Q4 Learning Session: Columbus Neighborhood Health Center

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Columbus Neighborhood Health Center, Inc. D R . PA R M I N D E R B A J WA DR. BUHARI MOHAMMED D R . A N I N D I TA G H O S H MS. MICHELLE HERMAN


Areas of Improvement as an outcome of PCMH

• • • •

Care Coordination Patient Navigation Center Medication Management Therapy Modified Open Access


Huddle Flow chart


Benefits of Huddles

 Focused attention is placed on patient needs.  Efficiency is gained as team is prepared for the visit There is time to research for any missing documents/labs/orders  Update any demographic changes  Practice readiness 

 Improved cycle time  Increased team and patient satisfaction  Discovery of other improvement processes


Huddle Evaluation Study Mean Provider Chart Time per Patient 19 18.82 18.62 18.5

18 Minutes

• Provider A’s team huddled each day; Provider B did not. • The increase for Provider B tested as not statistically significant (due to chance.) • The decrease for Provider A tested as statistically significant (not due to chance), resulting in 2.4 minutes per patient, saving 45 – 60 minutes of provider time per day. • N = 416 pre, 364 post

17.75 17.5

17

16.5

16.42

16 Pre-Huddle Provider A

Post-Huddle Provider B


Barriers faced while implementation • • • •

Resistance to change Time involvement Staff discipline Collaborating organizations


Referral Process


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