1. An Efficient Family Care Clinic
Peter Samaan, M.D.

2. The Family Care Clinic’s Mission
To provide the highest quality of care for patients in the most efficient manner and to provide an adequate learning experience for the family medicine residents.

3. Scenario
A 45-year-old African-American female presents to the Family Care Clinic without an appointment. She had been in the Emergency Department the previous week and was reported to have experienced a loss of consciousness to the Department of Motor Vehicles. Consequently, her driver’s license was suspended. She requests medical clearance to regain her license. During the encounter, she became belligerent. The staff required assistance from the Moreno Valley Police Department in response to her behavior.

4. Problems Safety of staff and patients Quality of care compromised
Patient privacy-HIPPA
Drain on resources

5. What can we do?

6. Solutions Lock the door to the Family Care Clinic
Establish phone number for non-medications requests
All medication requests to pharmacy
Full-time person for requests
Evening/weekend clinic
/Internet
Satellite county clinics

7. Access to Family Care Center
Via a password that would be know only to physicians and ancillary staff
Security guard if necessary
Only patients would allowed to come into Family Care Center, with the exception of minors and their families
No pharmaceutical reps
Enforcement of late policy

8. Non-Medication Requests
Phone number answered by a full-time staff member who would be responsible for forwarding requests to physicians
Normal business hours
Included DMV paperwork, disability forms, nursing home paperwork, etc.

9. Evening/Weekend Clinic
Third-year residents
Moonlighting opportunity
Attending supervision

10. /Internet
Use of a clinic website which can process medication requests efficiently
Internet available for free in public libraries
Already in use across the country
Patients may providers if they sign a waiver

11. Satellite Clinics Many patients live close to other county clinics
Talk to Emergency Department about referring these patients to other county clinics
Establish continuity patients for residents in the clinics

12. Results Improved efficiency Increased quality of care
Increased patient satisfaction
Less strain on providers
Better learning experience for residents