Effect of Clinical Pathway Implementation on Outpatient Wait Time to Urgent Specialty Appointment

2.50
Hdl Handle:
http://hdl.handle.net/10755/623746
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Literature Review
Research Approach:
Translational Research/Evidence-based Practice
Title:
Effect of Clinical Pathway Implementation on Outpatient Wait Time to Urgent Specialty Appointment
Author(s):
Caspers, Corlyn
Advisors:
Suttle, Catherine; Runewicz, Jo Ann; Thurston, Sue
Abstract:

Untoward wait time between a primary care referral and initial urgent specialty care appointment was identified during a root cause analysis at the project facility.  Ambiguous role responsibilities and unclear referral processes were reported as contributors to the extended wait time.  Care coordination policy has outlined key elements for patient safety improvement during outpatient referral processes.  Process standardization and decreased wait times have been reported through pathway utilization in other healthcare settings.  A facility-specific pathway was developed utilizing care coordination and clinical pathway principles.  The purpose of the quality improvement project was implementation of a clinical pathway to decrease wait time between primary care referral and urgent outpatient specialty care appointment.  The project process has been structured with a Plan-Do-Study-Act framework.  The effect of pathway implementation on wait time was evaluated by quantitative data.  Staff experience with pathway implementation was evaluated by qualitative data.  The mean wait time improvement pre-pathway (34.11 days) to post-pathway (28.96 days) was not statistically significant.  Yet, further evaluation of same-specialty categories revealed third quartile wait times improved in three out of four subspecialties categories.  Development in staff education, primary-specialty relationships, referral order menus, and incorporation of informatics for data monitoring are recommended next-step actions.  The project has provided clinically relevant data not previously examined at the project facility. 

Keywords:
care coordination; outpatient referral; pathway
CINAHL Headings:
Critical Path; Quality Improvement; Continuity of Patient Care; Referral and Consultation; Appointments and Schedules; Appointments and Schedules--Methods
Repository Posting Date:
2-Mar-2018
Date of Publication:
2-Mar-2018
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Grantor:
Capella University
Degree:
DNP
Degree Year:
2017

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDNP Capstone Projecten
dc.evidence.levelLiterature Reviewen
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.titleEffect of Clinical Pathway Implementation on Outpatient Wait Time to Urgent Specialty Appointmenten_US
dc.contributor.authorCaspers, Corlynen
dc.contributor.advisorSuttle, Catherineen
dc.contributor.advisorRunewicz, Jo Annen
dc.contributor.advisorThurston, Sueen
dc.identifier.urihttp://hdl.handle.net/10755/623746-
dc.description.abstract<p>Untoward wait time between a primary care referral and initial urgent specialty care appointment was identified during a root cause analysis at the project facility.  Ambiguous role responsibilities and unclear referral processes were reported as contributors to the extended wait time.  Care coordination policy has outlined key elements for patient safety improvement during outpatient referral processes.  Process standardization and decreased wait times have been reported through pathway utilization in other healthcare settings.  A facility-specific pathway was developed utilizing care coordination and clinical pathway principles.  The purpose of the quality improvement project was implementation of a clinical pathway to decrease wait time between primary care referral and urgent outpatient specialty care appointment.  The project process has been structured with a Plan-Do-Study-Act framework.  The effect of pathway implementation on wait time was evaluated by quantitative data.  Staff experience with pathway implementation was evaluated by qualitative data.  The mean wait time improvement pre-pathway (34.11 days) to post-pathway (28.96 days) was not statistically significant.  Yet, further evaluation of same-specialty categories revealed third quartile wait times improved in three out of four subspecialties categories.  Development in staff education, primary-specialty relationships, referral order menus, and incorporation of informatics for data monitoring are recommended next-step actions.  The project has provided clinically relevant data not previously examined at the project facility. </p>en
dc.subjectcare coordinationen
dc.subjectoutpatient referralen
dc.subjectpathwayen
dc.subject.cinahlCritical Pathen
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlContinuity of Patient Careen
dc.subject.cinahlReferral and Consultationen
dc.subject.cinahlAppointments and Schedulesen
dc.subject.cinahlAppointments and Schedules--Methodsen
dc.date.available2018-03-02T18:46:36Z-
dc.date.issued2018-03-02-
dc.date.accessioned2018-03-02T18:46:36Z-
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
thesis.degree.year2017en
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