What is your critique of these 2 documents to see if your thoughts have addressed the issue properly and whether the things, you going to measure are the right ones, and if there are other fields that...

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What is your critique of these 2 documents to see if your thoughts have addressed the issue properly and whether the things, you going to measure are the right ones, and if there are other fields that you should have (or omit) on the study? Finally, how important is it to identify the patient by MRN etc. Or to put it another way, how likely is it that you are going to want to go back to see specific patient factors (other than why they’re here). For example: suppose you determine that much of the variability is due to late arrivals. Would you use those same late arriving patients to see if you can determine something about the nature of who they are, or would you perform a new study to collect information about late arriving patients to see if you can figure out who they are so you can change their behavior (or schedule them differently).




How big should sample size be? Should it be several full days-worth of patients?







Case study 1 The question you are trying to answer:  Is there a way to shorten the time from when a patient reaches the clinic to when they are seen by the doctor.  Background:  several providers, have noticed that some patient may not be roomed till 30 or more minutes after their scheduled appointment time, whereas others seem to only take 10 minutes.  The result of the long delays is that the schedule gets backed up and it’s difficult if not impossible to get caught back up till lunchtime (if it happens in the morning) or you stay late if it happens in the afternoon.  Because we have no data on this yet, it’s hard to know what the components are of that time, let alone know if any of the time can be abbreviated. Background about the clinic:  -We are an FQHC and as such about 80% of our patient have Medicaid for their insurance -English is the second language for many of the patients whose native language may be Tongan, or Chuukese or other South Pacific languages -We see patients of all ages -There are 2 offices with 6 primary care providers (4 MDs and 2 NPs) -We have ~8 front office staff and ~12 MAs as well as 1 care coordinator and 1 BSN who is the COO The mapped of the current workflow and spreadsheet for the time study have been attached.  What is your critique of these 2 documents to see if your thoughts have addressed the issue properly and whether the things, you going to measure are the right ones, and if there are other fields that you should have (or omit) on the study?  Finally, how important is it to identify the patient by MRN etc.  Or to put it another way, how likely is it that you are going to want to go back to see specific patient factors (other than why they’re here).  For example:  suppose you determine that much of the variability is due to late arrivals.  Would you use those same late arriving patients to see if you can determine something about the nature of who they are, or would you perform a new study to collect information about late arriving patients to see if you can figure out who they are so you can change their behavior (or schedule them differently). How big should sample size be?  Should it be several full days-worth of patients?
Answered Same DayDec 01, 2021

Answer To: What is your critique of these 2 documents to see if your thoughts have addressed the issue properly...

Mohd answered on Dec 03 2021
138 Votes
We should learn utilization of patient past electronic medical information. We have to create risk scores based on lab testing, MRN, biometric information, claims information, patient generated health data(questionnaires), wellbeing data, and the social determinants of wellbeing can give administration understanding into which people may benefit by innovative administration. The MRN number will be unique for every patient. Currently, we don't have much patient data to develop a model that...
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