University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Department of Pediatrics, Children's Mercy - Kansas City, Kansas City, MO, USA.
J Pediatr Rehabil Med. 2021;14(4):661-666. doi: 10.3233/PRM-200790.
The objective of this study was to analyze the effects on patient access by decreasing missed appointments after hiring a clinic coordinator using medical informatics.
A single-center retrospective analysis of the rates of missed appointments before and after hiring a clinic coordinator in a multidisciplinary spinal differences clinic were analyzed using a commercially available business software system (SAP® Business Objects). The total number of clinic visits was collected for each month to determine the access available for patients.
The median number of missed appointments per clinic by month before employing the clinic coordinator was higher than in the two years following implementation (p < 0.0005). No differences were seen in the number of available appointment slots per month indicating no new clinics were needed to improve patient access (p = 0.551). Projected billing amounts prior to hiring the clinic coordinator indicated that $91,520 was lost in the 2 years prior to hiring this coordinator compared to $30,160 lost during the 2 years following the creation of this position (p = 0.0009).
Hiring a clinic coordinator decreased the rate of missed appointments and was a cost-efficient intervention to improve patient access and provide effective patient care in a multidisciplinary setting.
本研究旨在分析通过招聘医学信息学方面的诊所协调员减少预约失约率对患者就诊机会的影响。
通过使用商业可用的业务软件系统（SAP® Business Objects）对多学科脊柱差异诊所聘请诊所协调员前后预约失约率进行单中心回顾性分析。为了确定患者的就诊机会，每月收集的诊所就诊总次数。
在聘请诊所协调员之前，每月每个诊所的预约失约中位数高于实施后的两年（p＜0.0005）。每月可预约时段数量无差异，表明无需增加新诊所即可改善患者就诊机会（p=0.551）。在聘请诊所协调员之前的预计计费金额表明，在聘请该协调员之前的 2 年中损失了 91520 美元，而在创建该职位后的 2 年中损失了 30160 美元（p=0.0009）。
招聘诊所协调员可降低预约失约率，是改善患者就诊机会并在多学科环境中提供有效患者护理的一种具有成本效益的干预措施。
