Bennett Health Clinic: Increasing Continuity With Primary Care Managers Through Modified Advanced Access
Abstract
The purpose of this study was to determine whether a two fold modification, consisting of increasing the daily percentage of same day appointments to 70% for all full-time primary care managers (PCM) and enforcing appointment booking with assigned PCM with the patient appointment service clerks, would increase continuity of care at the Bennett Health Clinic, Darnall Army Community Hospital, Fort Hood, Texas. The research question was, how can Darnall measure and improve continuity of care? This study was a time series quasi-experimental design. Continuity, defined as visits with the assigned PCM, was measured before and after the modification. The percentage of primary care visits with the PCM for Bennett enrollees significantly increased from 34.8% to 59.5% after the modification CHI-SQUARE(1) = 716.82,P < .00001. The mean daily percentage of a providers schedule being filled with his or her own enrollees significantly increased from 53% to 79% after the modification U (1) = 9075,p < .00001. Changing provider templates to increase same day appointments and enforcing appointment booking with assigned PCM increased continuity of care at the Bennett Health Clinic.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 22, 2002
- Accession Number
- ADA420876
Entities
People
- Cynthia Y. Childress
Organizations
- Academy of Health Sciences