Colorado State University, Fort Collins, Colorado; Radiology Associates, Templeton, California.
J Am Coll Radiol. 2019 Jun;16(6):824-829. doi: 10.1016/j.jacr.2018.12.003. Epub 2019 Mar 4.
Radiologist reimbursement cuts over the last few years have driven outpatient imaging centers to find innovative ways to cut costs and improve efficiency while maintaining high image quality. A California-based outpatient imaging center has been tackling the problem of same-day missed appointments since 2014. The lack of meaningful change with each experiment in the last 4 years has led the organization to change direction and look for ways to actively maintain a desired utilization level. An interim solution to cut examination times in modalities with high cancellation rates allows schedulers to schedule more examinations every day. This article covers the history of continuous improvement around reducing same-day missed appointments and eventually realizing the need to open capacity, and it makes the argument for an integrated system that predicts the probability of patients cancelling their examination to facilitate proactive measures.
在过去几年中，放射科医生的报酬削减迫使门诊影像中心寻求创新的方法来降低成本、提高效率，同时保持高质量的图像。自 2014 年以来，加利福尼亚州的一家门诊影像中心一直在解决当天错过预约的问题。在过去 4 年的每次试验中，缺乏有意义的变化，导致该组织改变方向，寻找积极维持所需利用水平的方法。一种临时解决方案是减少取消率较高的检查模式的检查时间，这使得调度员每天可以安排更多的检查。本文介绍了围绕减少当天错过预约的持续改进的历史，最终认识到需要开放容量，并提出了一个集成系统的论点，该系统预测患者取消检查的概率，以便采取主动措施。
