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Advanced Access Project Team Presentation. San Mateo Medical Center Innovative Care Team October 30, 2008. General Aim Statement.
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Advanced Access ProjectTeam Presentation San Mateo Medical Center Innovative Care Team October 30, 2008
General Aim Statement • The Innovative Care Clinic (ICC) uses a team approach and strives for high quality care that addresses total health with emphasis on self empowerment, education, and prevention by improving access and efficiency
Clinical Goals for Diabetics • 60% of patients will have A1c <7.0 • 60% of patients to have Blood Pressure <130/80. • 80% of patients will have LDL< 100. • 80% of patients will be given Pneumovax • 80% of patients will get a yearly retinal screening • 80% of patients will have a yearly foot exam • 80% of patients will have a yearly mammogram
Access Aims by June 2009 • Implement Advanced Access with goal of 50% of patients calling for an appointment to be seen that day • Establish and actively manage panels for all providers • Decrease the No Show Rate to less than 20% • Decrease ER visits by 20% for paneled patients • Increase provider productivity by 10% • All patients will receive a response from a defined health care team by the end of the day • Perform 1,000 retinal screen for diabetics utilizing the new diabetes Retinal Camera
Office Efficiency Aims • Decrease cycle time to less than 60 minutes • Advanced chart preparation for each provider • Pre-registration two days prior to visits for all patients • Create patient care teams consisting of a provider, MA, PSA, and RN • Follow up visit given to each patient prior to leaving the clinic • Implement medication management program • Institute patient and staff satisfaction monthly survey
Results (Measures) • Insert graphs from your measures here
Results (Measures) • Insert graphs from your measures here
Results (Measures) • Insert graphs from your measures here
Results (Measures) • Insert graphs from your measures here • Insert graphs from your measures here
Access/Efficiency Improvement: Best Practices, Good Ideas, and Successes • Space evaluation and reconfiguration • New staff recruitment and hiring • Creation of patient care teams • Chronic Disease Management/CDEMS • Medication Management Program • AEMR implementation
Challenges, Issues, Questions • Staff acceptance/capacity for change • Magnitude of data collection • Development of teams and work flow • Project evaluation • Time requirement for training staff