system, but make
appointments using … letter.
20
Scheduled Appointments
After an appointment is scheduled, the appointment date
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digital.ahrq.gov/sites/default/files/docs/medicaid/ComprehensivePatientScenario.docx
June 16, 2021 - Component
Scenario
Appointments
1. An established patient calls in for appointment
a. … Demonstrate different views of the schedule to include multiple providers, resources, varied appointment … Demonstrate a new patient appointment
7. … Number of appointments by provider, by date
6. … Are you able to work with RVU’s to set up fee schedules and allowed amounts?
5.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PatientCheckOut.pdf
December 18, 2021 - Go to lab
flowchart
Look at orders
screen and check
for future
appointment
messages from
provider … Schedule
appointment or
give patient info
about how to
schedule later
Is there a
balance due
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digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationreportfinal.pdf
February 01, 2012 - Proportion of new patient appointments not attended, by quarter ..................................8 … Schedule for the next available appointment (routine).
2. … Schedule for an “Overbook” appointment, sooner than the next available. … Outcomes Related to Accessibility of Care
Change in Wait Times for Routine New Patient Appointments … Proportion of new patient appointments not attended, by quarter
Clinic
Jan-Mar
2007
Apr-June
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digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-patient-survey.pdf
June 16, 2021 - It was easy to schedule my appointment for follow-up tests, procedures, and/or outside appointments with … about my test, treatments and/or procedures was clear and helpful to me:
16:
It was easy to schedule … my appointment for follow-up tests, procedures, and/or outside appointments with other providers:
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - Super User
Workflow Coordinator
Development of Project Plan
Scope document
Implementation schedule … scheduled pick up and off-site storage of backups
Go-Live Planning
Determine amount physicians’ schedules … go-live needs to be stopped
o Decide what to do if that happens, e.g., go back to paper processes
Schedule … midday “huddle” to evaluate progress
Schedule end-of-day debrief to identify and address issues
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs020693-wexler-final-report-2014.pdf
January 01, 2014 - Intervention employed an integrated EMR to
schedule follow-up PCP appointments for Medicaid patients … This intervention program used an integrated
electronic medical record (EMR) system to schedule follow-up … Intervention Group: If randomized to the intervention group, the RA used the EMR to schedule
an appointment … with a PCP and was asked to make an appointment
with a PCP to establish care. … In our study, we used HIT to schedule a PCP appointment for the patient in real time thereby
both bypassing
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-path-method
January 01, 2023 - calculate the "critical path" of a project by showing the necessary order of tasks, the ideal project schedule … When working on a project with a critical schedule, where finishing late results in serious consequences … Total slack is the time a task could be delayed without compromising the overall project schedule.
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digital.ahrq.gov/ahrq-funded-projects/use-hit-increase-primary-care-access-medicaid-patients
January 01, 2023 - to the physician providing the patient’s name, medical record number, date and time of the scheduled appointment … Patients randomized to the comparison group were asked to schedule their own appointment with a PCP, … likely to follow up with the primary care doctor, overall 62 percent of patients did not keep their appointments … Common barriers to attending appointments included lack of transportation and childcare needs. … frequently cited resolution of symptoms and a lack of a need for followup as causes for not keeping appointments
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digital.ahrq.gov/sites/default/files/ahrq-dhr-schedule-amia-2024.pdf
January 01, 2024 - /82001/details/10382
https://amia.secure-platform.com/symposium/solicitations/102001/sessiongallery/schedule … /items/94037
https://amia.secure-platform.com/symposium/solicitations/102001/sessiongallery/schedule/ … items/94037
https://amia.secure-platform.com/symposium/solicitations/102001/sessiongallery/schedule/items … /items/94174
https://amia.secure-platform.com/symposium/solicitations/102001/sessiongallery/schedule/ … /items/94071
https://amia.secure-platform.com/symposium/solicitations/102001/sessiongallery/schedule/
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - appointments that additional
staff from I.T. will be in the clinic working on the day of their appointment … During the first four weeks of a clinic implementation, patient schedules must be reduced. … compensated for the number of RVUs that they would have earned during the
four week period had their schedules … Below is a table that shows our schedule
reduction plan:
Table 4. … Task
Week Prior to Go-Live Enter historical medications and chronic problems for the following week’s appointments
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - Phone in advance
Phone for same day appointment
Previous visit
Walk in
Do you have different … What do you do to prepare for the next day’s appointments (ask same-day appts. … Lab
Equipment
Assistance with exam
Does the MA keep the MD on schedule? How? … Patient Visit: Labs
In house (describe the process):
Do you schedule procedures/tests for the patient … How are follow up appointments made?
How is payment handled?
-
digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/annual-summary/2009
January 01, 2009 - allow clarification of the consultative question, requests for additional evaluation, and triaging of appointment … the eReferral system logs demonstrated substantial initial decreases in wait times for routine new patient … appointments for seven of eight medical specialty clinics. … The changes in wait times resulted from increased appointment availability due to appointments “not initially … scheduled” so that initial workup could be completed by PCPs and from referrals that never resulted in an appointment
-
digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel
January 01, 2023 - Primary care practices need to balance the timeliness of care delivery with continuity of care so that appointment … schedules allow patients to see their primary physician whenever possible. … Using patient appointment data, physician panel sizes, and case mix from primary care databases, the … Algorithm Technology: Clinical Decision Support System
The impact of case mix on timely access to appointments … The impact of case mix on timely access to appointments in a primary care group practice.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Phone in advance
Phone for same day appointment
Previous visit
Does anything happen between … the time an appointment is made and
the patient arrives? … Regular appointments
Same day appointments/nurse visits
Phone calls
When the chart is pulled … Lab
Equipment
Assistance with exam
Does the MA keep the MD on schedule? How? … Are follow up appointments made?
How is payment handled?
-
digital.ahrq.gov/ahrq-funded-projects/my-medihealth-paradigm-children-centered-medication-management/annual-summary/2011
January 01, 2011 - Patients are able to create medication schedules, schedule alerts to mobile devices, and examine medication … laboratory results, relevant medical literature, email for direct communication with providers, and direct appointment
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
December 18, 2021 - Visit
N
ur
se
/P
ro
vi
de
r
P
at
ie
nt
Arrive and check
in at reception
View patient on
EHR schedule … as
“arrived”
Greet and escort
patient to exam
room; log into
computer
Select patient from
schedule
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - Schedule Alert group (Fig. 1b.). … schedule. … Patients with upcoming dental appointments who had one or more of the four targeted medical
conditions … vs EDR
Control
Schedule
vs. … In addition, nearly half of
the hits on the eDental guides website occurred during appointments with