+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Use of patient flow analysis to improve patient visit efficiency by decreasing wait time in a primary care-based disease management programs for anticoagulation and chronic pain: a quality improvement study



Use of patient flow analysis to improve patient visit efficiency by decreasing wait time in a primary care-based disease management programs for anticoagulation and chronic pain: a quality improvement study



Bmc Health Services Research 7: 8



Patients with chronic conditions require frequent care visits. Problems can arise during several parts of the patient visit that decrease efficiency, making it difficult to effectively care for high volumes of patients. The purpose of the study is to test a method to improve patient visit efficiency. We used Patient Flow Analysis to identify inefficiencies in the patient visit, suggest areas for improvement, and test the effectiveness of clinic interventions. At baseline, the mean visit time for 93 anticoagulation clinic patient visits was 84 minutes (+/- 50 minutes) and the mean visit time for 25 chronic pain clinic patient visits was 65 minutes (+/- 21 minutes). Based on these data, we identified specific areas of inefficiency and developed interventions to decrease the mean time of the patient visit. After interventions, follow-up data found the mean visit time was reduced to 59 minutes (+/-25 minutes) for the anticoagulation clinic, a time decrease of 25 minutes (t-test 39%; p < 0.001). Mean visit time for the chronic pain clinic was reduced to 43 minutes (+/- 14 minutes) a time decrease of 22 minutes (t-test 34 %; p < 0.001). Patient Flow Analysis is an effective technique to identify inefficiencies in the patient visit and efficiently collect patient flow data. Once inefficiencies are identified they can be improved through brief interventions.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050911155

Download citation: RISBibTeXText

PMID: 17224069

DOI: 10.1186/1472-6963-7-8


Related references

A quality improvement project to improve the effectiveness and patient-centredness of management of people with mild-to-moderate kidney disease in primary care. Bmj Quality Improvement Reports 3(1):, 2014

Management of time used to treat the chronic patient: a new approach to improve quality of health care. Revista de Calidad Asistencial 29(5): 270-277, 2016

Decreasing laboratory turnaround time and patient wait time by implementing process improvement methodologies in an outpatient oncology infusion unit. Journal of Oncology Practice 10(6): 380-382, 2014

Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management Initiative. Permanente Journal 21: 16, 2017

Willing to wait?: The influence of patient wait time on satisfaction with primary care. Yearbook of Dermatology and Dermatologic Surgery 2008: 273-274, 2008

Willing to wait?: the influence of patient wait time on satisfaction with primary care. Bmc Health Services Research 7: 31, 2007

Quality Improvement Project to Improve Patient Satisfaction With Pain Management. Journal of Nursing Care Quality 31(2): 105-112, 2016

Population management, systems-based practice, and planned chronic illness care: integrating disease management competencies into primary care to improve composite diabetes quality measures. Disease Management 11(1): 13-22, 2008

Communication about chronic pain and opioids in primary care: impact on patient and physician visit experience. Pain 159(2): 371-379, 2018

Simulation analysis on patient visit efficiency of a typical VA primary care clinic with complex characteristics. Simulation Modelling Practice and Theory 47: 165-181, 2014

Reducing substance abuse in patients receiving prescription opioids for chronic non-cancer pain: a quality improvement and patient safety study in a primary care setting. Journal of Community Hospital Internal Medicine Perspectives 9(3): 175-180, 2019

A proposal for jump-starting national health care reform. How common sense reforms in hospital emergency departments can reduce wait times, improve patient care, improve quality of care, and lower costs. North Carolina Medical Journal 70(4): 346, 2010

Can quality improvement programs for depression in primary care address patient preferences for treatment?. Medical Care 39(9): 934-944, 2001

Quality Improvement Project to Improve Patient Satisfaction With Pain Management: Using Human-Centered Design. Journal of Nursing Care Quality 31(2): 105-12; Quiz 113-4, 2017

Php144 - Impact Of A Creative Quality Improvement Strategy To Reduce Patient Wait Times Between Primary And Speciality Care In A Tertiary, University Public Hospital In Portugal. Value in Health 21: S174-S175, 2018