Patient-Flow Analysis for Windows (WinPFA)

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Patient-Flow Analysis for Windows (WinPFA)
Georges SeuratEtude pour 'Une dimanche à I'lle
de la Grande Jatte' (1884)
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Todays Menu

• Service delivery issues in STD clinics
• Questions relating to those issues WinPFA
• WinPFA and its basic premises
• Data collection fundamentals
• Technical support resources
• Workshopping WinPFA

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Possible Service Delivery Issues in STD Clinics

• Clinic flow
• Appointment system
• Staff utilization
• Physical plant management
• Emergency management
• Access
• Costs

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Related Questions WinPFA
Issue Questions WinPFA?
Clinic flow
How does client waiting time vary? routine
What is the mean waiting time between securing an appointment and receiving services? difficult
Appointment system
Are walk-ins seen quicker than appointed clients? easy not routine
Are appointment slots too short, too long? moderately difficult
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Related Questions WinPFA
Issue Questions WinPFA?
Staff Utilization
Are staff overburdened by paperwork? difficult
How much staff time is devoted to translation for other staff? routine
Physical Plant Management
Are waiting room accommodations adequate? difficult
Are restrooms and exam rooms cleaned on a periodic basis? routine
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WinPFAs Critical Characteristics

• Systems analysis
• Quantify clinic flow
• Prescribed methodology
• No- CDC software
• Evaluate existing clinics plan new clinics

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WinPFAs Premises

• Clinic problems either the systems or people
• Change is quantifiable
• Staff know the system
• Incremental change works best

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The Signature PFA Graph
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(No Transcript)
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Planning and Executing a WinPFA Data Collection

• Identify your issues
• Identify all flows
• Draft, test, re-test your data collection
  design
• Orient staff and implement D-C
• Enter data generate reports
• (Half dozen other implementation steps)

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Your Expenditures

• Software
• Hardware
• Staff training
• Learning curve
• Data analysis and application

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Waiting Time
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First Word

• The Cleveland Clinic research points to four
  systems factors that stand out in importance for
  the patients point of view
• Efficient provision of service
• Ability to get appointments quickly
• Time spent waiting for the doctor
• Time spent waiting for tests. Leebov, Patient
  Satisfaction A Guide to Practice Enhancement
  (1990, Medical Economics Company, p.23

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Waiting Time and Client Satisfaction
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Final Word?
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(No Transcript)
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Data to Action

• Space utilization
• Regularized client-flow allows reduced size
  waiting area
• FTE level
• Phlebotomists burden results in un-freezing
  positions
• WIC nutritionist translator burden justifies
  hiring spanish-speaking nutritionist
• Appointment system re-enforced
• Early arriving appointed clients prioritized
  after on-time clients
• Cost reduction
• HIV counseling no longer handled by most
  medically skilled staff

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Your Questions?
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Technical Support

• Over-the-phone TA 770/488-6301
• Questions and listserv Subscription
  WBoyd_at_cdc.gov or pfa_at_cdc.gov
• Down-loads http//www.cdc.gov/reproductivehealth
  /ProductsPubs/PFA_support/Instructions.htmRequest
  
• Our list of experienced contractors

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Workshopping WinPFA

• Small groups at each laptop
• Explore or wait for preceptor
• Compare questions and reports
• Schedule follow-up for more TA