There’s no I in team: Clinic (practice) improvements based on resident feedback!

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Jacobi Ambulatory Care Service There’s no I in team: Clinic (practice) improvements based on resident feedback!

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There’s no I in team: Clinic (practice) improvements based on resident feedback!. CONTINUITY!!!. TEAM Follow up (applies to all) Special Sessions (PGY3’s) PLANNED VISITS (PGY2 and PGY3’s). My patient needs a quick follow-up…but I am starting night float!. Team follow-up sessions. - PowerPoint PPT Presentation

Transcript of There’s no I in team: Clinic (practice) improvements based on resident feedback!

Page 1: There’s no I in team: Clinic (practice) improvements based on resident feedback!

JacobiAmbulatory Care Service

There’s no I in team: Clinic (practice) improvements based on resident feedback!

Page 2: There’s no I in team: Clinic (practice) improvements based on resident feedback!

JacobiAmbulatory Care Service

CONTINUITY!!!

• TEAM Follow up (applies to all)

• Special Sessions (PGY3’s)

• PLANNED VISITS (PGY2 and PGY3’s)

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JacobiAmbulatory Care Service

My patient needs a quick follow-up…but I am starting night float!

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JacobiAmbulatory Care Service

Team follow-up sessions

• Do you have a patient with a form that needs to be completed soon? A patient who needs a quick B/P check? A patient who needs sooner follow-up to review lab results?

• If you have no available appointments, use the Team Follow-up session.

• Each team will have 2 sessions/month that can be booked only with that team’s follow-up patients—patients who need a quick, focused visit.

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JacobiAmbulatory Care Service

Level of Care for team follow-up

• Document exactly what needs to be done with your patient.

• The team resident does only what you indicated—not a comprehensive visit, but rather a focused visit.

• For Z-outs, this will likely be a level 3 visit• Send a short email to the referring colleague, if

indicated. For example—”Mr. Lee’s B/P=134/70; he is tolerating dyazide well.”

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JacobiAmbulatory Care Service

I’m a PGY-3 and I don’t have enough clinic slots to see my patients…what can I do?

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JacobiAmbulatory Care Service

PGY-3 Special Sessions

• Each PGY-3 will have one session/month that only he/she can book patients into. This will make it possible for you to follow your own patients.

• There will be 6 slots initially, increasing to seven in Jan 2012.

• This dedicated follow-up session should obviate the need to overbook.

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JacobiAmbulatory Care Service

This patient needs more than 15 minutes…how can I take better care of her?

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JacobiAmbulatory Care Service

The Planned Visit

• You’ll see two patients in the session and you’ll choose them yourself

• Good choices might be patients with poorly controlled chronic conditions, poor compliance with medications, psychiatric disease, frequent ED flyers, etc…

• These will not be in the booking schedule!• Let the front desk Associates and your PCA’s

you are expecting patients!

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JacobiAmbulatory Care Service

Important Tidbits of Info

Booking will be a three step process (not planned visits):First, check AMION for the dates and times of these special sessions

Tell the patient when to come back

Send an email on Outlook to: APCS ACM with the patient’s MR number and telephone number.

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JacobiAmbulatory Care Service

Can you view future booking?

• Sure! Ask any PCA or clerical person to show you the availability of these special sessions. It takes a few minutes, so try to pick a time when the staff isn’t busy. They are willing and able to help you.

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JacobiAmbulatory Care Service

Caveats….

• You can see other/additional patients if your Special Sessions, Team Follow ups or Planned visits are not booked and confirmed or are NO-SHOW

• Planned visits should be confirmed by you!!!• Make a note in “other contact”• Booking Associates will check your panel the

night before to identify any unused/unconfirmed/open slots that can be used for refills or overflow….

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JacobiAmbulatory Care Service

Pitfalls/Troubleshooting

• No special sessions in the schedule…• Special sessions are already booked…• Special sessions are incorrectly booked…• Nobody seems to know what you are talking

about…• Let a manager know what is going on!

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JacobiAmbulatory Care Service

Clinic Basics

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JacobiAmbulatory Care Service

• Walk in closes for lunch at 12:15. Tell the DT and the PCA if any charts are still on your door.

• If you are on call you are expected to see no more than three patients (two for PGY-1’s) and to finish by 3:00.

• In regular clinic PGY-1’s should see four patients; PGY-2’s six; PGY-3’s seven.

• If a patient is more than 30 minutes late please discuss this with a DT. (Asking the patient to re-schedule is an option.)

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JacobiAmbulatory Care Service

• In the morning, clinic starts at 8:30 and ends at 12:15. In the afternoon, it starts at 1:15 and ends at 4:30ish.

• Please sign in.• Let the DTs know if you start falling behind.

They are here to help.• If you see a DT unavailable, please do not

hesitate to say: “Hi—I need to present a case!”

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JacobiAmbulatory Care Service


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