Patient Wait Times for Appointments Cut by More Than 80 Percent, Improving Access to Care

Released: 22-Jan-2013 12:30 PM EST
Source Newsroom: Montefiore Medical Center
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Citations Pediatrics

Newswise — NEW YORK (January 22, 2012) – Practical changes to patient scheduling have been shown to reduce the time it takes to get a doctor’s appointment by more than 80 percent, according to a study published in the Journal Pediatrics. Researchers at The Children’s Hospital at Montefiore (CHAM) found that modest changes like revamping scheduling systems, balancing supply and demand, and developing contingency plans to handle high demand can significantly reduce patient wait times for appointments with subspecialty healthcare providers without adding more physicians.

In some parts of the nation, it can take as long as nine weeks to see a family practitioner, according to a 2012 report that compared wait times in 15 states. Access to specialty care providers often takes even longer.

“By making practical changes to scheduling and managing patient workflow, we were able to reduce the average wait for a new patient appointment from 11 week to two weeks, even with a complex patient population,” said Rubina Heptulla, M.D., lead study author and chief of the division of pediatric endocrinology and diabetes at CHAM and Albert Einstein College of Medicine of Yeshiva University.

Dr. Heptulla treats children with type 2 diabetes, metabolic syndrome, hyperlipidemia, and precocious puberty, a complex matrix of conditions that are associated with pediatric obesity. “With obesity at epidemic levels, we are seeing an increase in referrals for treatment. That’s why it’s important to cut wait times so that we can diagnose and deliver treatment – some of which may be life-saving – as soon as possible.”

“Our findings also suggest that the quality improvement tools we utilized could have a significant role in addressing the national problem of healthcare access,” said Dr. Heptulla.

Researchers analyzed appointment data from January 2008 to November 2011 and conducted detailed reviews of operational data, the scheduling system and the call center that schedules appointments. Each doctor had an allotment of new appointments, but they were often used for follow-up appointments, leaving new patients waiting longer for their appointments. To break this bottleneck, researchers ensured that doctors used the new appointments for new patients and had other staff members manage follow-up appointments.

By keeping the physicians and staff on track with regular team meetings, and monthly meetings with the Medical Director of the Pediatric Ambulatory Sub-specialty Services Dr. Peter Belamarich and The Children’s Hospital Montefiore’s Medical Director of Quality Dr. Steven Choi, there was a significant improvement and an increase in new patient’s visits. There was also a reduction in the time it took to get a follow-up appointment from eight to two weeks.

Dr. Heptulla said this improved efficiency model could be implemented across the health care delivery system to help alleviate barriers and improve access for all patients.

Dr. Heptulla joined Montefiore in April 2010. An internationally recognized pediatric endocrinologist, she is an expert in diabetes, thyroid, growth, puberty and adrenal disorders, and leads research in these areas. She oversees six pediatric endocrinology and diabetes clinics that receive nearly 200 patient visits each week in locations across Westchester and the Bronx. A seventh clinic will open in early 2013. Dr. Heptulla has received numerous grants and awards for her work and has published extensively in peer-reviewed journals.
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About Montefiore Medical Center
As the University Hospital for Albert Einstein College of Medicine, Montefiore is a premier academic medical center nationally renowned for its clinical excellence, scientific discovery and commitment to its community. Recognized among the top hospitals nationally and regionally by U.S. News & World Report, Montefiore provides compassionate, patient- and family-centered care and educates the healthcare professionals of tomorrow. The Children's Hospital at Montefiore is consistently named in U.S. News' "America's Best Children's Hospitals," and is second among those in the New York metro area. With four hospitals, 1,491 beds and 90,000 annual admissions, Montefiore is an integrated health system seamlessly linked by advanced technology. State-of-the-art primary and specialty care is provided through a network of more than 130 locations across the region, including the largest school health program in the nation and a home health program. Montefiore's partnership with Einstein advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. The medical center derives its inspiration for excellence from its patients and community, and continues to be on the frontlines of developing innovative approaches to care. For more information please visit www.montefiore.org and www.montekids.org. Follow us on Twitter; like us on Facebook; view us on YouTube


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