According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling.This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
1 Front Matter; 2 Summary; 3 1 Improving Health Care Scheduling; 4 2 Issues in Access, Scheduling, and Wait Time; 5 3 Systems Strategies for Continuous Improvement; 6 4 Building from Best Practices; 7 5 Getting to Now; 8 References; 9 Appendix A: Background Papers; 10 Appendix B: IOM Workshops in Brief; 11 Appendix C: Committee Member Biographies
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
National Academy of Medicine, The Learning Health System Series, Danielle Whicher, Marianne Hamilton Lopez, Maryan Zirkle, Rainu Kaushal, Eric Larson, Joe Selby
National Academy of Medicine, The Learning Health System Series, Marianne Hamilton Lopez, Scott Weingarten, Jonathan M. Teich, Blackford Middleton, Erin Mackay, Edwin A. Lomotan, Kensaku Kawamoto, Meredith Josephs, Tejal K. Gandhi, III Bonner, Hugh, David W. Bates, Suzanne Bakken, James E. Tcheng
Institute of Medicine, Roundtable on Value and Science-Driven Health Care, J. Michael McGinnis, LeighAnne Olsen, W. Alexander Goolsby, Claudia Grossmann