Optimization of Patient Scheduling in a Hematology Outpatient Setting

      Highlights

      • Increased demand for specialty outpatient services is often challenging to meet.
      • Optimizing patient scheduling is key to ensuring timely and appropriate care for the patient as well as maintain institutional revenue.
      • Implementation of decision support tools to improve access to outpatient services.

      Abstract

      Background

      A sequelae of increased cancer incidence is the need for specialized outpatient care. The purpose of this project was to improve scheduling of multifaceted treatments and care within an outpatient clinic.

      Methods

      A decision support tool was developed within research electronic data capture (REDCap) to improve patient scheduling.

      Results

      Patients reported satisfaction with access and appointment coordination. Nurse practitioner clinic utilization and new-patient volumes increased. Qualitative themes included ease in facilitating transfer of care.

      Conclusions

      A decision support tool within REDCap was successfully implemented within an outpatient cancer clinic and may be considered for other specialty services.

      Keywords

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      References

        • de Martel C.
        • Georges D.
        • Bray F.
        • Ferlay J.
        • Clifford G.M.
        Global burden of cancer attributable to infections in 2018: a worldwide incidence analysis.
        Lancet Glob Health. 2020; 8: e180-e190https://doi.org/10.1016/S2214-109X(19)30488-7
        • Siegel R.L.
        • Miller K.D.
        • Jemal A.
        Cancer statistics, 2019.
        CA Cancer J Clin. 2019; 69: 7-34https://doi.org/10.3322/caac.21551
        • Torre L.A.
        • Siegel R.L.
        • Ward E.M.
        • Jemal A.
        Global cancer incidence and mortality rates and trends—an update.
        Cancer Epidemiol Biomarkers Prev. 2016; 25: 16-27https://doi.org/10.1158/1055-9965.EPI-15-0578
        • Miller K.D.
        • Nogueira L.
        • Mariotto A.B.
        • et al.
        Cancer treatment and survivorship statistics, 2019.
        CA Cancer J Clin. 2019; 69: 363-385https://doi.org/10.3322/caac.21565
        • Sebring E.J.
        • Rudisill M.A.
        • Bates J.S.
        • Auten J.J.
        • Urick B.Y.
        • Clark S.M.
        An evaluation of the effect of pharmacist-led comprehensive chemotherapy consultation services on outpatient appointment adherence.
        J Manag Care Spec Pharm. 2020; 26: 723-727https://doi.org/10.18553/jmcp.2020.26.6.723
        • Guzek L.M.
        • Gentry S.D.
        • Golomb M.R.
        The estimated cost of “no-shows” in an academic pediatric neurology clinic.
        Pediatr Neurol. 2015; 52: 198-201
        • Perez F.D.
        • Xie J.
        • Sin A.
        • et al.
        Characteristics and direct costs of academic pediatric subspecialty outpatient no-show events.
        J Healthc Qual. 2014; 36: 32-42
        • Ebrahimzadeh J.E.
        • Long J.M.
        • Wang L.
        • et al.
        Associations of sociodemographic and clinical factors with gastrointestinal cancer risk assessment appointment completion.
        J Genet Couns. 2020; 29: 616-624https://doi.org/10.1002/jgc4.1254
        • Solberg L.I.
        Improving medical practice: a conceptual framework.
        Ann Fam Med. 2007; 5: 251-256
        • US Department of Health and Human Services
        Quality improvement. 2015.
        • Graham M.M.
        • James M.T.
        • Spertus J.A.
        Decision support tools: realizing the potential to improve quality of care.
        Can J Cardiol. 2018; 34: 821-826https://doi.org/10.1016/j.cjca.2018.02.029
        • Press Ganey
        About Press Ganey.
        • Lewis C.C.
        • Stanick C.
        • Powell B.J.
        • et al.
        Psychometric assessment of three newly developed implementation outcome measures.
        Implement Sci. 2017; 12: 1-12https://doi.org/10.1186/s13012-017-0635-3
        • Proctor E.
        • Silmere H.
        • Raghavan R.
        • et al.
        Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda.
        Admin Policy Ment Health Ment Health Serv Res. 2011; 38: 65-76https://doi.org/10.1007/s10488-010-0319-7

      Biography

      Heather Jackson, PhD, FNP-BC, NEA-BC, is the Administrative Director of Advanced Practice at Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center and Assistant Professor at Vanderbilt University School of Nursing, Nashville, TN, and can be contacted at [email protected] .

      Biography

      Shelton Harrell, MSN, ACNP-BC, is the Outpatient Advanced Practice Manager at Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, and Instructor for Vanderbilt University School of Nursing, Nashville, TN.

      Biography

      Ana Maria Collins, MBA, is a Business Manager at Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.

      Biography

      Nicole Lopez, MSHA, is the Sr. Customer Relations Manager for Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.

      Biography

      Emily Skotte, MSN, ACNP-BC, is an Outpatient, Thoracic Nurse Practitioner at Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.

      Biography

      Karen Hande, DNP, ANP-BC, CNE, is an Associate Professor at Vanderbilt School of Nursing and an Adult Nurse Practitioner at Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.