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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 35, 2022 - Issue 3
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Original Research

Decreasing waiting time for new patients at a community pain clinic

, MD, MBA, , MD & , MD
Pages 315-318 | Received 03 Jan 2022, Accepted 10 Feb 2022, Published online: 09 Mar 2022
 

Abstract

Long waiting time to access pain medicine clinics poses a significant mental, physical, and socioeconomic burden on patients with chronic pain. This project aimed to develop interventions to reduce the waiting time for new referrals. We used the define, measure, analyze, improve, control (DMAIC) method. Clinic data were analyzed over a 6-month period. Pilot interventions were then implemented in one provider’s clinic over a 3-month period. Outcome measures included the number of new patients seen, number of “no shows,” and number of patients on the waitlist. Late cancellation and no shows were the main causes of the clinic lost time. Interventions to reduce unutilized clinic time were implemented, including making appointment reminder calls, identifying cancellations in advance, and adding slots on the provider’s template to account for cancellations and no shows. These interventions resulted in a 16% decrease in no shows, a 60% increase in new patients seen, and a significant 47% reduction in the number of patients on the entire clinic waitlist. These findings suggest that simple procedures and changes in the clinic identified via a quality improvement process can significantly improve clinic time utilization.

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