XYZ Clinical Care Center
Cause Prioritization
Contributing Cause
Importance
Hi Med Lo
w/i our
Control
Impl Ease
By
Hi Med Lo
5/21
Delay
min/per
Possible Interventions
Inconsistent process of MD
notification/MD late arrival
H
W/I
H
Y
Patients’ schedule conflict with MD
conferences
Patient delays in arrival times
Delays in logging in patients
M
L
H
W/I
W/I
W/I
L
L
M
Y
Y
Y
H
W/O
L
N
N/A
L
W/I
M
Y
Delays in NA/RN getting patient from
lobby
H
W/I
M
Y
2
1.Adequate reception staffing
2.Avoid batch processing patients
3.Obtain volunteer to support front desk (in progress)
4.Print daily appointment list to cross check arrived patients
1.Nursing assessment appointments
2. Notification of patient arrival – relocate paperwork to
nursing area and overhead paging
3. NA/RN combined patient prep time to be reduced to 15
mins
4. Relocate clinic box to nursing area.
5. Contest between RN’s “on time clinic starts”
6. RN to retrieve patient if NA unavailable
Delays in RN seeing patient after NA
MD dictating in between appointments
Mismatch between MD with patient time
and template time
RNs distracted with scheduling related
work
M
W/I
H
Y
2
L
W/O
L
N
H
W/I
L
Y
L
W/I
H
Y
1.Appoint “primary” and back-up PSC liaison to coordinate
process
2.PSC to take responsibility of “back and forth”
communications
3.Designated box for same day scheduling
Modify clinic template by moving break to 1pm
M
W/I
M
Y
PSC notify RN of add-ons
Noon conference
MDs add-on patients while RNs unaware
5
1.Alphanumeric paging to MD when patient is being
roomed/no show
2. MDs with clinic do not attend conferences
3. Contest between MD’s “on time clinic starts”
1.MDs with clinic do not attend conferences
2.Stagger clinic start times/Stagger staffing
3.Implement nursing assessment appointments
Compare physician clinic time for practice
8
1.Customize physician templates to match practice times
2. Template changes
RNs not available for patient discharge
Assigned exam rooms to services
Other RN duties –
prescriptions/emails/calls
Patient not roomed in order of earliest
appointment
M
W/O
M
N
Additional staffing
H
W/O
L
Y
Implement flex room assignments based on pt volume ad
room availability
1.Additional staffing,
2. Prioritize duties and job functions
N
M
W/O
L
Patient to be roomed by appointment time unless indicated
otherwise by provider