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Delivering a great health care experience is only possible with one crucial component: reliable scheduling. It鈥檚 such an essential part of efficient operations, in fact, that the 亚洲自慰视频 of Utah 亚洲自慰视频 created an access optimization team to help providers across the system.

By Amy Barrus, Kim Pacheco, Staci Taufer, Ryan Watts, and Marcie Weiszbrod | 4 minutes

We met with five members of the Ambulatory Capacity Management team鈥擪im Pacheco, Amy Barrus, Marcie Weiszbrod, Staci Taufer, and Ryan Watts鈥攖o talk about their standardization efforts, their improvement benchmarks, and their love of back-end functionality.

IN HEALTH CARE, A TEMPLATE IS A PROVIDER'S SCHEDULE

It determines the pace of each visit, as well as the number and type of patients a provider is seeing. When Epic first rolled out in 2010, very few employees understood its endless capabilities. That led providers, clinic managers, medical directors, and other front-line staff to get creative with their use of the software, which in turn produced severe scheduling inconsistencies.

DID YOU KNOW WE HAVE AN ACCESS TEAM?

亚洲自慰视频 of Utah 亚洲自慰视频's Access Team is a group of functionality experts whose purpose is to make providers鈥 and schedulers鈥 lives easier.

Thanks to the access team鈥檚 efforts, Epic now makes it easier for schedulers to get the appointment right the first time, removing some of the opportunity for human error. 鈥淐linic staff are the experts in which providers see specific types of patients,鈥 says Marcie Weiszbrod, Ambulatory Access Specialist. 鈥淭hat knowledge must be condensed onto a single piece of paper that schedulers can follow. Anybody who鈥檚 worked in a call center or as a scheduler knows it鈥檚 stressful work. You have to remember lots of details鈥揻or example, three providers in the same specialty do something different鈥搘hile providing prompt and accurate service to the patient.鈥

A GOOD TEMPLATE CREATES BETTER DAYS

The access team鈥檚 work to improve Epic allows schedulers to automate certain criteria: visit type, patient type, appointment length. The team also works with individual providers to create a smoother schedule that allows for downtime. Recently, they worked with a new OB/GYN provider who complained of an erratic schedule: some days were spotty, while others were overwhelming.鈥 On a good day, she had three return OB patients, whereas on a bad day, she had five new GYN patients all scheduled back to back,鈥 Weiszbrod says. The team programmed a limit of new vs. return patients that allowed the provider to grow her patient volume while spending the time she needed with each patient.

Reducing clinician burnout was what Director Kim Pacheco had in mind when she built the access optimization team. 鈥淲hen we meet face-to-face with a provider to talk about templates, we鈥檙e on their side,鈥 Pacheco says. 鈥淚f their template ends at 5:00 PM, we wonder how we can get them home so they can have a life outside of work. Once the provider understands the back-end functionality of Epic, it sparks creativity for new ideas, too: 鈥榃hat about this group of patients? Is there a way we can make their experience better?鈥欌

Before the team worked to improve templates, Ambulatory Access Specialist Amy Barrus says the most common remark they heard was, 鈥淒on鈥檛 touch my template!鈥 Now, providers understand the benefits of a team to support. Barrus tells providers, 鈥淒on鈥檛 try to build the system functionality yourself鈥攍et us build it for you. We can improve your schedule so that you can achieve your goals.鈥

FOUR KEY COMPONENTS OF TEMPLATE OPTIMIZATION

1. FIND YOURSELF OVERBOOKED? REFLECT REALITY

鈥淩eality is always our goal,鈥 Kim Pacheco says. 鈥淒on鈥檛 just build a template for the sake of building it. That鈥檚 how you get overbooked or double-booked, or end up seeing one patient for an hour and another for only 15 minutes. Your template should reflect the reality of your day. If you don鈥檛 arrive until 9, don鈥檛 open your template until 9:15. If you have a meeting every Monday from 8:00 鈥 12:00, block that out from the beginning.鈥

2. USE THE SYSTEM FUNCTIONALITY

鈥淭here can be more than one visit type per session per provider,鈥 Ryan Watts says. 鈥淚f return patients get 40 minutes instead of 60, make that a specific visit type. If a post-surgical follow-up usually lasts 20 minutes, standardize it. That way the scheduler doesn鈥檛 have to wonder what duration to use with different visit types.鈥

3. BUILD IN BREAKS

鈥淓very staff member and every provider needs to eat lunch and use the bathroom,鈥 Amy Barrus says. 鈥淏uilding in breaks means you鈥檒l be ready and refreshed for the next session of patients. It also creates a buffer if you or your staff gets behind.鈥

4. CREATE A BASELINE FOR STANDARDIZATION

鈥淲e like to do 240-minute or four-hour sessions,鈥 Marcie Weiszbrod says. 鈥淭hat creates predictable schedules for providers while increasing access for patients.鈥

THE ACCESS TEAM'S ADVICE FOR NEW PROVIDERS

A ONE-SIZE-FITS-ALL SOLUTION DOESN'T EXIST

The access team works with new providers to build a template that can adjust as they get more comfortable. 鈥淲e鈥檙e not setting these templates in stone; you won鈥檛 have to use them for the rest of your career,鈥 Barrus says. The access team will help establish a template with longer blocks of time and then reduce appointment times to a more realistic clinic flow.

KEEP YOUR ACCESS AS OPEN AS YOU CAN

鈥淜eep your access as open as you can,鈥 says Ryan Watts, Ambulatory Access Specialist. 鈥淚f you鈥檙e waiting for the perfect patient calling for a perfect time slot, it鈥檚 difficult to fill your schedule. Our advice is to hold slots for particular types of patients for a set time, and then open them up to different patients or visit types.鈥

GET TO KNOW YOUR SCHEDULING STAFF

Consider visiting the call center or schedulers to meet them. Your scheduling staff is the first contact a patient will have with you. It begins to set patient expectations about your office: how easy it is to see you, how responsive you are, etc. 鈥淟et the schedulers put your face and your name together,鈥 Weiszbrod says. 鈥淭ell them a few things about yourself. That creates a personal connection with your scheduler, who can build a connection between you and that patient you haven鈥檛 even met yet.鈥

DON'T GO IT ALONE - USE THE TEAM

鈥淒on鈥檛 go it alone and try to become a template expert yourself,鈥 says template optimization team manager Staci Taufer. 鈥淲e鈥檙e here鈥攜ou can rely on us.鈥

CONTRIBUTORS

Portrait of Amy Barrus

Amy Barrus

Access Specialits, Ambulatory Capacity Management, 亚洲自慰视频 of Utah 亚洲自慰视频

Portrait of Kim Pacheco

Kim Pacheco

Revenue Cycle Director, 亚洲自慰视频 of Utah 亚洲自慰视频

Portrait of Staci Taufer

Staci Taufer

Revenue Cycle Manager, 亚洲自慰视频 of Utah 亚洲自慰视频

Portrait of Ryan Watts

Ryan Watts

Ambulatory Access Specialist, 亚洲自慰视频 of Utah 亚洲自慰视频

Portrait of Marcie Weiszbrod

Marcie Weiszbrod

Ambulatory Access Specialist, 亚洲自慰视频 of Utah 亚洲自慰视频