Implementation of the Acute Care Clinic Easy Scheduling System at the Brooke Army Medical Center.

Autor: Tapia AD; 59th Medical Wing, JBSA Lackland, TX 78236, USA.; Oak Ridge Institute for Science and Education, Oak Ridge, TN 37830, USA., Tapia G; 59th Medical Wing, JBSA Lackland, TX 78236, USA.; Oak Ridge Institute for Science and Education, Oak Ridge, TN 37830, USA., Snyder BL; Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Bebo NL; Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Chin EJ; Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA., Schauer SG; Brooke Army Medical Center, JBSA Fort Sam Houston, TX 78234, USA.; US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX 78234, USA.; Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Jazyk: angličtina
Zdroj: Military medicine [Mil Med] 2023 May 16; Vol. 188 (5-6), pp. 932-935.
DOI: 10.1093/milmed/usac177
Abstrakt: Introduction: Emergency departments (EDs) have continued to struggle with overcrowding, causing delays in patient care and increasing stress on the medical staff and resources. This was further illustrated during the recent coronavirus disease 2019 pandemic, where we saw large unpredictable surges to the ED as hospitals tried to meet the medical needs of patients while trying to minimize the spread of coronavirus disease. A previous study from the Department of Emergency at the Brooke Army Medical Center (BAMC) found that nearly half of the patients presenting to the ED could have been managed in a primary care setting. We sought to pilot an alternate appointment scheduling system, Acute Care Clinic Easy Scheduling System, to allow patients to see and book available appointments while waiting in the ED waiting room.
Materials and Methods: Our appointment display system was created through collaboration with the BAMC Information Management Division. A Tableau data interface connects to the Composite Health Care System to view available primary appointments across the San Antonio Military Health Care System. These are displayed in real-time on multiple TV screens outside the ED and in the ED waiting room. Patients were provided signage that provides a way to call or use a World Wide Web-based interface to immediately schedule the open appointments within the next 48 hours. Patients voluntarily opted to use this system and may opt to leave the ED if another appointment became available within an acceptable time frame to them.
Results: This section is not applicable to this article.
Conclusions: Expansion of the Acute Care Clinic Easy Scheduling System within the Military Health Care System may (1) help reduce ED crowding, (2) improve access to care through a live-tracking system that patients can review and select from, and (3) reduce the number of unfilled primary care appointments. The system in place in the BAMC ED serves as a template for other MTFs to use.
(Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
Databáze: MEDLINE
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