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Children’s Health位置
德州心电图 worked with the academic-affiliated children’s hospital to improve the referral process 和 access to care pertaining to its outpatient programs.
Children's Health (CH) is a 600‑bed, academic-affiliated children’s hospital whose outpatient clinics focus on subspecialized 和 high-acuity care provided by the faculty of the University of 德州 Southwestern Medical Center. Children’s Medical Center Dallas was ranked in all 10 pediatric subspecialties by U.S. 新闻 & World Report in 2022–2023.
所面临的挑战
CH’s outpatient programs had historically struggled to provide timely referral processing 和 access to care, with new patients routinely waiting three to six months for appointments—resulting in dissatisfaction on the part of patient families 和 referring providers alike. When CH engaged 心电图, the system had no st和ardized approach to scheduling, 模板, evaluating capacity, or assessing 和 improving access.
我们的解决方案
心电图 worked with CH to evaluate its outpatient access 和 construct an approach to rapidly improve its outcomes. After an initial assessment, CH 和 心电图 moved forward with the following primary activities:
- Pilot full-scale optimization efforts for the urology 和 orthopedics programs, including redesigning the scheduling 和 referral processing workflows, optimizing Epic templates, realigning staff, 和 implementing an Epic toolkit for access 和 scheduling workflows. This pilot led to the access optimization of two additional complex programs, neurology 和 endocrinology.
- Evaluate system-wide referral processes 和 introduce best practice technology solutions, optimize practice workflows, 和 improve processes for referring providers. 心电图 assembled a multidisciplinary team to design consistent, centralized processes for indexing, preregistering, 授权, 和 scheduling inbound referrals. Removing this function from individual clinics can help facilitate a seamless, end-to-end referral process.
- Analyze provider patient-facing time 和 run opportunity diagnostics comparing patient-facing time, patient dem和, provider productivity, 和 patient access to enable CH to prioritize high-need programs.
我们的研究结果
By using Epic tools, redesigning provider templates, 和 optimizing nonclinical workflows, 心电图’s efforts helped the pilot programs increase their average session durations 和 templated slots per session, adding over 160 net-new slots per month for each program 和 increasing urology provider utilization by 11%. The st和ardized templates enabled online scheduling for new 和 established patients, introducing a digital entry point for consumers. The methodology has since been rolled out to nearly all specialties. 除了, CH used the workflows created by 心电图 to st和ardize the referral process to provide a consistent experience for patients 和 their families across all specialties.
心电图’s provider capacity analysis helped CH underst和 the variations in patient contact hours 和 slot count across the organization. The urology program used this information to increase session duration for 50% of provider templates, while the orthopedics group exp和ed 81% of its templated sessions. The analysis enabled CH to prioritize other programs for optimization based on access trends, 体积, 和 productivity outcomes 和 provided a framework for robust policies 和 procedures regarding provider templated time.
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