PMID- 31070242
OWN - NLM
STAT- Publisher
LR  - 20190509
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
DP  - 2019 May 9
TI  - Reducing patient wait times in a head and neck cancer outpatient clinic: A pilot 
      study.
LID - 10.1002/lary.28020 [doi]
AB  - OBJECTIVES: 1) Identify causes of increased patient wait times in a high-volume
      outpatient cancer clinic; and 2) use quality improvement tools to implement
      changes to reduce patient wait times. METHODS: Baseline patient wait times for 10
      faculty members in the Department of Head and Neck Surgery at the University of
      Texas MD Anderson Cancer Center (Houston, TX) outpatient head and neck cancer
      clinic were calculated. Patient workflow and scheduling processes were recorded
      and analyzed. The faculty with the lowest patient wait times was interviewed, and
      best practices were identified. Two physicians piloted interventions. Clinic
      templates were standardized and load-leveled, and the total patients scheduled
      per hour was based on the physician's calculated capacity per hour. Paired t
      tests were used to analyze data, and P values <0.05 were considered significant. 
      RESULTS: The baseline patient wait time average was 71 minutes (range 33-122
      minutes). Several factors were found to increase patient wait times, including
      scheduling too many patients in a short time interval at the beginning of clinic 
      hours and exceeding the physician's patient capacity per hour. For physicians
      implementing changes, the patient wait time was reduced significantly. For
      physician 3, the average wait time was reduced from 122 minutes to 52 minutes
      (57% decrease, P < 0.01) For physician 5, the wait time was reduced from an
      average of 89 minutes to 62 minutes (30% decrease, P < 0.01). CONCLUSION: By
      applying principles for quality improvement, such as identifying and benchmarking
      best practices, load-leveling, and standardizing clinic scheduling, patient wait 
      times were significantly reduced. LEVEL OF EVIDENCE: 4 Laryngoscope, 2019.
CI  - (c) 2019 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Silver, Natalie
AU  - Silver N
AUID- ORCID: https://orcid.org/0000-0003-4618-6659
AD  - University of Florida, Department of Otolaryngology-Head and Neck Surgery,
      Gainesville, Florida.
FAU - Weber, Randal S
AU  - Weber RS
AD  - Department of Head and Neck Surgery, University of Texas MD Anderson Cancer
      Center, Houston, Texas, U.S.A.
FAU - Lozano, Miguel
AU  - Lozano M
AD  - Office of Performance Improvement, University of Texas MD Anderson Cancer Center,
      Houston, Texas, U.S.A.
FAU - Hessel, Amy
AU  - Hessel A
AD  - Department of Head and Neck Surgery, University of Texas MD Anderson Cancer
      Center, Houston, Texas, U.S.A.
FAU - Meade, Jeremy
AU  - Meade J
AD  - Office of Performance Improvement, University of Texas MD Anderson Cancer Center,
      Houston, Texas, U.S.A.
FAU - Moore, Judy
AU  - Moore J
AD  - Department of Head and Neck Surgery, University of Texas MD Anderson Cancer
      Center, Houston, Texas, U.S.A.
FAU - Hanna, Ehab
AU  - Hanna E
AD  - Department of Head and Neck Surgery, University of Texas MD Anderson Cancer
      Center, Houston, Texas, U.S.A.
FAU - Lewis, Carol
AU  - Lewis C
AD  - Department of Head and Neck Surgery, University of Texas MD Anderson Cancer
      Center, Houston, Texas, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20190509
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
OTO - NOTNLM
OT  - Quality improvement
OT  - head and neck cancer
OT  - patient satisfaction
EDAT- 2019/05/10 06:00
MHDA- 2019/05/10 06:00
CRDT- 2019/05/10 06:00
PHST- 2019/01/29 00:00 [received]
PHST- 2019/03/05 00:00 [revised]
PHST- 2019/04/04 00:00 [accepted]
PHST- 2019/05/10 06:00 [entrez]
PHST- 2019/05/10 06:00 [pubmed]
PHST- 2019/05/10 06:00 [medline]
AID - 10.1002/lary.28020 [doi]
PST - aheadofprint
SO  - Laryngoscope. 2019 May 9. doi: 10.1002/lary.28020.