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"[Better] performance is not simply a matter of effort...it is a matter of design" - Donald Berwick, M.D., CEO, Institute for Healthcare Improvement


Learn More:


Presentation:"Improving Access: Five Things Health Centers Can Do Today"


Video:"Creating Opportunities for Group Visits"


News:"Medical Home and Accountable Care: Two Essential Elements of Delivery-System Reform"


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About Practice Redesign


Do you want to improve access at your health center?


The efficiency and productivity of many primary care practices are often limited by work processes that result in long cycle times and wait-times, high no-show rates, and low staff and patient satisfaction. Patients can often wait 3-6 weeks for an appointment and an average of 2 to 3 hours for just 15 minutes of actual face-time with their provider.


PCDC's Practice Redesign program uses proven strategies and tactics that directly align with principles and elements of the Patient-Centered Medical Home. PCDC has coached more than 200 primary care teams to implement changes that improve patient flow and optimize staff and provider capacity to deliver truly patient-centered care.


What We Do



PCDC's Practice Redesign team has coached more than 220 primary care teams at community health centers, ambulatory clinics and hospitals. On average, our services have decreased no-show rates by nearly 70%, dropped appointment backlogs from 21 days to 0-5 days, cut cycle times by 50% (to an average of 51 minutes), increased provider productivity by 33% and improved patient and staff satisfaction.


Practices will work with PCDC to select a change team that will learn, adopt and spread key change concepts and principles for redesign over a course of weeks or months that enhance access to appointments and reduce patient wait-times. Practices will learn to:

  • Measure cycle times and patient wait-times and set goals for improvement
  • Evaluate and map patient flow and develop and test new processes to spread and sustain improvements
  • Create permanent capacity for same day appointments, eliminate appointment back-logs and unnecessary visits
  • Establish care teams and right-size patient panels to ensure on-time performance, adequate planning and preparation, and teamwork
  • Implement new ways to provide services, such as telephone or e-mail consultations and group visits


Program Impact


Improve access to care: PCDC helps practices adopt core concepts of enhanced access that directly lead to sustainable improvements in appointment availability, including open access, and same day appointments. As a result of these changes, practices will experience lower no-show rates, increase their capacity for same day visits, and be better prepared to balance supply and demand of appointments.


Improve productivity: By reducing patient wait-times for appointments and during the visit, providers and staff are more productive and are able to see more patients. This not only leads to more revenue, but contributes to an overall improvement in patient and staff satisfaction.


Enhances patient-centered approach: By improving productivity, efficiency and workflows, practices are empowered to continue on a path of quality improvement. With the tactics and strategies in place, staff and providers are better care teams, better care coordinators and better care managers.