Group 8 Xavier Mascarenhas Mathew Robert Jithu Pettan Renju Jose V Saravanan

University Health Services(UHS)  Medical Care to Harvard University students.20% share of Walk In clinic . faculty & their dependents  Prepaid system for over 90% of potential users  4 outpatient clinics including 1 walk in clinic  $ 10 mn total annual budget. staff.

Walk In Clinic  37400 patients visited the Walk in clinic in 1979  Average of 143 patients per day  22 physicians. 2 registered nurses and 11 nurse practitioners .

5 .4 10 .5 NP/ MD Treat Patient 32.5 min Check Record 5 min NP Wait- 7.8 SMD / SNP Evaluation NP Treat Patient 19.Pre Triage System Sign In / AVF Form 2 min Retrieve and Send record 8.19 N/S 24.

8 Treat Patient N:25.5 min NP/ MD Treat Patient N:6.4 .Triage System Sign In / AVF Form 2 min Retrieve and Send record 8.2 min 3.2 S:33.5 min Check Record 5 min Triage Patient Triage Q Wait4.8 32.7 S:33.8 19.

Triage System Problems • Both system and waiting time for all types of patients increased • % of patients who wanted to be treated by a specific nurse or physician increased from 19% to 24% •To avoid load during peak hours. triage coordinators started classifying patients as MD/NP increasing unnecessary load to MD .

they need to wait for longer times if they want specific MD .Walk In Appointments  Patients come for pre booked appointments to the Walk In Clinic  This results in 2 out of 5 doctors being engaged in walk in appointments  40% further reduction of available resources  Waiting rooms are occupied by such patients  Dissatisfaction of true walk in patients.

Aim is to provide best possible care to all the patients  Education of walk in patients is essential  Pre filling of request forms can be done on phone .Recommendations  Walk in commitments should be restricted to specific slot so that the capacity can utilized properly  Triage nurses should not give the option of meeting specific doctors.

Sign up to vote on this title
UsefulNot useful