PLEASE USE A QUALITY IMPROVEMENT PLAN FORMAT TO ANSWER

HERE ARE THE OLD ISSUES ADDRESSED

Scheduling for annual physicals is done weeks in advance to coordinate labs. Providers are deciding to do these in conjunction with other visits. This is causing a disruption in laboratory services.

Patients call for routine issues and must be seen within a day or two. This is causing the schedule to get overbooked. Plus we to work in emergencies.

Scheduling is centrally done at this point. The schedulers are not aware of the time needed for each appointment type. If there is a doubt, the schedulers have been told to just put the patient in the slot. The providers do not want any downtime.

Patients are often called and asked to come in early if there is an open slot.

The staff complain that they do not have adequate supplies.

The schedulers are complaining about the phone system. It is outdated and slows their work down.

The patient's complain that the hours of operation don't allow for weekend visits. The clinic operates from 9 am to 6 pm Monday thru Friday.

There is no use of technology to keep patients informed or allow them to check labs or make appointments.

Case Study

As the manager of a large group practice located in the mid-west, you previously addressed some issues to determine which ones were quality based and which ones were not. You now have additional information to add to that:

1. The organization purchased 2 more practices which falls under your control.
2. You have to ensure all 3 are adhering to the same rules and regulations.
3. You administrative staff will provide the bulk of those services to all the practices. Some of the clerical staff were kept on at the 2 new sites.
4. The physicians at the new sites work 40 hours a week.
5. The providers at the new sites are accustom to doing their own scheduling.
6. Currently, all the logistics are still being handled at each site and there is no consistency in ordering supplies and other items. The expenses for these areas are out of control.
7. The other sites are still using their old EHR, which is not compatible with the one at your location.

Question

Using all of the information provided, prepare and submit a quality improvement plan for the senior leadership team. List the issue, solutions, and who should oversee it.