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