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Improvement Tip: Take the Journey to “Jiseki”
In this story we learn about the four stages of coping for an organization. Each stage is inevitable, but the key is getting through the stages quickly to get to "jiseki" or "our burden", where improvement can take place.
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Success Story: Improving Access to Computed Tomography Services at ThedaCare
ThedaCare (Appleton, Wisconsin, USA) redesigns their Computed Tomography services using Advanced Access principles, and greatly improves results and patient and staff satisfaction.
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Advanced Clinic Access: The Case of Atlanta Eye Care
The Atlanta VA Eye Clinic (Atlanta, Georgia, USA) made dramatic improvements in patient access and satisfaction through the implementation of Advanced Clinic Access principles: waiting times for appointments decreased from 95 days to 35 days in just over one year.
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Advanced Clinic Access: Meeting the Demand for Audiology Services
Central Texas Veterans Health Care System (Temple, Texas, USA) dramatically reduced their wait times for an appointment in their audiology department from an average of 180 days to 50 days by implementing Advanced Access principles to match supply and demand, redesign the system to gain capacity, and shape or reduce demand.
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Removing Barriers to Care: Clinica Campesina
Clinica Campesina (Colorado, USA), reduces its no show rate from 35 to 15 percent through implementing Advanced Clinic Access through an IHI Collaborative.
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Improvement Report: Standardize Phone-Based Triage, Treatment, and Patient Education
Mayo Clinic (Rochester, Minnesota, USA) standardized phone-based triage, treatment, and patient education of adult viral upper respiratory infection/acute sinusitis and pediatric conjunctivitis across all primary care sites, while decreasing office visits by 80 percent.
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Improvement Report: VA Healthcare Network Upstate New York (VISN 2) Implements Advanced Clinic Access
VA Healthcare Network Upstate New York (VISN 2) has focused on measuring and improving waiting times and clinic timeliness, and has successfully implemented Advanced Clinic Access network-wide in nearly 1,300 clinics, for over 130,000 patients.
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Improvement Report: Advanced Clinic Access Initiative
The Department of Veterans Affairs, Veterans Health Administration, a national public sector health care system in the US consisting of 162 hospitals and more than 850 community and facility-based clinics, improved access resulting in significant decreases in waiting times despite a 23 percent increase in demand for health care services and an increase in supply of only 2.3 percent.
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Improvement Report: Improved Access to Specialty Care
The Department of Veterans Affairs New Jersey Health Care System made a 38 percent to 93 percent improvement in the average waiting time in days for the next available appointment in five specialty clinics (Audiology, Cardiology, Eye Care, Orthopedics, and Urology) over a two-year period by customizing Advanced Clinic Access strategies.
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Reducing Waiting Times: Veterans Health Administration
The Veterans Health Administration (USA), reduces waiting times in six clinical areas, by using the principles of open access, through IHI Collaboratives and spread techniques. Learn more about VHA's success in the story.
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