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Advanced Nurse Practioners Physician Assistants

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Presentation on theme: "Advanced Nurse Practioners Physician Assistants"— Presentation transcript:

1 Advanced Nurse Practioners Physician Assistants
Rene Vallejo, MBA Texas Tech University Health Sciences Center El Paso, Department of Surgery Association of Academic Surgical Administrators OCTOBER 23, 2017

2 Introduction / Problem
Wait times are one of many patient satisfaction indicators Patients wait time are NOT at an acceptable level in academic surgical clinic Balancing teaching and non-teaching encounters Who determines this time? Practitioners participating in clinic? Administration? Patients?

3 Introduction / Problem
Strive to provide care that is: High quality Cost effective Comprehensive Timely Academic setting pose an added challenge to keep times at an acceptable level Change can be a difficult process to overcome Culture change “WE HAVE BEEN DOING THIS SINCE……”

4 Question How to reduce wait times for Adult surgical patients in an academic surgical clinic?  Does implementation of a single decision making practitioner affect the teaching experience of medical students and residents? What is the balance between single decision making practitioner versus traditional academic set-up? Can a single decision making practitioner impact overall patient satisfaction outcomes?

5 Evidence Based Practice Measures
Single point of contact practice setup Decrease interactions that in turn decrease times Efficiency Improve access to care

6 Outcomes of Project Reduction in wait times from registration
to exam by “decision making practitioner” 44%

7 Added Benefits Reduction in Time to 3rd Appointment (time from referral to appointment with specialist) Initial 48 days 3 months 11 days 6 months within 8 days Reduction in chronic follow-up patients in faculty clinic Increased numbers of new patients referrals Increase teaching opportunities for students Increase access to care Increase in Surgical Yield

8 Evaluation of Measures Implemented
Single point of contact clinic Decreased wait times by 44% Increase access to care Reduced Time to 3rd appointment Absence of negative feedback

9 Questions?

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