Optimal utilization of a breast care advanced practice clinician.
作者信息
Russell Katie W, Mone Mary C, Serpico Victoria J, Ward Cori, Lynch Joanna, Neumayer Leigh A, Nelson Edward W
机构信息
Department of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT 84132, USA.
Department of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT 84132, USA.
出版信息
Am J Surg. 2014 Dec;208(6):1054-9; discussion 1058-9. doi: 10.1016/j.amjsurg.2014.09.007. Epub 2014 Sep 28.
BACKGROUND
Incorporation of "lean" business philosophy within health care has the goal of adding value by reducing cost and improving quality. Applying these principles to the role of Advance Practice Clinicians (APCs) is relevant because they have become essential members of the healthcare team.
METHODS
An independent surgical breast care clinic directed by an APC was created with measurements of success to include the following: time to obtain an appointment, financial viability, and patient/APC/MD satisfaction.
RESULTS
During the study period, there was a trend toward a decreased median time to obtain an appointment. Monthly APC charges increased from $388 to $30,800. The mean provider satisfaction score by Press Ganey was 96% for the APC and 95.8% for the surgeon. Both clinicians expressed significant satisfaction with clinic development.
CONCLUSIONS
Overall, initiation of an APC breast clinic met the proposed goals of success. The use of lean philosophy demonstrates that implementation of change can result in added value in patient care.
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