دورية أكاديمية

Team-Based Approach to Successful Annual Wellness Visits.

التفاصيل البيبلوغرافية
العنوان: Team-Based Approach to Successful Annual Wellness Visits.
المؤلفون: Passmore RC; Mayo Clinic, Rochester, MN, USA., Iqbal A; Mayo Clinic, Rochester, MN, USA., Rader TL; Mayo Clinic, Rochester, MN, USA., Ashley K; Mayo Clinic Health System-Southwest Minnesota Region, New Prague, MN, USA., Canoy Illies AJ; Mayo Clinic, Rochester, MN, USA., Madden KA; Mayo Clinic, Rochester, MN, USA., Walter JL; Mayo Clinic, Rochester, MN, USA., Crockett ED; Mayo Clinic, Rochester, MN, USA., Stroebel RJ; Mayo Clinic, Rochester, MN, USA.
المصدر: Journal of primary care & community health [J Prim Care Community Health] 2024 Jan-Dec; Vol. 15, pp. 21501319241249400.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101518419 Publication Model: Print Cited Medium: Internet ISSN: 2150-1327 (Electronic) Linking ISSN: 21501319 NLM ISO Abbreviation: J Prim Care Community Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications
مواضيع طبية MeSH: Health Promotion*/methods, Humans ; Minnesota ; Quality Improvement ; Primary Health Care/organization & administration ; Appointments and Schedules
مستخلص: Objective: The purpose of this study was to implement a 2-phase approach to rapidly increase the number of annual wellness visits (AWVs) and build a sustainable model at 3 study units (Mayo Clinic in Rochester, Minnesota, and clinics in 2 regions of Mayo Clinic Health System), which collectively serve approximately 80 000 patients who qualify for an AWV annually.
Methods: In the rapid improvement phase, beginning in July 2022, goals at the facilities were reoriented to prioritize AWVs, educate staff on existing AWV resources, and create low-effort workflows so that AWVs could be incorporated into existing patient appointments. Staff at all 3 study units worked independently and iterated quickly. In the second phase, all study units collaborated to design and implement a best-practice solution while they leveraged the engagement and lessons learned from the first phase and invested in additional system elements and change management to codify long-term success.
Results: The number of AWVs completed monthly increased in each study unit. In the rapid improvement phase, the number of AWVs increased but then plateaued (or decreased at some study units). In April 2023, the final scheduled outreach automation and visit tools were implemented, and the number of AWVs was sustained or increased, while outreach and scheduling times were decreased. The number of completed AWVs increased from 1148 across all study units in the first 6 months of 2022 to 14 061 during the first 6 months of 2023.
Conclusions: The lessons learned from this project can be applied to other health systems that want to provide more patients with AWVs while improving operational efficiency. The keys are to have a clear vision of a successful outcome, engage all stakeholders, and iterate quickly to find what works best for the organization.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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فهرسة مساهمة: Keywords: annual wellness visit; population health; preventive health care; primary care; team-based care
تواريخ الأحداث: Date Created: 20240502 Date Completed: 20240502 Latest Revision: 20240505
رمز التحديث: 20240505
مُعرف محوري في PubMed: PMC11067673
DOI: 10.1177/21501319241249400
PMID: 38695452
قاعدة البيانات: MEDLINE
الوصف
تدمد:2150-1327
DOI:10.1177/21501319241249400