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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/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/workflowtoolkit/PatientCheckOut.pdf
December 02, 2010 - 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/medicaid/ComprehensivePatientScenario.docx
January 25, 2005 - 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/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/page/6_GLIDES_Usability_TEP%20_Aug_2011.pdf
January 01, 2011 - The nurse checks the schedule to
see if the patient has an
appointment scheduled during the
date range … The nurse calls the patient’s
parent/guardian to schedule a visit
during the date range to administer … certainly discover new use case details in the process
• Iterate, iterate, iterate
8
9
10
Schedule … in EMR as any other
appointment (Well Visit or Nurse Visit)
11
12
Challenges with Use Cases
-
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
-
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/sites/default/files/ahrq-dhr-schedule-amia-2023.pdf
January 01, 2023 - LA
Acrobat Accessibility Report
Accessibility Report
Filename:
ahrq-dhr-schedule-amia
-
digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-patient-survey.pdf
September 14, 2016 - 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:
-
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.
-
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
-
digital.ahrq.gov/sites/default/files/docs/page/communication-focused-technologies-to-improve-adherence-in-adolescent-chronic-Illness.pdf
July 02, 2015 - Schedule Messages
Create a network of support for goals
SuperEgo Pilot Research
Usability
… Patient Engagement
Impact on adherence and blood glucose
MyMediHealth: Medication Reminders
Schedule … Communications Systems
Two Current Projects
SuperEgo
Create, Search, Select, Request
Default Messages
Schedule … Create a network of support for goals
SuperEgo Pilot Research
MyMediHealth: Medication Reminders
Schedule
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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/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/health-it-tools-and-resources/health-it-costs-and-benefits-database/sms-text-messaging-improves
August 01, 2006 - efficacy of SMS message reminders to the mobile telephones of patients with scheduled outpatient clinic appointments … costs Summary: Settings: patients who gave a mobile telephone contact number and were scheduled for an appointment … Description: appointment information was extracted from the hospital's outpatient clinic scheduled system … Changes in healthcare costs: Estimated 11.5% potential increase in revenue generated per scheduled appointment
-
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/sites/default/files/docs/activity/use_of_electronic_referral_system_2009_update_2.pdf
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 … scheduled” so that initial workup could be completed by PCPs and from referrals that never resulted in an
appointment