Open Access Open Access  Restricted Access Subscription or Fee Access

No wait health care for children

Paul Rosen

Abstract


Many health care organizations have delivery systems that produce waiting and delays for children and their families.  Families experience stress from having an ill child.  That stress is compounded by delays in care.  This article discusses the concept of removing waits for children and families seeking health care.  No waits can be achieved by the following: 1. Understanding the person centered perspective around  access to care. 2. Measuring and closing gaps in appointment supply-demand imbalances. 3. Adopting tools for continuous improvement. 4.  Meeting family expectations and  5. Using modern technologies for communication with families.


Keywords


Wait times, patient access, pediatrics

Full Text:

PDF

References


Sucher SJ, McManus S. Ritz-Carlton Hotel Co. Harvard Business School Premier Case Collection. Mar 2001. Accessed electronically Sept 15, 2013.

Maister D. the psychology of waiting lines. In: The Service Encounter. EDS Czpiel J, Solomon M, Suprenant C. Lexington, MA: Lexington Books, 1985: 113-126. Accessed electronically Sept 15, 2013. www.davidmaister.com

IHI. Building healthy relationships at Alaska Native Medical Center [Internet].Cambridge, MA: Institute for Healthcare Improvement; c2013 [2011 July 1; cited 2013 September 16]. Available from:http://www.ihi.org/knowledge/Pages/ImprovementStories/BuildingHealthyRelationshipsatAlaskaNativeMedicalCenter.aspx

IHI. Reduce scheduling complexity [Internet]. Cambridge, MA: Institute for Healthcare Improvement; c2013 [ 2011 August 1; cited 2013 September 16]. Available from http://www.ihi.org/knowledge/Pages/Changes/ReduceSchedulingComplexity.aspx

IHI. Improvement Report: Advanced clinic access initiative[Internet]. Cambridge,MA: Institute for Healthcare Improvement; c2013 [2011 August 5; cited 2013 September 16]. Available from http://www.ihi.org/knowledge/Pages/ImprovementStories/MemberReportAdvancedClinicAccessInitiative.aspx

IHI. Improving access and efficiency in primary care at York community hospital health center [Internet]. Cambridge, MA: Institute for Healthcare Improvement; c2013 [2011 August 19; cited September 16, 2013] Available from http://www.ihi.org/knowledge/Pages/ImprovementStories/ImprovingAccessandEfficiencyinPrimaryCareatYorkHospital.aspx

Fisher SE. Don’t Drown: Ride the (Modified) Wave! Scheduling system improves patient flow, reduces physician down time. AAOS Now Feb 2012. Accessed electronically March 1, 2012.http://www.aaos.org/news/aaosnow/feb12/managing1.asp

Going Lean in Health Care. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2005. (Available on www.IHI.org).

Toussaint JS, Berry LL. The promise of lean in health care. Mayo Clinic Proceedings. Vol. 88 (1), pp. 74-82. Jan 2013

Leading the Lean HealthCare Journey: Driving the culture change to increase value by Joan Wellman, Patrick Hagan, and Howard Jeffries 2010; Ch 3.

The PDCA Cycle. Adopted from Kaoru Ishikawa, What is Total Quality Control? The Japanese Way (Englewood Cliffs, NJ: Prentice Hall, 1991)

Duggan M, Smith A. Cell Internet Use 2013. Pew Internet. Sept 2013. Accessed electronically Sept 18, 2013. http://pewinternet.org/Reports/2013/Cell-Internet.aspx




DOI: http://dx.doi.org/10.5750/ijpcm.v3i3.392

Refbacks

  • There are currently no refbacks.