Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care

Rafael Miranda, Sean W. Glenn, Jonathan A Leighton, Shabana F Pasha, Suryakanth R. Gurudu, Harry G. Teaford, Lester E. Mertz, Howard R. Lee, Sylvia A. Mamby, Margaret F. Johnson, T. S. Raghu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The emerging changes in healthcare impose significant burdens on integrated outpatient specialty services with respect to setting patient expectations, handling outside medical records; and coordinating specialty appointments scheduling. Moreover, because of the evolution of the electronic health record and its widespread use, it is critical that patient and physician interaction is maintained and clerical tasks are minimized. In the context of increased government regulation, declining reimbursement, and the rise of new payment models, outpatient practices need to be reimagined so that they are more efficient for the patient and the provider. The redesign of integrated outpatient specialty services can be accomplished only through teamwork, innovation, and efficient use of technology. To address these challenges, the Department of Medicine at Mayo Clinic in Scottsdale, Arizona, implemented an ideal practice design initiative that leveraged a hybrid set of change strategies. The change strategy, which was initiated after examination of current practices and design options, engaged key stakeholders and patients. A number of enablers and barriers to adoption were identified as a result of the implementation experience.

Original languageEnglish (US)
Pages (from-to)363-376
Number of pages14
JournalJournal of Healthcare Management
Volume60
Issue number5
StatePublished - Sep 1 2015

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Ambulatory Care
Government Regulation
Moving and Lifting Patients
Electronic Health Records
Medical Records
Appointments and Schedules
Outpatients
Medicine
Technology
Delivery of Health Care
Physicians
Outpatient
Integrated

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care. / Miranda, Rafael; Glenn, Sean W.; Leighton, Jonathan A; Pasha, Shabana F; Gurudu, Suryakanth R.; Teaford, Harry G.; Mertz, Lester E.; Lee, Howard R.; Mamby, Sylvia A.; Johnson, Margaret F.; Raghu, T. S.

In: Journal of Healthcare Management, Vol. 60, No. 5, 01.09.2015, p. 363-376.

Research output: Contribution to journalArticle

Miranda, R, Glenn, SW, Leighton, JA, Pasha, SF, Gurudu, SR, Teaford, HG, Mertz, LE, Lee, HR, Mamby, SA, Johnson, MF & Raghu, TS 2015, 'Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care', Journal of Healthcare Management, vol. 60, no. 5, pp. 363-376.
Miranda, Rafael ; Glenn, Sean W. ; Leighton, Jonathan A ; Pasha, Shabana F ; Gurudu, Suryakanth R. ; Teaford, Harry G. ; Mertz, Lester E. ; Lee, Howard R. ; Mamby, Sylvia A. ; Johnson, Margaret F. ; Raghu, T. S. / Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care. In: Journal of Healthcare Management. 2015 ; Vol. 60, No. 5. pp. 363-376.
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