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Abstract
John Muir Health, a large health system in northern California, struggled with a complex practice management structure that lacked role clarity and core positions, making it difficult to bring about positive change within the ambulatory setting. As part of a broader, strategic partnership to improve operations and deliver healthcare, health system leaders partnered with Optum Advisory to reorganise the practice management structure and optimise primary care patient access. Across its duration, the partnership improved access within primary care while reducing the administrative burden on providers through care team redesign, and with a new structure, physicians received administrative clarity and practice managers have leaders providing support for access, project management and innovation. These changes led to greater innovation and efficiency, resulting in higher satisfaction for patients, providers and staff. Optimising access and productivity, John Muir Health primary care practices have decreased the amount of time it takes for patients to get into the practice, increasing the overall number of patients they have been able to see. In addition, centralised prescription refills have allowed patients to receive their medications quicker while enabling physicians to concentrate on direct patient care. The overall result has been less administrative burden for providers and staff, allowing for more top-of-licence work and time with patients.
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Author's Biography
Maureen Stevenson , MD, presently serves as the Senior Vice President of John Muir Health Foundation Practice Operations. Prior to this, she was the Senior Vice President and Chair of Ambulatory Services and Population Health for the John Muir Medical Group, an organisation with 400-plus providers. In this role, she provided operational oversight of all ambulatory physicians, Nurse Practitioners (NPs) and Physician Assistants (PAs) working within the John Muir Medical Group primary care offices, urgent cares and endocrinology offices. Dr Stevenson also provided administrative oversight of the John Muir Palliative Care programme, along with the John Muir Care at Home programme. Before coming to John Muir in 2006, Dr Stevenson practised Internal Medicine at Virginia Mason and served as the Section Head of one of Virginia Mason’s satellite Adult Medicine practices. Dr Stevenson has an extensive executive level background and has chaired and sat on various committees for the John Muir Medical Group as well as the John Muir Physician Network; she was also part of the board of directors for the John Muir Medical Group from 2009 to 2012. More recently, Dr Stevenson is serving on the John Muir Health Value-Based Care Council. She received her medical degree from SUNY, Health Science Center at Brooklyn, New York Doctorate of Medicine, and her bachelor’s in biology from St. John’s University, Queens, New York. She is an alumnus of the California Healthcare Foundation’s leadership fellowship.
Jessica Hazard , MPH, serves as a senior director at Optum and brings more than 25 years of experience to her role. Jessica specialises in transformational and turn-around work with large health systems focused on medical group optimisation, management and governance structures, service line design, access to care, clinical care standardisation, mergers and acquisitions and strategic planning. Prior to working with Optum, Jessica served as Departmental Administrator for the Department of Obstetrics and Gynecology at the Vanderbilt University School of Medicine (‘Vanderbilt’), where she provided business, financial and operational leadership for a large faculty practice, including outpatient operations. During her time at Vanderbilt, Jessica was instrumental in creating and implementing faculty compensation plans that incentivised clinical revenues, quality, academic contributions and research. Prior to her time at Vanderbilt, Jessica served as Ambulatory Program Director for the Department of Obstetrics and Gynecology at the University of North Carolina Health Care System.
Citation
Stevenson, Maureen and Hazard, Jessica (2024, June 1). Improving ambulatory patient access through strategic reorganisation and implementation of innovative ambulatory care best practices. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 8, Issue 4. https://doi.org/10.69554/PFCZ7317.Publications LLP