The author then goes on to list the usual culprits including head, knee and back pain. An obvious question is whether the scans are being ordered for the right and appropriate reasons," citing a 12-fold increase in use between 19. "The focus of the Ontario Wait Times Strategy has been to spend nearly $100 million in the province to increase the supply of CT and MRI, yet despite this, wait times for MRI are still way above target. In the understatement of the year, a study by ICES concluded that some CT and MRI tests are being over-ordered, resulting in longer diagnostic imaging wait times.
Patients tend to exceed our expectations. The reason patients are not asked to arrive 21 minutes prior to the appointment, is that there is variation in the arrival time which favours the office. Based on a normal distribution, roughly 66% of people will require 21minutes or less for the pre-doctor time.
#EXCEPTIONALLY LONG VOICE QUEUE LENGTH QUEUING TO REGISTRATION#
I’ve shown before that in our office registration and review of the medical history takes 14 +/- 7 minutes. All are asked to arrive 15minutes prior to the appointment. If negative, they arrived after the appointment time. Below is a graph of patient arrival time vs scheduled time. Since neither the patients nor the doctors timing is perfect some wait is inevitable.
Office wait times (not associated with necessary steps) are non-value added for the patient and should be minimized. It also allows the doctor to pack the schedule by creating a buffer of time. One is to allow them to perform the necessary pre-appointment steps (what lean specialists would call value-added steps) such as registration and review of the medical history. Having people arrive prior to the scheduled appointment with the doctor has two purposes. The tighter the schedule, the greater the risk of a long in-office wait. The more space in the day, the greater the wait time to get an appointment. The goal of our clinic is to match my time with the patients’. Normally I’d rush in to see him before my next appointment which is ½ hour but he walked by my window opening the lid on a cup of coffee (that he must have obviously just bought) so he can wait. Mark just arrived to his appointment 5minutes late for a 5minute appointment.
0 kommentar(er)
