Patient Visit Redesign, Past, Present and Future 3rd National Title X Grantee Meeting

1. Patient Visit Redesign, Past, Present and Future!3rd National Title X Grantee Meeting Phoenix, Arizona September 20, 2006

2. Project Overview Process Year 2001-2007 Conducted jointly by JSI and Coleman Associates, 15 Title X sites in Region VIII and 3 Title X sites in Region VI implemented principles of redesign Measured success for each site Pilot Project - Region VIII - Funded as a special project through Regional Training Center. Collaboration between JSI and Coleman Associates Adapt and Implement the principles of redesign to the Title X clinic setting. Good deal of experience with this model in the CHC world but questioned if it would work in family planning sites. Evaluate - what worked and what did not and from qualitative and quantitative standpoint.Pilot Project - Region VIII - Funded as a special project through Regional Training Center. Collaboration between JSI and Coleman Associates Adapt and Implement the principles of redesign to the Title X clinic setting. Good deal of experience with this model in the CHC world but questioned if it would work in family planning sites. Evaluate - what worked and what did not and from qualitative and quantitative standpoint.

3. JSI�s Role Assist Title X FP providers in understanding the redesign process Goals: Improve clinic efficiency Increase staff morale Increase patient satisfaction and retention Increase patient donations Assist the Title X FP providers in understanding the redesign process Assist Coleman Associates in understanding Title X FP sites. Key: goals fit into the client centered approach that Title X sites model so well. >Increase patient satisfaction and retention With the added bonus of : >Improving clinic efficiency >Increased staff moraleAssist the Title X FP providers in understanding the redesign process Assist Coleman Associates in understanding Title X FP sites. Key: goals fit into the client centered approach that Title X sites model so well. >Increase patient satisfaction and retention With the added bonus of : >Improving clinic efficiency >Increased staff morale

4. Defining Redesign �The fundamental rethinking and radical redesign of business processes to bring about dramatic improvements in critical, contemporary measures of performance, such as cost, quality, service and speed.�

5. Twelve Principles of Redesign Don't Move the Patient Increase Clinician Support Create Broad Work Roles Organize Care Teams Communicate Directly Start All Visits On Time Exploit Technology Match Capacity and Demand Prepare For the Expected Get All the Tools You Need Do Today's Work Today Ruthlessly Eliminate Needless Work

6. Evaluation