Columbia University, New York, NY i0032, USA.
Primary Student Advisor.
AMIA Annu Symp Proc. 2021 Jan 25;2020:283-292. eCollection 2020.
Rapidly increasing costs have been a major threat to our clinical research enterprise. Improvement in appointment scheduling is a crucial means to boost efficiency and save cost in clinical research and has been well studied in the outpatient setting. This study reviews nearly 5 years of usage data of an integrated scheduling system implemented at Columbia University/New York Presbyterian (CUIMC/NYP) called IMPACT and provides original insights into the challenges faced by a clinical research facility. Briefly, the IMPACT data shows that high rates of room and resource changes correlate with rescheduled appointments and that rescheduled visits are more likely to be attended than non-rescheduled visits. We highlight the differing roles of schedulers, coordinators, and investigators, and propose a highly accurate predictive model of participant no-shows in a research setting. This study sheds light on ways to reduce overall cost and improve the care we offer to clinical research participants.
成本的快速增长一直是我们临床研究企业的主要威胁。改善预约安排是提高临床研究效率和节省成本的关键手段，在门诊环境中已经得到了充分研究。本研究回顾了哥伦比亚大学/纽约长老会医院（CUIMC/NYP）实施的名为 IMPACT 的综合调度系统近 5 年的使用数据，为临床研究机构所面临的挑战提供了新的见解。简而言之，IMPACT 数据表明，高比例的房间和资源变更与重新安排的预约相关，并且重新安排的预约比未重新安排的预约更有可能被参加。我们强调了调度员、协调员和研究人员的不同角色，并提出了一种在研究环境中预测参与者失约的高度准确的预测模型。本研究为降低整体成本和提高我们为临床研究参与者提供的护理质量提供了思路。
