Addressing the Concerns of Ambulatory Care Patients

At a time when service counts more than ever, the Atlanta VAMC established a formal customer service program to better meet the needs of our veterans, their families, and employees. This program focuses on providing prompt, informative, and courteous service to all of our customers. Two specific aspects focus on ambulatory care patients: our Customer Welcoming Station and the Service Representative Program. Both significantly improve patient and employee satisfaction.

In the past, patients had few ways to obtain assistance during their visits to our outpatient area. Although the Patient Representative was available to provide this assistance, having only one individual serving as an advocate was not sufficient and did not meet our standards of exceptional customer service. Our goal is to have all 2,000 medical center employees serve as advocates each day. To accomplish this, we developed the Service Representative Program to involve large numbers of our employees in customer service functions.

This program was designed to have each service provide at least one individual to work with our Customer Service Office in assisting patients and providing five-star service. Individuals selected as Service Representatives serve a one-year term and provide special assistance to customers in areas related to their expertise. Employees participate voluntarily and receive special customer service training throughout the year from outside educators, as well as guidance from the Patient Representative. Their functions include addressing patient complaints, family concerns, employee requests, and working on customer service programs for the medical center. For example, if a patient comes to the hospital with a concern related to his medications, we now have an experienced, well trained, and identifiable employee in the Pharmacy dedicated to completely delighting the customer.

As our Customer Service Program evolved further, we developed a Customer Welcoming Center located in the main waiting area of Ambulatory Care. This center is staffed by two GS-6 Patient Representative Associates and one volunteer from 7:30 a.m. to 5:00 p.m., Monday through Friday. Immediately upon entering the outpatient area, patients are now greeted by staff who ask them, "How may we help you?" Here, patients may receive directional assistance; schedule appointments; ask questions about eligibility, travel, and other benefits; or be personally escorted to their destination. The staff work closely with the Patient Representative and the Service Representatives to ensure prompt and professional attention to questions and concerns presented by customers. Outpatients have grown so accustomed to finding immediate, friendly assistance at the Welcoming Station that it is almost always their first stop when they come for their visit.

Benefits

Since implementing these programs, the number of patient complaints has decreased by more than 33% from the previous year. Also, the amount of positive mail we have received about the medical center has doubled. Therefore, we spend less time answering congressional inquiries and more time with our customers.

We have also enhanced our ability to manage front-line workers and have been able to institute a new work philosophy for these individuals. Our employees are now expected to delight the customer, and they understand why it is so important to do this. As these customer service initiatives continue to grow, we also have begun to receive more requests by employees to become participants. Thus, we continue to expand the base of individuals who want to extend themselves for our customers.

Contact Person: Chuck Bedo, MHA

Service: Office of the Director

Facility: Atlanta, GA VAMC

Number: (404) 728-7724 or FTS (700) 248-7483

Providing Information to Family Members of Triage Patients

Staff members identified the need to have a person in the Triage waiting area who could provide information to family members of patients being seen in Triage. It was felt that this position would coordinate efforts to get information to family members, reduce complaints of excessive waiting, reduce visitors in the Emergency Room, and generally provide better customer service. In light of a recent FTEE reduction, we decided to use a light duty employee to provide this service.

The duties assigned are:

Benefits

This service has been met with tremendous support and gratitude from patients and staff. It has reduced complaints from family members in this area and has provided better coordination of information for waiting family members.

Contact Person: Vivieca Wright

Service: Ambulatory Care Service

Facility: Nashville, TN VAMC

Number: (615) 321-6361 or FTS (700) 850-4751

Providing Lodging for Wives, Relatives, and Friends of Hospitalized Veterans

F or the past three years, Big Spring VAMC has operated Haven House, a resi- dence that provides lodging and food for wives and female relatives and friends of hospitalized veterans. Billed as "a place of honor for wives of hospital veterans," the residence opened 3-1/2 blocks from the medical center in November 1991. It is open to women friends and family members over the age of 16 for as long as they need to stay. They may contribute a suggested $3.00 or $4.00 per night if they wish or may stay with no charge; free food is always available in a well stocked pantry. The typical stay is for two or three days; two women stayed for more than 60 days. Usually three to six women are there on a given night, but there has been as many as 13 women guests on the same night.

Haven House was originally donated by a VA employee, Lona Hood, who saw the need for such a facility while she worked at the VA. It is not officially owned by the VA, but by a non-profit corporation. Social Work serves as the Inn Master, dispensing keys and registering guests; the Social Work Service secretary serves as Chief Inn-keeper.

The home is supported by private donations from various service organizations; considerable rivalry has developed among groups wishing to be associated as donors. Unsolicited donations easily surpass the average monthly operating expenses of less than $300 per month. Donations have come from as far away as Alaska, and veterans groups in Tyler and Amarillo, Texas, some 200 and 400 miles away, have been regular donors.

Benefits

Haven House is a gesture by VA staff to honor veterans' families and let everyone know, whether or not they use the home, that VA cares in a special way for veterans. The women who stay there write frequent letters of praise; many talk of the friendships, fellowship, and therapy they derive from other women staying at the home. It has been a positive experience for veterans, families, service organizations, and VA staff, and it has brought much praise for the medical center.

Contact Person: John Webb, LMSW

Service: Social Work Service

Facility: Big Spring, TX VAMC

Number: (915) 264-4850 or FTS (700) 728-7040

Care in Patient Focused Orthopedics

T he Iowa City VAMC is undergoing reorganization and moving toward patient- centered care. In May 1994, Surgical Service made a registered nurse responsible for managing and implementing a patient focused environment in the Orthopedic Section. A few of the resulting innovations are:

Benefits

The pre-operative screening telephone calls have decreased the percentage of Operating Room cases that are canceled. By having a specific registered nurse responsible for managing the Orthopedic Section, patients know who to contact when they have questions or problems. The change has enhanced patient satisfaction, improved communications and efficiency, and provided Orthopedics with a more patient-centered focus.

Contact Person: Dr. Kimberly S. Ephgrave

Service: Surgical Service

Facility: Iowa City, IA VAMC

Number: (319) 338-0581 or FTS (700) 863-6011

Automated Patient Reminder System

In an attempt to ensure patients receive the care they need and reduce no-show rates, we introduced an Automated Patient Reminder System (MUMPS Audio Fax) in February 1995. This system, which interacts with DHCP, calls veterans with a recorded reminder of their pending clinic appointments. An additional feature allows veterans with a touch tone phone to cancel appointments when called. The system improves the efficiency of clinic scheduling by increasing the number of patients who keep their appointments and making canceled appointment slots available for other veterans. If a veteran does not wish to be reminded of his or her appointment, the number can easily be "flagged" so that the computer bypasses it. The scripted message also reminds patients to present any insurance information to the clinic clerk. This has helped in updating our computer data base and should increase our future MCCR revenues.

The overall system cost was approximately $80,000 including supporting PCs, hardware and 12 phone lines. Implementation requires IRM assistance. However, the system is written in MUMPS and is fully compatible with DHCP, making the installation no more difficult than any other DHCP upgrade or change.

Benefits

Many veterans have commented to Ambulatory Care personnel that the reminder call they received was helpful and much appreciated. No-show rates have dropped significantly.

Contact Person: Larry P. Meschkat

Service: Medical Administration Service

Facility: San Antonio, TX VAMC

Number: (210) 617-5137 or FTS (700) 779-5137

Providing Beepers to Families of Patients in Surgery

At the Oklahoma City VAMC, we instituted a pilot program to loan beepers to family members of patients in both ambulatory and inpatient surgery. Our goal was to provide emotional support for our customers. The 14 beepers we used had been turned in by staff as newer models became available. A clinical staff member decided whether loan of a beeper was appropriate and together with the family member determined the loan period. The beeper was provided by Police and Security personnel, who instructed the family member in its use. During the nine month pilot, the beepers were loaned about 200 times with an average loan period of about a week. None were lost or stolen.

Based on the success of the pilot, we extended the program into the MICU, CCU, and Telemetry, using funds from service organizations to purchase five new beepers. Our long-range plan is to continue to expand the program until beepers are available for family members in all areas of our facility.

Benefits

A survey of staff involved in the pilot program indicated that all of them believed our goal of providing emotional support had been reached. In a survey of family members, 100% of the respondents described themselves as "satisfied" to "highly satisfied" with the program. Family members wrote narratives describing how much safer they felt having a beeper because they knew staff could reach them if they left the waiting area. Other benefits are decreased noise due to a reduced need for overhead paging, increased staff awareness of their obligation to notify family members of changes in the patient's condition or location, and less crowded waiting areas.

Contact Persons: Kristi Morehead, M.Ed. and Dorothea Hunt, RN

Service: Psychology Service

Facility: Oklahoma City, OK VAMC

Number: (405) 270-5168 or FTS (700) 742-3140

Post-Discharge Telephone Care

Results from the Customer Feedback Survey in 1994 indicated that a significant number of veterans at the Atlanta VAMC felt that they and their families had not had adequate communication with staff about their illness and treatment. Since the survey had focused on veterans who had been discharged from inpatient status, the discharge process was evaluated by medical center QI task forces. They decided that we needed an immediate follow-up contact with each of our discharged patients, and Social Work Service seemed the logical service to "bridge" the discharge process.

In May 1995, social workers began making phone calls to every patient who had been discharged from the medical center on the preceding day or over the week-end. The only exceptions are patients who were transferred to another facility and those discharged from substance abuse treatment. There are an average of 22 discharged patients called each day by two social workers, each of whom devotes a half-day to this task.

The objectives of the telephone calls are:

During the phone conversation, the social worker inquires about specific aspects of the discharge experience, such as the receipt of discharge instructions, medications, and appointments, and invites the veteran or his caretaker to talk about his overall treatment experience and his initial adjustment to home. Then, the veteran is asked to rate the hospitalization and to make suggestions for improving the care we provide. Arrangements are made to supply any missing discharge items and to answer any treatment questions by linking him to the appropriate resource at the medical center, such as our Telephone Advice Program. Results of the conversation are recorded and sent to the QA office and to the Chief of Staff for forwarding to the appropriate service.

Benefits

The response of both patients and social workers has been positive. Veterans express gratitude for being contacted, candidly talk about their experiences, and are pleased to offer suggestions. The phone calls seem to have a neutralizing effect on those who were not satisfied with their care and provide an opportunity for veterans who had a good experience to express pride in the VA. Addressing problems immediately upon discharge decreases the anxiety and frustration of patients and their families, freeing them to concentrate on recuperation. Also, patients are more likely to use hospital telephone services, if they have already experienced a therapeutic phone call and are sure who to contact. Social worker morale has improved because they feel their efforts benefit both the individual patients and the overall operation of the medical center.

Contact Person: Sherry Murphy, LCSW

Service: Social Work Service

Facility: Atlanta, GA VAMC

Number: (404) 321-6111 Ext. 6350 or FTS (700) 248-6350

Establishment of an Outpatient Detoxification Program

Our substance abuse detoxification program was converted from inpatient to outpatient during fiscal year 1995. The inpatient detoxification program had averaged over 2,000 admissions per year for many years, with the average length of stay ranging from four to seven days. After careful analysis, it was determined that only a small percentage of these patients required acute medical detoxification. We also observed that many patients who were being admitted to our 28 day inpatient rehabilitation programs could appropriately receive outpatient rehabilitation treatment.

The inpatient detoxification program in Psychiatry Service was closed. The staff from that program were used to establish an outpatient detoxification program, reassigned to support a smaller inpatient detoxification unit on Medical Service, or used to provide additional support to our outpatient substance abuse clinic. Due to the decreased staffing needs of the outpatient programs, the medical center was able to recoup approximately eight FTEE.

Approximately 50 patients per month complete the outpatient detoxification program, while about 20 require inpatient detoxification. Outpatients who are homeless or lack a supportive environment are provided shelter through a VA contract with a local, state licensed substance abuse facility. This arrangement provides them with a safe, structured, and supportive environment while going through outpatient detoxification.

With the additional outpatient staffing, we are able to offer a larger number and a wider variety of outpatient rehabilitation groups. The patient to staff ratio in these groups has been cut from a 25-30 to 1 ratio to a more therapeutic 10-15 to 1 ratio.

Benefits

Cost savings for the first year of care are projected to be $600,000 with no negative impact on patient care. Patients have received dispositions that are more appropriate for their needs, while ambulatory substance abuse services have been enhanced. Staff morale has also improved because patients are screened more carefully; the result is a more motivated patient who is sincerely interested in his or her rehabilitation.

Contact Person: John Rader, HSO

Service: Psychiatry Service

Facility: Little Rock, AR VAMC

Number: (501) 370-6629 or FTS (700) 740-1340

Providing Substance Abuse Rehabilitation Services in a Day Hospital

U ntil recently, substance abuse rehabilitation was done in a traditional 21 day inpatient rehabilitation program at the West Los Angeles VAMC. Because of the large number of veterans with substance abuse disorders seeking treatment, waiting lists for treatment extended beyond four weeks. We also felt that many of our patients were becoming institutionalized by frequent and lengthy hospitalizations, and we wanted to break this cycle.

In April 1995, our inpatient services were redesigned to focus on acute detoxification, stabilization, and engagement in substance abuse rehabilitation. The number of beds was decreased, and staff were redeployed to an Intensive Outpatient Treatment of Addictions (IOTA) Day Hospital. This program provides rehabilitation services for alcoholism and addictions five days per week, serving as an alternative to and a step down from acute hospitalization for patients who are able to commute. Admission criteria are consistent with the patient placement criteria of the American Society of Addiction Medicine.

Day hospital care typically lasts four weeks but can be extended up to eight weeks, and is followed by maintenance treatment in our Substance Abuse Outpatient Clinic or in community programs. Patients attend the day hospital for six hours per day. Services include evaluation and treatment planning; dual diagnosis treatment; psychoeducation; group, individual, and family psychotherapy; training in relapse prevention; urine and breath toxicological monitoring; vocational rehabilitation; social skills training; and required community 12-step meetings. Homeless patients are assisted in locating housing in community sober living homes. Community shelters are used for temporary housing, and the medical center domiciliary is used for stays up to three weeks to address concurrent medical problems. To facilitate attendance, patients are given bus tokens.

Benefits

IOTA's intensive outpatient treatment allows the least restrictive, most cost-effective treatment of addictive disorders. The lower costs associated with ambulatory treatment permit a longer duration of intensive rehabilitation. In addition, the waiting period for substance abuse treatment has been reduced from one month to within 24 hours.

IOTA's intensive treatment promotes patient bonding, while access to the world outside allows practice of learned behavior and assists with mastering skills to prevent relapse. The program provides gradual integration into community self-help programs and other resources and is able to operate in conjunction with non-institutional housing. Most importantly, by providing an alternative to inpatient hospitalization and emphasizing community re-integration, transition through IOTA avoids institutionalization of patients in the VA treatment system.

Contact Person: Mace Beckson, MD

Service: Psychiatry Service

Facility: West Los Angeles, CA VAMC

Number: (310) 268-3904 or FTS (700) 748-3904

Outpatient Workups for Lung Cancer

I n response to excessive inpatient lengths of stay for patients with suspected lung cancer, in 1993 the Philadelphia VAMC initiated a program to perform lung cancer workups entirely on an outpatient basis. One room in the pulmonary suite was converted to a patient exam area for use as a "Nodule Clinic," and the Pre-Bed Care Unit was engaged to provide nursing care for patients undergoing outpatient bronchoscopy or needle biopsy. The pulmonary fellow and attending "on service" for a given month were assigned to staff the new clinic. An RN was designated to assist patients with scheduling of multiple outpatient appointments for pulmonary function tests, exercise tests, CT scans, and nuclear medicine scans. Multidisciplinary conferences with radiologists, radiation therapists, medical oncologists and thoracic surgeons are extensively used for review of individual cases. The pulmonary clerk-typist assists with scheduling and record retrieval. In short, a complete program for outpatient care was established to move lengthy inpatient workups entirely to the ambulatory setting. When the work-up (including diagnosis and clinical staging) is complete, the patient is expeditiously referred to thoracic surgery, radiation therapy, or medical oncology for treatment and follow-up.

Benefits

Patients are able to live at home and complete complex testing with less disruption of their lives, and pulmonary fellows and attendings develop expertise in providing outpatient care. The VA has benefited greatly in terms of diminished costs and less need for inpatient care. For example, in April 1995, six of 15 new cases of suspected lung cancer were handled as outpatients. Given an average length of stay for lung cancer of 10.5 days, we saved 63 inpatient days in a single month.

Contact Person: Mitchell Margolis, MD

Service: Pulmonary (Medical Service)

Facility: Philadelphia, PA VAMC

Number: (215) 823-6428 or FTS (700) 481-6428

Close Outpatient Follow-Up of Subacutely Ill Patients Who May Require Hospitalization

T wo perceived needs at the Denver VAMC were to improve continuity of patient care around the time of a patient's hospitalization and to broaden the training of Internal Medicine (IM) residents in the ambulatory care setting. We initiated an Office Based Medical Team (OBMT) service that replaces one month of inpatient ward experience for IM residents and focuses on patients with subacute on medical conditions who may require hospitalization. Patients seen by the OBMT are referred from the ER or other clinics, or are recently discharged inpatients. Their acuity of illness is nearly severe enough to require inpatient care, but close outpatient follow-up may prevent hospitalization.

Three to four house staff are supervised by an attending physician, usually from the Ambulatory Care/General Medicine Division. The day begins with a one-hour Ambulatory Morning Report focusing on recent cases and related literature. The remainder of the day is spent seeing patients scheduled into the OBMT clinic, consulting on ER patients, and following short-stay admissions to the OBMT inpatient service. Residents contribute to decisions regarding whether a patient should be closely followed in the outpatient setting or admitted to the short stay unit with likely OBMT outpatient follow-up.

Benefits

The primary benefit of the OBMT service is improved continuity of care for patients with subacute illnesses. During the first six months, a mean of 226 scheduled clinic visits per month were made, and an average of 30 additional patients per month were seen from the ER. Approximately five to nine hospital admissions were prevented each month due to the close follow-up that was available in the outpatient setting. Patients with a wide variety of diagnoses, including atypical chest pain, congestive heart failure, and constipation, were cared for on the short-stay inpatient unit, avoiding potentially more protracted admissions to the traditional medical service.

The rotation was also very popular with house staff receiving a mean score of 5.6 on a 1-7 scale (7=best rotation ever, 11/18 residents responding). Sixty-four percent of the residents noted that this rotation reinforced their desire to work in General IM/Primary Care or stimulated interest in primary care not previously noted.

Contact Persons: Daniel G. Richie, MD and Thomas J. Meyer, MD

Service: Ambulatory Care Service

Facility: Denver, CO VAMC

Number: (303) 393-2839 or FTS (700) 322-2839

An Outpatient Cardiac Catheterization Program

T o reduce health care costs, our hospital has attempted to identify diagnostic procedures that could safely be performed in an outpatient environment. The most recent initiative (January 1995) is the Cardiac Observation Unit (COU) in which outpatients safely undergo invasive cardiac procedures, including diagnostic catheterizations and electrophysiology studies.

COU staff prepare patients for the procedure, perform the test, and recover the patient afterwards. They also educate patients and their families about the test, the findings, and the plan of action. Patients arrive at the hospital the day prior to the procedure for laboratory tests, an EKG, and a physical exam. They stay at a local hotel overnight at the VA's expense if they live more than 50 miles from the medical center, at home if less than 50 miles. The next day they arrive at the hospital at 8 a.m. and have the procedure. The COU nurses monitor them during recovery and provide discharge teaching. The patients and their families then may either return to the hotel or home.

Fifty to 60% of diagnostic catheterizations are performed on an outpatient basis. The appropriateness of an outpatient procedure is determined collaboratively by nursing and cardiology staff, using the following criteria:

Benefits

From January 1995 through October 1995, 202 outpatient catheterizations were performed and 555 inpatient days saved. Patient satisfaction has been monitored since the program's inception; the data have been very positive. Patient and family comments indicate appreciation of the additional education provided by the COU, the relaxed atmosphere allowing for family involvement and discussion with staff, and the freedom from hospital admission.

Contact Person: Kendra Szymanski, RN, BSN and Mark Starling, M.D.

Service: Nursing and Cardiology Services

Facility: Ann Arbor, MI VAMC

Number: FTS (700) 374-7978 or (700) 374-7976

A Nurse Administered Outpatient Unit for Short-Term Surgical Patients

I n September 1992, our medical center realized that it would soon become necessary to restrict acute care beds to those patients who needed them. A survey was initiated by the Chief of Surgery to determine the placement of surgical patients who required minimal care and observation for less than three days. The results showed that 30% of patients meeting these criteria were occupying acute care beds. A task force was created to make recommendations regarding the treatment of these patients; it identified over 40 diagnoses whose pre- and post-procedure treatment required minimal nursing care and observation if the patient's baseline functioning involved self-care.

The Nurse Administered Outpatient Unit (NAOU), an outpatient unit to keep patients overnight without admitting them as inpatients, was established on a vacant ward located on the ground floor of the hospital. The ACOS/Ambulatory Care has overall program responsibility, and Nursing Service administers the unit. As many as 17 self-care patients may be on the NAOU at any time. Nursing FTEE is 6.0 RNs; one RN covers the night shift. A CNA from the Mobile Resource Team assists with vital signs during the busiest shifts which are Monday through Thursday.

Patients are scheduled for beds beforehand, with nursing staff screening each patient's appropriateness for the NAOU. Same-day patients are given beds when they are available. A self-medication program has been instituted, and arrangements with Nutrition and Food Service enable patients to ambulate to the dining room or receive a meal at the bedside when necessary. Patients ambulate to their diagnostic appointments or are taken in wheelchairs by Escort Service. The NAOU staff is authorized to make a referral to or request a consultation from any hospital service.

Physicians utilize the unit for over 95% of appropriate patients. They appreciate the greatly reduced paperwork requirements: no discharge summaries are required and only brief H & Ps related to the patient's procedure. There is also a reduction in the documentation requirements for nursing staff.

Benefits

The unit costs less than $250 per patient day in comparison to over $600 on a medical or surgical ward. Between 150-210 patients are cared for on the NAOU each month, with an average length of stay of less than 48 hours. Because acute care beds are now at a premium, as predicted three years ago, Tucson VAMC is in a much better position to care for the increasing numbers of veterans migrating to the Southwest.

Surgery cancellations related to patient non-compliance or transportation problems have decreased, and patients are more knowledgeable about their procedures and after-care. The NAOU has become a "point of reference" for those who have been treated there: They regularly return to greet the staff or to have new questions answered.

Contact Person: C. Kay Morris, RN

Service: Nursing Service

Facility: Tucson, AZ VAMC

Number: (520) 629-1898 or FTS (700) 765-6011

Conscious Sedation Recovery

U pon review of Joint Commission standards, it became apparent that variation in the care provided to patients recovering from conscious sedation existed within our facility. In the Medical Endoscopy Clinic, patients were provided privacy, appropriate monitoring of vital signs, and pulse oximetry by professional staff during the acute recovery phase. In other areas, such as Surgical Endoscopy and Pulmonary Bronchoscopy, patients recovered on an inpatient nursing unit. These patients were being hospitalized for procedures which could have been performed in an ambulatory care setting if pre-procedure and post-procedure care was available.

Recognizing the need for change, several key staff proposed a conversion of an under-utilized area of the facility at a cost of approximately $14,000.00. Located near Pulmonary Medicine and the Bronchoscopy Suite, the area provided ample space for a self-contained unit which included Surgical Endoscopy and a Conscious Sedation Recovery Unit (CSRU) complete with a negative flow isolation room, a family waiting area, and a patient changing room. The CSRU is manned by ACLS certified, fee base RNs, who have successfully completed a Post-Procedure Recovery competency review in our Post-Anesthesia Care Unit. Guidelines for care, discharge criteria, and documentation forms are currently being standardized throughout the facility.

Benefits

From the outset, the care provided in the Conscious Sedation Recovery Unit met or exceeded accepted clinical practice guidelines and Joint Commission standards. Within two months of becoming fully operational, the shift from inpatient to outpatient care was dramatic. Approximately 25% of both endoscopies and bronchoscopies were performed on an outpatient basis, reducing the cost to the facility by approximately $600-$1,200 per procedure. Since the workload fluctuates daily, staffing the CSRU with fee base nurses has proved to be efficient and economical. Patient satisfaction and patient safety have significantly improved, although it is too soon for data to be reported.

Contact Person: Beverley A. Freeman, CNS

Service: Nursing Service

Facility: San Antonio, TX VAMC

Number: (210) 617-5196 or FTS (700) 617-5196

The Coordinated Outpatient Testing Center

A need for better coordination of outpatient diagnostic work-ups for both Medical Service and Surgical Service patients was identified. In our affiliated medical center, many resource utilization decisions are made by resident physicians who rotate in and out of the medical center each month. These residents are often frustrated by the administrative processes required to care for their patients. As a result, patients who need complex pre-procedure workups are often admitted to the hospital, because the resident views admission as more efficient than facing the challenge of coordinating outpatient work-ups.

The goal of the Coordinated Outpatient Testing Center (COTC) is to reduce procedure length of stay by shifting as many diagnostic workups as possible from inpatient to outpatient care. Two nurses (one coordinator and one patient-educator) were transferred to Surgical Service; with one MAS support staff, they began a pilot program coordinating work-ups for General Surgery and Cardiology patients. Once the pilot is complete, clinical sections will be added progressively until all appropriate patients are coordinated by the COTC.

Working closely with physicians staff and residents, the coordinator is responsible for the administrative duties involved in the work-up. A "COTC Day" is determined once a procedure date is set, and the COTC coordinator schedules all diagnostic tests for this day, including complex tests such as stress tests and pulmonary work-ups, as well as standard EKGs, laboratory tests, and chest x-rays. The diagnostic results are collected by the coordinator, and abnormal results are brought to the attention of the treating physician. Pre-procedure patient education and an anesthesia consultation are also performed on the patient's "COTC Day."

Benefits

Because the COTC is still being piloted, it is too early to report on the benefits. Data on the following indices are being collected and will be compared to historical data: number of patients served, proportion who are same-day admissions, proportion who are ambulatory surgery patients, number of patients whose surgery procedure date lags beyond the thirty day laboratory expiration, reasons for ambulatory surgery cancellations or postponements, surgical cancellation rate, and pre-operative length of stay.

Contact Person: Bruce Wyllie, AO

Service: Surgical Service

Facility: Clement J. Zablocki VAMC, Milwaukee, WI

Number: (414) 384-2000 or FTS (700) 383-1740

Shifting Pre-Operative Medical Evaluation from Inpatient to Ambulatory Care

T he lack of coordination among services to provide timely pre-operative medical evaluation for patients resulted in an average pre-operative length of stay of 5.1 days and a surgery cancellation rate of 21% in 1992. The underlying causes of this problem were studied by UCLA Health Services graduate students, directed by Quality Management staff and assisted by Anesthesia, Surgery, and Nursing Services. Data came from interviews of patients and hospital staff, DHCP files, operating room records, and medical records.

Based on the initial findings, we initiated a pilot project which involved:

Benefits

The pilot of the new ambulatory pre-operative system began in July 1994 and was completed in November 1994. At the end of the pilot period, the pre-operative length of stay for Pre-op Clinic patients decreased from 5.1 days to 1.1 days, the surgery cancellation rate dropped from 21% to 12%, and the ambulatory surgery workload increased 12-fold, from 30 cases per year to 30 cases per month. The annual savings generated by reducing pre-operative and post-operative lengths of stay may be substantial.

Contact Person: Dean Norman, MD

Service: Chief of Staff

Facility: West Los Angeles, CA VAMC

Number: (310) 824-3136 or FTS (700) 748-3136

Reorganizing Ambulatory Surgery

Until recently, ambulatory surgery patients at our facility were admitted, pre- pared, and discharged by nursing staff on a busy inpatient surgical unit. Since this assignment was rotated among staff on a daily basis, several problems emerged:

At a brainstorming session, it was decided that the Nurse Manager of the OR would oversee the operation of the Ambulatory Surgical Care Unit and that one RN position would be transferred to the OR for ambulatory surgery. The new RN position has the following responsibilities:

Benefits

The surgical schedule is completed in a more timely manner since the ownership of delays is simple to establish, and the overtime budget is used only for emergency procedures as it is no longer needed for delayed procedures. On the follow-up calls,

100% of the patients have indicated they would return to this facility for another surgical procedure. The reorganization has also resulted in improved communication between surgeons and nursing staff. Problems are now discussed at the monthly surgical staff meeting and resolutions are made by the multidisciplinary team.

Contact Person: Lois Ann Atkins, RN

Service: Nursing Service

Facility: Erie, PA VAMC

Number: (814) 868-6212 or FTS (700) 726-6180

Overnight Lodging at a Local Hotel

An overnight lodging program was instituted to decrease hospital admissions. This program allows patients to stay overnight in a local hotel at VA expense before a scheduled procedure or appointment and thus stay out of the hospital until it is time for their appointment or procedure. Family members often stay with them at the hotel. Certain criteria apply: veterans awaiting therapeutic or diagnostic procedures must live more than 50 miles from Ann Arbor, and veterans awaiting outpatient appointments in a clinic not available at a closer VA facility must reside more than 200 miles away. Once eligibility is determined, admitting staff set up reservations, transportation, and, if necessary, meals.

During FY 94, ambulatory surgery accounted for 50% of the patients who were lodged by the program. Patients with outpatient appointments were another 29%, radiation therapy patients 16%, chemotherapy patients 3%, and cochlear implant patients were 2%.

Benefits

The financial benefits of the program are significant. On average, hospitalization costs approximately $550 daily, while the current nightly hotel rate is about $32. After the program officially got under way in early FY 94, 1,401 inpatient days were avoided during that year through the hotel lodging program. The lodging program costs the medical center $43,030, whereas the hospitalization of these patients would have cost $770,550. Thus, the program saved the medical center $727,520.

Contact Person: Connie Standiford, MD

Service: Ambulatory Care Service

Facility: Ann Arbor, MI VAMC

Number: (313) 761-7975 or FTS (700) 374-5100 Ext 7975

Impact of A Multi-Disciplinary Wound Care Team on Number of Amputations

Medical and surgical care of non-healing ulcers at the Dallas VA had been fragmented between the emergency room, surgical clinics, spinal cord injury nurses, medical evaluation clinic, and Rehabilitation Medicine Service. There was virtually no continuity of care, and patients often went months between episodes of wound care. The result was often an infected wound that was beyond salvage.

In July 1992, an intensive effort was begun to improve the overall clinical management of patients with non-healing ulcers. A comprehensive multi-disciplinary wound care team was established, consisting of a general surgeon, a vascular surgeon, a podiatrist, a nutritionist, two nurses skilled in wound care, and an Orthotic Shoe Technician from Prosthetics Service. The team members see patients one day a week and address all issues relating to the healing of ulcers. Due to the limited number of patients needing this intensive approach, a patient may be seen each week if indicated.

Benefits

The rapid healing of ulcers, which in many cases had been present for years, was immediately apparent. However, our the primary measure of success was the number of below the knee amputations (BKAs), an important and easily measured outcome parameter.

The number of below the knee amputations performed at the Dallas VA from 1990 to 1995 is shown below. If the rate for January through December 7 continues, 79 amputations will be performed by the end of calendar year 1995. This would represent a reduction of 69 amputations from the 145 performed in 1990. Since our average length of stay for a BKA is 43 days per patient, this equates to avoiding 2,838 days of hospitalization in 1995 as compared to 1990.

Year
Amputations
1990
145
1991
139
1992
94
1993
99
1994
91
1995
(Jan-Dec 7) 74

Contact Person: Mark S. Nelson, MD

Service: Ambulatory Care Service

Facility: Dallas, TX VAMC

Number: (214) 372-7010 or FTS (700) 749-5135

Difficult, Dangerous, and Drug-Seeking: Providing Care for 3-D Patients

Health care workers are often challenged to provide care for patients who obstruct treatment, behave in violent or abusive ways, or seek multiple prescriptions and unnecessary drugs, often for resale on the streets. In the past, frustrated providers, at their wits end, have either done the minimal amount to "get rid" of difficult, dangerous, and drug-seeking (3-D) patients or simply refused to provide care.

The Portland VAMC's 3-D program was designed to deliver safe and appropriate health care, while reducing the frequency of incidents involving these patients. The 3-D program tracks incidents of threatening, assaultive, uncooperative, and drug-seeking behavior in the medical center, provides multidisciplinary clinical review, advises and trains providers to manage 3-D problems, clarifies to patients the behavior consistent with safe care, and informs potential providers of a patient's special needs and the plan to provide consistent care without tolerating disruptive behavior. Rather than telling 3-D patients to "go away," we tell them, "Come here, within these behavioral limits, for safe and appropriate care."

Benefits

The program has empowered our front-line health care providers to offer safe and appropriate care to 3-D patients, while reducing the number of untoward incidents. We have dramatically reduced violence in our medical center, reduced the number of inappropriate narcotic prescriptions in our emergency room, and arranged less fractionated, more coherent care for patients. A study of 36 violence prone patients showed that the number of violent incidents decreased from 47 the year before to four the year after 3-D care plans were instituted. Narcotic prescriptions in the Emergency Room went from 16 to 0 per year for a sample of 21 drug-seeking patients. The average number of different physicians involved in the care of difficult patients decreased by 26% and the average number of days in the hospital decreased by 51%. Our medical center realizes an average savings of $7,400 per year per patient managed through this process.

Staff morale has improved as a result of this program. Providers are more willing to report problems, rather than assume violence and abuse are part of their job. They are also more willing to work with challenging patients, knowing that they are part of a team that is trying to solve a problem. Most important, our patients are getting good medical care in a setting of safety and consistency. As one veterans service officer, a tenacious advocate for patient's rights, said when a patient hesitated to sign a 3-D health care plan, "David, sign it. It's a good deal. Heck, if you won't sign it, I'll sign up for myself."

Contact Person: Laurence H. Baker, Ph.D.

Service: Psychology Service

Facility: Portland, OR VAMC

Number: (503) 721-1039 or FTS (700) 424-1039

Clinic-Specific Health Summaries

P reviously, clinicians had to flip through the entire medical record to obtain data on an outpatient; in particular, it was often difficult to find information regarding vaccinations, the last physical examination, and procedures that had been performed. Working with IRM, a health summary was developed for each clinic that includes the specific data needed for that clinic. The first page of the print-out includes monitoring information such as the date of the last physical examination and vaccine history. All medications are listed along with laboratory values and procedures that are significant to that clinic. If the patient is on a medication such as warfarin, the date and value of the last prothrombin time and information about the last dosage adjustment is also printed.

Prior to the clinic, a medical clerk prints health summaries for each patient scheduled for the clinic that day by entering the name of the clinic and the date. The clerk then puts the summary on the front of the medical record prior to the clinician seeing the patient.

Benefits

Clinicians have much of the information needed to see the patient readily available, cutting down the time spent leafing through medical records. The monitoring information quickly indicates patients who need a physical examination, an update or booster on their vaccines, or a particular laboratory test to monitor one of their medications.

Contact Person: R. Bowen

Service: Medical Service

Facility: Danville, IL, VAMC

Number: (217) 442-8000 Ext. 5283 or FTS (700) 951-5283

Scheduling into Ann Arbor DHCP by Referral Sites

As a tertiary care referral site, Ann Arbor VAMC provides specialty care to patients from Battle Creek and Saginaw VAMCs and the Grand Rapids and Gaylord Outpatient Clinics. In the past, these facilities sent consult requests via driver or mail to Ann Arbor for scheduling. In an effort to improve processing time, the faxing of requests was tried. While it reduced the delivery time, faxing required staff time on both ends to transmit the requests and assure that they were legible. More important, the process still involved a substantial delay for return of the consult with the appointment date, notification of the patient, and transfer of the record. An additional problem was the incomplete data on patients who were not already in Ann Arbor's database.

We proposed that access to Ann Arbor's DHCP database be given to referral clerks and other designated staff at each referral site so that they could schedule patients directly into Ann Arbor clinics. At the same time they could make sure that the data were complete for each patient scheduled. The referral sites agreed, and their staff were trained by Ann Arbor personnel. Beginning in March 1995, all patients who would previously have been scheduled by Ann Arbor MAS staff were scheduled directly by the referral sites.

Benefits

Contact Person: Jeanette Ventura

Service: Medical Administration Service

Facility: Ann Arbor, MI VAMC

Number (313) 769-7100 Ext. 5261 or FTS (700) 374-5261

Clinic Based Management Teams

T he present organization of the medical center aligns employees hierarchically within services. Ambulatory care nurses and clerks look upward within the service hierarchy for guidance on how to function within their clinics. While this organization fosters uniformity across clinics, it impedes the coordination between services required to adapt to the unique needs of differing clinics.

We piloted Clinic Based Management Teams (CBMTs) to empower clinic staff to collaborate in managing each clinic to meet its special requirements. Each clinic's CBMT includes clinic clerks, clinic nurses, the clinic Chief or designee, a representative from the Ambulatory Care Management Team, and representatives from other disciplines involved in the clinic (pharmacists, respiratory therapists, social workers, etc). The team's mission is to improve the quality of care and the quality of the patient's experience in the clinic. The team has ownership of the following issues: clinic space, work hours, patient flow, stocking and equipping of exam rooms, and managing clinic delays. The CBMTs are encouraged to resolve all problems that are within their scope. They report to the Ambulatory Care Management Team consisting of the ACNS/Nursing, Chief AC&P, and HSS/Ambulatory Care. Problems outside the team's scope are communicated to the Ambulatory Care Management Team for action.

In early 1996, the medical center plans to take an additional step toward integration of outpatient services into a comprehensive ambulatory care program organized along product lines. Each clinic will function as its own organizational unit, with the Office of the ACOS/Ambulatory Care providing centralized leadership and coordination for the program. Clinic clerks will be transferred to the Ambulatory Care Service. Nurses will remain in Nursing Service, but will have a more formalized matrix relationship to Ambulatory Care.

Benefits

The CBMTs were piloted in the Orthopedics, Walk-In, General Medicine, Infectious Disease, and Pulmonary clinics. While data are not available to measure improvement, clinic staffs have responded positively and a number of process improvements have been recommended and implemented by the teams. Several other clinics have requested inclusion in the next stage of implementation.

Contact Person: Jennifer Leeman, HSS/AC

Service: Ambulatory Care Service

Facility: Durham, NC VAMC

Number: (919) 286-6963 or FTS (700) 671-6963

Use of Advance Practice Nurses in a Wound Management Clinic

Quality improvement monitors revealed that patients presenting with chronic vascular ulcers but admitted for other medical problems, were occasionally discharged without follow-up appointments for management of their ulcers. While addressing this issue, we noted that many patients followed in the Vascular and Surgery Clinics for chronic vascular ulcers and non-healing wounds could appropriately be managed by advanced practice nurses who had wound care expertise, were operating within defined protocols, and had access to attending physician consultation.

In April 1994, a Wound Management Clinic (WMC) was established for the outpatient management of patients with chronic vascular ulcers and non-healing wounds. Patients are referred from other outpatient clinics and from inpatient settings at discharge. WMC staff also provide consultation for patients managed by the Home Based Health Care program and Community Nursing Home Care coordinators.

The clinic is staffed by two Clinical Nurse Specialists who are also responsible for inpatient wound care programs, a Registered Vascular Technologist, an LPN from the Ambulatory Care staff, and two attending physicians from Gerontology and Surgery Services who serve as consultants. Wound management protocols developed with physician concurrence are used to direct clinic operations. The clinic is held one afternoon a week at the same time as the Surgery and Vascular Clinics in an adjacent space; this arrangement facilitates patient referrals between clinics. Patients returning to Vascular or Surgery Clinic appointments are also routinely scheduled for the WMC, allowing staff from both services to examine the patient's progress and develop an integrated interdisciplinary plan of care. Patients are provided with telephone numbers to contact WMC staff regarding changes in wound status or other patient concerns. To decrease the number of appointments for patients scheduled in another clinic, WMC staff arrange to see patients outside regular clinic hours.

Benefits

The WMC has demonstrated improved efficiency and positive clinical outcomes, with 77% of chronic patients achieving a healed wound status. The waiting time for a WMC appointment is one week, compared to prior waits of several weeks for a Vascular or Surgery Clinic visit. Patients have expressed great satisfaction with the clinic's accessibility and continuity of care. Using advanced practice nurses to manage stable patients with chronic wounds has also allowed Vascular and Surgery Clinic physicians to see more patients, resulting in decreased waiting times for these clinics as well. Finally, the Clinical Nurse Specialists are able to follow patients for whom they managed wound care on an inpatient basis.

Contact Persons: Pamela Leugers, MS, RN, CS; Susan Thomason, MN, RN, CS;

Lynn Payne, RN, BS, RVT; Mary Cochran, LPN; Claudia Beghe, MD; and

Ariel Rodriguez, MD

Service: Nursing Service

Facility: Tampa, FL VAMC

Number: (813) 822-7541 or FTS (700) 822-7541

Detoxification and Alternative Therapy for Long-Term Users of Narcotic Analgesics

The Pharmacy and Therapeutics Committee established a subcommittee to review all long-term users of narcotic analgesics. Patients who have been prescribed narcotic analgesics for three or more consecutive months are identified through a computer generated drug search. Each patient's physician is notified and asked to provide justification for the continued use of these medications. The justification is reviewed by the subcommittee, and a determination regarding the appropriateness of continued use of the narcotic analgesic is made.

Those patients for whom continued use of narcotics is determined not to be appropriate or who have not had a therapeutic trial of alternative pain management are offered two options: admission for inpatient detoxification or outpatient detoxification. Patients choosing outpatient care are referred to a Pain Management Clinic staffed by a clinical pharmacy specialist. They are detoxified from narcotic analgesics and treated with various combinations of NSAIDs, non-narcotic analgesics, skeletal muscle relaxants, antidepressants, and antiepileptics. The clinical pharmacy specialist provides close follow-up, and medication adjustments are made as needed.

Benefits

As of October 1995, 129 long-term narcotic users had been identified. Fifty had a diagnosis of terminal cancer or another severe end-stage diagnosis and were continued on their narcotic analgesics. The other 79 patients were successfully detoxified. The majority experienced adequate pain relief with alternative pain therapy; 22 did not and had their narcotics reinstated.

Contact Person: Sam Fox, Pharm. D.

Service: Pharmacy Service

Facility: Salisbury, NC VAMC

Number: (704) 638-2921 or FTS (700) 699-2921

A Chronic Pain Medication Program

Chronic pain patients seeking narcotic renewals through the Walk-In Clinic were a major issue for our Ambulatory Care staff. The staff's concerns were poor continuity of patient care, lack of unambiguous plans relating to a patient's long-term pain management, possible drug-seeking behavior and addictions, and the gate-keeping role of staff. In addition, patients would sometimes become verbally abusive and threatening to the staff when denied narcotics. It was clear that patients needed a systematic method of obtaining pain medication renewals, and staff needed guidelines for managing patients with chronic pain.

A Chronic Pain Medication Program was established which requires patients to enter into a written contractual agreement with their clinician regarding when and how they will receive medications and how changes in their prescriptions will be made. The objectives of the program are to minimize drug use, maximize the effectiveness of pain medications, and reduce patient frustration and waiting time for renewing medications.

The majority of patients are placed on a pain cocktail which is individually tailored to maximize pain relief. The cocktail vehicle is used to mask its contents as patients are not told which medications they are receiving. This approach enables the clinician to alter the contents of the cocktail without undue stress for the patient and to use placebo effects to assist in pain relief.

Patients agree to call the Ambulatory Care Nurse Coordinator seven days before the renewal date to request their pain medication. The prescription is then filled and available for pick-up at the Pharmacy when the patient arrives. Those patients who are disabled or reside a significant distance from the hospital may receive their medication by certified mail with a signed receipt returned to the Pharmacy. Initially, there was a great deal of manipulative behavior by patients to receive their renewals early. However, this has diminished as program staff have been firm about keeping patients to the prescribed schedules.

Benefits

Currently, there are 147 patients enrolled in the Chronic Pain Clinic Program. More than 95 of the 295 patients who entered the program have been titrated off pain medications. Patients receive their refills as scheduled and are satisfied with the

program. Walk-In Clinic staff are no longer gate-keepers for requests for pain medication renewal and are able to focus on medical issues.

Contact Persons: Dee Daugherty, MSN; Tesfai Gabre-Kidan, MD; and

Charles S. Paxson, MD

Service: Ambulatory Care Service

Facility: American Lake Division/Seattle, WA VAMC

Number: (206) 582-8440 Ext 6228 or FTS (700) 396-6228

DHCP Assisted Warfarin Monitoring

We learned that the monitoring of laboratory values for patients receiving warfarin needed improvement through a drug usage evaluation. We decided to use DHCP to automatically screen for appropriate laboratory monitoring prior to dispensing prescriptions for warfarin.

Upon entry of a new or refill warfarin prescription, the locally developed software checks the laboratory package to see if an INR has been done in the past 45 days. If so, the software will allow dispensing of the prescription. If not, the package will take the following actions:

Benefits

The software program is being implemented at this time. Anticipated results are better anticoagulation management with fewer adverse drug events and fewer hospitalizations.

Contact Person: Eva Fowler, R.Ph.

Service: Pharmacy Service

Facility: Carl T. Hayden VAMC, Phoenix, AZ

Number: (602) 222-6427 or FTS (700) 761-6427

Management of Patients with Acute Exacerbation of Obstructive Lung Disease

C OPD was the most common diagnosis for medicine patients in the Emergency Room/Urgent Care Center (ER/UCC) during 1993 and 1994. In reviewing the care provided to COPD patients, several concerns emerged. First, ER/UCC staff felt that COPD patients were not triaged quickly enough, causing some patients to deteriorate while waiting to be seen. Second, patients frequently came to the ER with advanced bronchospasm because they were not identifying and appropriately managing their COPD. Finally, only 12% of patients receiving treatment for COPD in the ER/UCC were given a bronchodilator by metered dose inhaler (MDI) as their first intervention, despite literature showing that metered dose inhalations are less costly than nebulizer treatment and equally effective.

The following actions were taken to address these three concerns:

Benefits

Data were collected for 12 months from January 1994 to December 1994. Analysis showed that patients are now triaged uniformly and that there were no incidents of COPD patients deteriorating in the waiting room. Initial treatment is also more uniform now, and staff members are consistently educating patients in the use of peak flow meters and MDIs with an aerochamber. However, only 46% of patients achieved a therapeutic response and were discharged home in two hours, which is the standard we established. This finding raises questions about the appropriateness and effectiveness of the MDI protocol for our patient population, an issue which is currently being assessed.

Contact Person: Sunita Baxi, MD

Service: Medical Service

Facility: San Diego, CA

Number: (619) 552-8585 or FTS (700) 552-8585

Effective Nociceptive Management in a Tertiary Care Setting

T he clinical guidelines recently published by the Agency for Health Care Policy and Research (AHCPR) estimated that as many as 50% of surgical patients and 80% of cancer patients experience inadequate pain management. A survey of subspecialty clinics within our VAMC revealed that more than 3,000 visits a year were for chronic pain management, not acute subspecialty care. We addressed these critical issues through the expansion of both our outpatient clinic and inpatient pain services. The Chronic Pain Management Clinic (CPMC) opened in January 1995 and was followed in April by the establishment of the Acute Pain Service (APS).

The CPMC joins with the Anesthesiology Pain Clinic (APC) and Physical Medicine and Rehabilitation to provide pain relief services to veterans five days a week. The CPMC is staffed by a nurse practitioner who maintains a very close collaborative relationship with the physicians in the APC. The nurse practitioner provides treatment services for the relatively stable patient who has a physician completed work-up for the nociceptive complaint. Treatment includes medication management, transcutaneous nerve stimulation, hypnosis, biofeedback, and stress management. A comprehensive multidisciplinary approach includes Physical and Occupational Therapy, Psychology, Psychiatry, and Social Services. The total number of yearly visits in the CPMC is anticipated to be 2,100 by 1996.

The APS provides a full range of analgesic options for inpatients. While this service was initially intended for post-operative pain management, patients with acute pain from other etiologies and hospice patients are also eligible. This service provides a wide range of treatment modalities, including neuraxial (epidural and intrathecal) opioids, patient controlled analgesia, and various nerve blocks.

Benefits

From January 1995 to May 1995, 300 patients were transferred from other clinics to the Chronic Pain Management Clinic, resulting in decreased waiting time for the Orthopedic, Neurosurgery and other specialty clinics, significant improvement in operating efficiency, and a significant reduction in health care costs. The more personalized approach made possible by use of a nurse practitioner in the CPMC has enhanced the continuity and efficiency of health care delivery and improved patient and family satisfaction.

The Acute Pain Service specifically addresses the issues raised by the AHCPR guidelines with a targeted health care delivery mechanism. Multiple studies have demonstrated that cost effectiveness, improved outcomes, and increased patient satisfaction result from the use of the nociceptive management modalities employed by the APS.

Contact Persons: W.T. Schmeling, Ph.D., MD; S. Burchman, MD; S.E. Abram, MD; A. Maitra, MD; M. Larcheid, FNP and D. Miller, RN

Service: Anesthesia Service

Facility: Clement J. Zablocki VAMC, Milwaukee, WI

Number: (414) 384-2000 Ext 2417 or FTS (700) 383-2417

An Advance Directives Clinic for Outpatients

T he Columbia VAMC participated in a national research project in 1994 examining patient education related to advance directives. The investigator interviewed 150 patients at the hospital: 75 inpatients and 75 outpatients. One of the findings was that outpatients were far more comfortable and prepared to discuss advance directives than were inpatients.

A clinic was developed which provided outpatients an opportunity to meet with a social worker to discuss advance directives. Veterans can schedule an appointment to meet with the social worker in between their other appointments or may call the social worker for more information. Signs and posters have been placed around the hospital and brochures distributed to publicize the clinic.

Benefits

Approximately 150 outpatients were seen in the Advance Directives Clinic between its inception in February 1995 and October 1995. These patients and their care providers benefit when the patient is subsequently admitted: the patient does not have to face these difficult issues at a time of emotional vulnerability, and valuable staff time is saved that can be used to provide needed inpatient services such as discharge planning. The hospital is also effectively fulfilling its obligations under the Self-Determination Act.

Contact Person: Laura Krejci, MSW

Service: Social Work Service

Facility: Columbia, SC VAMC

Number: (803) 776-4000 Ext. 7696 or FTS (700) 776-4000 Ext. 7696

Expediting Patient Care in Subspecialty Clinics

At the Grand Junction VAMC, Orthopedics, ENT, and Urology clinic services are provided by consultants. Appointment availability is two to three months. To gain maximum use of the consultants' time and to enable them to initiate a plan of care at the patient's first visit, for each of these clinics we developed an algorithm that prioritizes patients based on their condition and indicates the work-up needed for each diagnosis. All requests for a consult to a subspecialty clinic are reviewed by the RN assigned to that clinic. Using the clinic's algorithm, he or she determines an appropriate time for the appointment and schedules additional tests needed for the work-up so that the results are available for the appointment.

The nurse also reviews each patient's chart two to three days prior to the clinic and takes the following actions:

The physician consultant works out of two to three exam rooms with the facilitating nurse directing work flow. The nurse escorts the patient to the room, places the x-rays on the view box, opens the chart to the last visit, and prepares the patient for the exam. When the visit is completed, the physician presents the chart to the facilitating nurse for any pre-operative teaching, patient education, referrals, etc. and continues to the room marked "NEXT."

Because of the success of the program, we have recently begun to use a modified version for our in-house clinics.

Benefits

Clinic
FY'92
FY'93
FY'94
FY'95
ENT
241
368
350*
353*
Orthopedics
628
825
871
900
Urology
936
1419
1508
1594

*Reflects the removal of all patients referred to the ENT Clinic for "hearing loss," unless referred by the audiologist.

Contact Person: Gayle Saunders, RN, BSN, CNOR

Service: Nursing Service

Facility: Grand Junction, CO VAMC

Number: (303) 242-0731 Ext. 2180 or FTS (700) 322-0183

The Education Utility and Clinical Information Database (EUCLID)

While DHCP is an excellent reservoir of clinical information, it has some disadvantages: much of the data is in separate categories or menus, retrieving data requires multiple keystrokes, trends are not often evident, and abnormalities are not highlighted. A few years ago, Boise VAMC submitted a successful proposal to the Western Region to develop a personal computer (PC) local area network (LAN) that would interact with DHCP. This proposal led to the Education Utility and Clinical Information Database (EUCLID), which is essentially an electronic medical record with interactive on-line information, designed to improve quality, lower costs, and enhance productivity.

Data from DHCP are extracted by serial exchange into a Windows based graphic user interface. Similar data are grouped together. The last four values are displayed to identify trends and are highlighted in red if abnormal, or magenta when trending. Sections exist for demographics, laboratory results, outstanding orders, medications, cultures, imaging studies, diagnoses, and electronic documentation of care, e.g., discharge summaries, histories and physicals, and electronic progress notes.

Double clicking on a laboratory value or medication opens a hypertext help window to access a wealth of reference data. Further help is available by exiting to a second level that allows access to 24 CD-ROMs with several standard textbooks of medicine, management manuals, AHCPR clinical practice guidelines, Medline literature search capabilities, full journal text of several recent journals, and the Iliad expert diagnostic system. Further patient data are available by accessing DHCP itself. Application software (Microsoft Office and Harvard Graphics) are also on line. Scanning in ECGs and other medical images has been successfully pilot tested. All of the information can all be accessed as an SQL database, allowing correlation of variables of interest.

Action profiles have been enhanced to include additional information, e.g., for digoxin prescriptions, potassium and creatinine values and the digoxin level are displayed. A column is used to display less costly alternative medications; selecting the alternative is just as easy as checking off the refill, but the clinician still has the choice. Medications are also bar-coded.

Benefits

Providers enthusiastically use the system. Access to information that highlights abnormal laboratory values is helpful in rapid establishment of some diagnoses. Ready availability of information appears to improve diagnosis and treatment. In addition, patients are aggregated in ways that save clinicians from keeping several lists. For example, one's own clinic patients are available by appointment date or alphabetically, and ICU patients can be displayed at the touch of a button.

Bar coding medications saves 5 to 10% of outpatient staff pharmacist time. The alternative medication suggestions save at least 10% of the outpatient pharmacy budget. Clinician acceptance of the suggested alternatives is high because of the non-coercive way in which they are presented and the on-line educational material which can be easily referenced.

Contact Person: David Lee, MD

Service: Chief of Staff

Facility: Boise, ID VAMC

Number: (208) 338-7201 or FTS (700) 554-7201

Nurse Managed Clinics

We noticed that some ambulatory care patients were not compliant with prescribed medical regimens and often had repeated visits back to clinics before their next scheduled appointment due to destabilization of health status. Of particular concern were patients with diabetes, hypertension, those undergoing anticoagulation treatment, and those being treated for tuberculosis.

Four nurse-operated outpatient clinics (one for each diagnosis) were established in 1992, using RNs to manage the care of these patients. All patients have had prior assessments and treatment plans completed by their primary physician and orders written for their treatment regimens. Referrals are made by the primary physicians or Medical Clinic RNs for follow-up management in these clinics. Using protocols, regular follow-up practices have been established for each diagnostic category. Since none of the RNs in these clinics are advanced practice nurses, a physician signature is obtained for each patient activity that requires a physician's order, e.g., x-rays, laboratory work, medication adjustment, etc. The clinics are conducted by RNs who previously worked in the Medical Outpatient Clinic. They are held in the same physical space and at the same times as the Medical Clinics so physicians are readily available for consultation and orders. No additional FTEE or space was required. Patient and family education and repetitive reinforcement of patient treatment activities are a large and important part of the clinic. The nurses are available by telephone for patient consultation during administrative work hours.

Benefits

The number of patients enrolled in the Nurse Managed Clinics has steadily increased every quarter over the past three years. There has been a reduction in the number of patients returning to their Medical Clinics prior to their next appointment, and surveys have indicated increased patient satisfaction. Physicians were originally resistant, but have become enthusiastic about the clinics and have been sending increasing numbers of referrals.

Contact Person: Carol Wermuth, MSN, MBA, RN

Service: Nursing Service

Facility: Chillicothe, OH VAMC

Number: (614) 773-1141 Ext 7365 or FTS (700) 975-7365

Impact of Medical Assistants on the Operation of a General Medicine Clinic

In 1991, we asked staff and resident physicians in our General Medicine Clinic about clinic operational issues. When we reviewed the list of personnel needs that were identified, we determined that almost all of the functions could be performed by non-nursing staff. We developed positions for Medical Assistants (MAs) and trained them to fill these needs in the clinics. The MAs were certified to perform arterial and venous punctures, spirometry, cerumen removal, and exercise electrocardiography. They also support the nursing staff in transporting patients, obtaining and retrieving records, and entering laboratory orders into the computer system.

Benefits

To assess the impact of the MAs, we interviewed patients and collected data before and after the development of this new position. Waiting time in the laboratory drawing area was reduced from 13 minutes in 1992 to 9 minutes in 1994. The interval between the appointment time and the time the patient was seen by a physician decreased from 29 to 26 minutes. The time physicians spent with the patient in the examination room decreased from 35 to 26 minutes, and the overall clinic visit time was reduced by three minutes.

Contact Persons: Lisa J. Cochran and Traci Fox

Service: Ambulatory Care Service

Facility: Portland, OR VAMC

Number: (503) 721-7897

A Private Practice Model of Primary Care

Until June 1993, the medical service at the Walla Walla VAMC was organized into separate inpatient and outpatient services with physicians assigned exclusively to one or the other. Outpatients were treated in a busy clinic that attempted to have patients see the same outpatient physician at each visit; however, patients often saw numerous physicians over a period of time. Patients also often interacted with many nurses and clerks during a single visit and waited in long lines at a centralized check-in desk. When a patient was admitted, an inpatient physician was assigned on a rotation basis; thus, patients usually had a different physician for each admission. Staff turnover was high and satisfaction low; limited resources and increasing workload demanded that we do more. A multidisciplinary process action team was chartered to develop a system in which one physician provided both inpatient and outpatient care to an assigned group of patients.

After months of careful design by the process action team, the Private Practice Model was implemented in June 1993. Each veteran was assigned to one of four primary care teams, each consisting of two physicians, two registered nurses, and a clerk. Each physician has a primary caseload of 600 to 700 patients for which he provides inpatient, outpatient, and NHCU care. The team operates as a joint practice in which one physician covers the other's patients during any absence. The RNs provide patient care during clinic visits, serve as the patient's telephone contact person, and ensure continuity of care for their group of patients. With the opening of the Ambulatory Care addition, we now have 0.5 social workers assigned to each team and a clinical dietitian available in the area.

Benefits

Measure
Oct '92 - May '93
FY95
Ratio of Admissions to Outpatients Visits
6%
3.2%
Percent of Visits that are Unscheduled
47%
33%
No Shows for scheduled appointments (Medicine)
15%
10.8%
Waiting time to schedule new appointments
85 days
30 days
Clinic waiting time
2-4 hours
1 hour

In addition, the average daily census for Medical Service has dropped to 13.3 in FY 1995 from 26 in FY 1992 and 20.4 in FY 1993. Staff turnover has also declined for all disciplines.

Name: Winifred Graham, RN and Angela Stevenson, RN

Service: Nursing Service

Facility: Walla Walla, WA VAMC

Number: (509) 525-5200 or FTS (700) 434-2594

Use of House Staff in Firms Providing Longitudinal, Interim, and Unscheduled Care

T he firm system was implemented in the medical services at Lakeside VAMC and at Northwestern University Medical School in 1990. However, this re-organization affected only inpatient care at Lakeside. Lack of an ambulatory care component impeded the delivery of care: continuity was lacking, patients were often unable to identify their provider, unscheduled care was managed in the ER/Triage area, and patients requiring close follow-up in the ambulatory setting were often seen by a different provider at every visit.

On July 1, 1994, after more than one year of multidisciplinary planning, the ambulatory firm system was implemented and integrated into the existing system. Each of the three firms were structured to provide longitudinal care, interim care, and unscheduled care. Although longitudinal care is the primary function of the firms, the other two components provide improved continuity of care: Interim care involves the frequent, close monitoring of patients between visits to the primary care physician or following hospital discharge; unscheduled care allows patients to have quick access to care outside the ER/Triage setting with the care provided by clinicians familiar with them.

To provide these three functions, staff from multiple services were selected to join the firms. Nine full-time general medicine attendings, 61 medical residents, nine nurses, three clinical pharmacists, three dietitians, three social workers, and six MAS staff were distributed equally across the firms. In addition, an ambulatory block rotation was developed which involved two medical residents per firm per month. At each of its half-day clinics, each firm usually has two medical residents on block rotation, two to three other medical residents, a clinical pharmacist, a nurse case manager, and two precepting attending physicians managing all three functions. The medical residents not on block rotation provide longitudinal care. Unscheduled care is handled by a block rotation resident and attending preceptor. Interim care is provided by the other block rotation resident, the clinical pharmacist, an RN case manager, and a precepting attending physician. To improve communication between providers, a log book of patients is maintained for the interim area; it is used to record the specific problems and target goals of the patients scheduled. Acting as a liaison between the inpatient and outpatient components of the firm, the RN case managers make rounds on the inpatient wards twice per week and see these patients in the interim area if rapid follow-up is needed.

Benefits

A pre-post patient survey demonstrated a statistically significant 13% increase in the proportion of veterans that rated their care good to very good. There was a 20% increase in the proportion of veterans that knew the name of their physician. Medical resident and staff satisfaction surveys revealed that both were pleased with firm implementation. Further, they believed that care was good and had improved since implementation. Medical residents were positive about the changes in the educational environment and the support of precepting attending physicians. Following implementation, longitudinal care visits increased by 14%; the total number of unscheduled visits to the facility increased by 13%, while the number of patients seen in the ER/Triage area dropped by 46%. Consequently, we have increased the amount of care provided, improved the continuity of care, improved patient and staff satisfaction, improved the educational environment, and changed the location in which care is delivered.

Contact Person: Brian Schmitt, MD

Service: Ambulatory Care Service

Facility: Lakeside VAMC, Chicago, IL

Number: (312) 640-2230 or FTS (700) 788-3099

Improving Continuity of Care Through an Inpatient Liaison Nurse

The Dayton VAMC initiated a Prime Care Service to increase patient satisfaction and provide continuity of care. However, patients admitted to the hospital are frequently not treated by their Prime Care physician, leaving a gap in their continuity of care. An inpatient liaison nurse position was created in the outpatient Prime Care clinic to help bridge this gap, as well as to assist inpatient staff physicians in coordinating hospital care. Currently, two of the four Prime Care teams have established this position. The inpatient liaison nurse duties are performed by a registered nurse from each of the participating outpatient Prime Care clinic teams; the position is rotated among the team's nurses on a monthly basis.

The inpatient liaison nurse visits all team patients admitted to the hospital. The initial visit provides the patient with a contact person from his outpatient treatment team. During subsequent visits, the liaison nurse reinforces patient education relating to the disease process and medications, and assists with referrals to the community health nurse. The liaison nurse also works closely with the treating inpatient physicians to arrange and follow-up on referrals to ancillary services, and to identify patients who would benefit from special outpatient services, e.g., intensive diabetic education, home health care, or outpatient procedures. At the time of discharge, the liaison nurse reviews the discharge medications with the patient and answers any questions he or she may have. The liaison nurse also ensures that the patient has a follow-up appointment in the Prime Care clinic and is given the appropriate Prime Care telephone numbers. The completion of these tasks by the outpatient Prime Care nurse requires approximately two hours per day.

Benefits

Continuity of care is improved during hospitalizations, and patients appreciate seeing a familiar face. The liaison nurse's review of discharge instructions helps to eliminate potential lapses, such as omission of discharge medication orders and lack of Prime Care follow-up appointments, which could result from a Prime Care patient being admitted to another service. The contact with the liaison nurse also appears to make the patient more likely to call the Prime Care team regarding his health care after discharge.

Contact Person: Brenda Moore

Service: Medical Service

Facility: Dayton, OH VAMC

Number: (513) 262-2112 or FTS (700) 950-6511 Ext 2112

Restructuring Health Care Delivery Through Continuity of Care Clinics

A "continuity of care" model of health care delivery became fully operational at the Marion VAMC in October 1994. Before then, outpatient physicians were seeing the bulk of patients, both scheduled and unscheduled, often as many as 40-50 patients per physician per day. Unnecessary admissions were frequent due to the inability to comprehensively evaluate each outpatient; crowding and long waits for outpatient care were common and led to complaints among both patients and staff; medications and treatment plans were frequently changed, based on the idiosyncrasies of each physician's practice; length of stays were extended, unnecessary tests ordered, and accessibility into the system was at times next to impossible. An interdisciplinary Quality Improvement Team was charged by Medical Service with the task of developing and instituting a "continuity of care" model.

The first of six clinics opened in January 1994, with full implementation nine months later. Each clinic team has two to three MDs sharing the responsibility of providing both inpatient and outpatient care for 800 to 1,000 patients. Each team also has one RN selected by the clinic physicians and one patient services advisor from MAS. There has been a realignment of staff within support services with one clinical pharmacist, one social worker, and one clinical dietitian assigned to cover two clinics.

Each clinic team has two exam rooms, a distinct waiting/reception area, and a nursing office; it holds its clinic eight half days per week, divided appropriately among the physicians on that team, with both a.m. and p.m. slots for each physician to accommodate patients' scheduling needs. Weekend rounds are made by one team physician for all team inpatients. Each clinic team has a color coded identity, with direct telephone access for the patients assigned to that team. Telephone triage is used to improve patient accessibility to the system, decrease the number of unscheduled visits, and improve timeliness of care.

The clinic teams are self-directed, with responsibility first to the patients they serve, then to the team itself, and finally to their respective services. The team approach leads to an emphasis on patient education and disease prevention. Thursday afternoons are free of scheduled patients to allow for team meetings, education of team members, and interdisciplinary patient education clinics.

Benefits

Ninety-six percent of the patients in the Continuity of Care clinics are seen by their provider within 15 minutes of their scheduled appointment time. Eighty percent of patients calling for nurse or physician intervention have their needs met via telephone, while the remaining 20% are given an appointment to report to the clinic. The average daily inpatient census for Medicine has been reduced by 30%, at the same time that we are attracting approximately 100 new patients per month. There has also been a 60% reduction in "No Shows" for medicine appointments, and the readmission rate has been reduced by approximately 50%. Patient comments glow with praise for the new system, and there has been a significant decrease in the number of patient complaints. Team members have responded positively to the increased autonomy, and have gained considerable satisfaction from being accountable to a set group of patients.

Contact Person: Susan D. Fowler, RN, BSN

Service: Chief of Staff

Facility: Marion, IL VAMC

Number: (618) 997-5311 or FTS (700) 276-0306

Improving Access to Primary Care for Walk-In Patients

After establishment of a primary care program at North Chicago VAMC, patients were still being seen by non-primary care providers when they presented to the walk-in area without an appointment. A survey covering a period of approximately 30 working days found that only 24% of the "walk-in" primary care patients were evaluated by their primary care team. Clearly, we needed to improve the access of walk-in patients to their primary care providers.

The following actions were taken:

Benefits

To assess the effectiveness of these actions, the proportion of primary care walk-in patients seen by their team has been periodically examined. The percentage increased to 92% during our most recent data collection period. However, as a result of further refinement and improvement, we believe that 100% of primary care patients are currently seen by their primary care providers on the same day that they present to the Triage/Urgent Care area.

Contact Persons: Frank A. Maldonado, MD; and Carol A. Foran, RN

Service: Ambulatory Care Service

Facility: North Chicago, IL VAMC

Number: (708) 578-3770 or FTS (700) 384-4242

Primary Ambulatory Care and Education (PACE): The Sepulveda Primary Care Program

All patients in the medical center are assigned to either the Red, Blue, or Green Academic Global Care Team (AGCT). Each team sees an average of 2,200 patients per month, with 8-10 new patients per week. The teams provide or coordinate all of the patient's medical, subspecialty, surgical, and psychosocial care. The goal is to establish an integrated, collaborative, health management plan, coordinated by a single provider, to ensure the optimal treatment of all of the patient's problems over time. Each primary care provider has a panel of regularly scheduled "continuity" patients.

Within each AGCT, "mini-teams" link one team attending with one nurse practitioner or physician assistant and up to seven internal medicine residents. Each primary care provider's panel of patients is cross-covered by other members of the "mini-team," and when house staff finish their residency training, their panels of patients are taken over by incoming residents assigned to the same "mini-team." The primary care provider assumes accountability for patient care, regardless of which "mini-team" member sees his or her patient. The faculty attending physician assures the quality of care for the entire "mini-team."

Since veterans seeking health care in VA medical centers are known to have high rates of mental health impairment, a psychiatrist and a social worker are included on each team. Psychiatrists provide direct patient care as well as formal and informal consultation to primary care physicians, and participate in educational programs designed to increase detection of common mental health problems such as depression. Social workers provide counseling and case management.

Physician Team Leaders are responsible for coordinating the health care duties of the six health disciplines on their teams and the team's interactions with other medical center services. Team Leaders work closely with their Team Managers who supervise all clerical personnel and facilitate clinical care by monitoring patient flow and handling any patient complaints. The individual discipline's responsibilities are as follows:

Team Empowerment

When the PACE program was first being developed, a commitment was made to empower the interdisciplinary AGCTs to do their own decision-making and to create an atmosphere in which teamwork and education would flourish. One afternoon per month, scheduled clinic activities are suspended for each team. During these education afternoons, the team has case conferences, in-service training on new policies and procedures, guest speakers, and an opportunity to discuss and solve team administrative problems. All team members attend and exchange ideas and share concerns. The monthly education day reinforces the concept of a team as a problem-solving group with the power to initiate change.

Team empowerment has meant that the teams are autonomous and have developed different styles; they carry out PACE procedures and policies in ways that are most effective and efficient for their personnel. This is very much in keeping with the plan to empower the teams to determine their own practices and take responsibility for their actions.

Matrix Management

In designing an organizational structure for the three AGCTs, it quickly became apparent that some type of matrix management system would have to be instituted for the teams to function in an interdisciplinary manner. A matrix management system is an organizational structure which empowers two managers from different organizational units to exercise a degree of supervisory control over an individual worker. (The concept originated in the 1960's in large manufacturing corporations where project teams were developed by assignment of team members from different disciplines or professions). Matrices have the benefit of linking staff from different disciplines to a specific team while maintaining linkages to the parent services.

In the PACE matrix, all clinical staff members report jointly to their physician team leader as well as to their parent service. The teams (and more specifically their respective team leaders and administrative team managers) assign and supervise the daily routine and responsibilities of staff members, including integration of their clinical activities with the team, scheduling of clinical activities and vacations, educational responsibilities, etc. The service, generally represented by an associate chief for the service's ambulatory care section, is largely responsible for supervising the professional duties of the staff member through staff development, service-specific quality assurance, individual reviews, and related mechanisms.

The exact nature of the matrix varies from service to service and was negotiated independently for each discipline. Across all services, the minimum level of control the AGCT exercises consists of joint recruitment and selection of team staff, rating each staff member's teamwork, and negotiating work flow directly with the team member(s).

The matrix is also carried out at the top level of supervision where practical. The administrative team managers report jointly to their respective team leaders and to the PACE Operations Officer. The Associate Chiefs of Ambulatory Care for Nursing, Pharmacy and Social Work Services report jointly to their parent service and to the physician Chief of PACE. The three senior internist team leaders report formally to the Chief of PACE, but also have a structured relationship, particularly for academic purposes, with the Chief of Medicine. The same is true for the PACE senior psychiatrist, who reports to the Chief of PACE and Chief of Psychiatry.

Benefits

Continuity of care has improved. Compared to one year earlier, more patients reported receiving all or most of their care within their designated PACE team by 1993 (16.1% increase; p<.01). The proportion of patients who saw a physician continuously anywhere at Sepulveda VAMC increased by almost 10% (p<.05), and the proportion of patients who received continuity of care in PACE increased even more, by 18.7% (p<.01). When we adjusted for age, health status, and number of clinic visits in the previous year, we found even greater differences for each type of continuity (team, individual provider, and PACE provider) (p<.001).

More patients received scheduled appointments compared to walk-in care during the pre- compared to the post-PACE period. Percentages of scheduled appointments rose from 46% in 1991 to 73% in 1992 and 1993.

Assigning all patients in the medical center to one of the three AGCTs has also greatly improved the handling of patient complaints. The majority of these complaints focus on a problem the patient is having dealing with the system, e.g., inability to get an appointment, lack of understanding of the system, lack of understanding of treatment plans, etc. Since the teams are "where the buck stops," both clinically and administratively, patients quickly learned to go to their Team Managers to get straight answers to questions, and the teams know how to get the patient through any obstructing "red tape." Additionally, most patient complaints that do reach the medical center director's office are such that they can be referred to the Team Managers for resolution.

To assess the impact of including a psychiatrist and social worker on each AGCT, we have examined several variables relating to depression. Fewer patients reported symptoms of depression in 1993 (20.5%) compared to 1992 (25.8%) (p<.001), but the detection of depression increased by 23.7% from 1992 to 1993 (p<.05). The increase in detection of depression was even higher after we controlled for health status (including mental health symptoms), number of visits to clinic, and age (p<.001). However, when we accounted for these factors, PACE patients were no more likely to report that they had been helped for their depression in 1994 than in 1992 and 1993 (p=.20). Consequently, we have undertaken a major quality improvement project to improve care for depression in primary care.

Contact Person: Lugina S. Evans, OTR

Service: Primary Ambulatory Care and Education (PACE)

Facility: Sepulveda, CA VAMC

Number: (818) 895-9400 or FTS (700) 966-9400

PACE's Ambulatory Care Information System

T he information system in existence during the planning stages of PACE was the VA's Decentralized Hospital Computing Program (DHCP). This system, while quite extensive and far reaching in its scope, was primarily geared towards administrative data collection and appointment management. It had limited capabilities for ad hoc queries by end-users against its databases, stored limited clinical information (essentially only laboratory test results and medication profiles) and had primitive user interfaces consisting of roll-and-scroll line oriented information displays. Users had to enter commands and information into the system in a preset order as prompted by the system. Generally, it was difficult to vary this order, to correct erroneous data entry, or to review or redisplay just viewed information. Though this system has continued to evolve, it was anticipated that it would not meet all of the information needs required for PACE without significant enhancement. Consequently, when PACE was first being developed, an informatics team comprised of an M.D. informatics expert, a Ph.D. level researcher with a computer science and operations research background, a personal computer programmer, a hardware support person, a part-time DHCP programmer, and a part-time user support person was given the task of reorganizing our computer information systems to provide easy access for clinicians and administrators in ambulatory care.

The resulting system is called the Ambulatory Care Information System (ACIS) and offers a graphical user interface to clerks, nurses, doctors, and administrators for collecting and reviewing clinical and operations information. ACIS currently encompasses Local and Wide Area Network connectivity among roughly 300 IBM compatible personal computers. These systems exist in multiple configurations from 386SX-25mhz to pentium machines, with the majority being 486DX2-66mhz. All run Microsoft Windows or Windows for Workgroups. Computers are located in examination rooms, attending offices and conference areas, clinical and non-clinical clerical and administrative areas, pharmacist offices, and nursing stations. Machines are connected to one another, to network file servers, and to the hospital mainframe via class III ethernet and a fiberoptic backbone, and use the Microsoft Lan Manager Network operating system. A number of examination rooms are served by pen-based laptop computers and wireless ethernet links. We currently have four OS-2 based server systems on the network, managing security and file access, as well as several Windows for Workgroups data servers. The network is connected directly to DHCP through fiber, and workstations communicate with DHCP via Decserver serial connections, TCP/IP and/or LAT protocols. Gateways on the fiber backbone provide Wide Area Connectivity to the VA-wide network (IDCU) and to the UCLA Campus network via T1 links.

New software applications provide accessible and clinically useful programs that are capable of uploading information from local Windows-based workstations to DHCP and downloading information from DHCP to local workstations. The table on the next page provides a summary of the software applications.

Benefits

The ACIS supplies greatly enhanced tools for analysis of clinic operations and access to clinical information by providers during a patient visit. Currently, the complete ACIS is in use at the Sepulveda and Charleston VAMCs. Various components, especially telephone triage, have been exported to additional sites. In general, ACIS should integrate well with any DHCP site. Effective implementation requires significant hardware investment and probably a half-time user support person who is proficient with personal computers.

Contact Person: Steven H. Rappaport, MD

Service: Primary Ambulatory Care and Education (PACE)

Facility: Sepulveda, CA VAMC

Number: (818) 895-9400 or FTS (700) 966-9400

Monitoring Medical Resident Productivity in Primary Care Clinics

Medical residents participating in VAMC Northport's Primary Care (PC) Clinics experience a "managed care" model of coordinated, comprehensive, and personalized primary care while gaining experience in direct medical treatment. Recently, the PC staff focused on improving clinic efficiency, with the goal of reducing the waiting time for new appointments. Since assessment of resident productivity might be beneficial in achieving this goal, an instrument was created to monitor the time residents spend in clinic and the number of patients they see. The instrument was also designed to identify the frequency of encounters with patients with specific medical conditions for the purpose of residency accreditation.

Residents identify the number of patients seen during a clinic session and the range of primary diagnoses encountered on a survey form created using the Teleform Software Program. Upon arrival at the clinic, the resident receives a blank form with the time of arrival filled in by the clerk. Upon departure, the completed sheets are handed to the clerk who then marks the time out. Use of this instrument is explained at the time residents are oriented to their clinic responsibilities. They are informed that clinic attendance, which is mandatory, will be monitored, and accountability required; notification of the Clinic Manager and the Residency Supervisor is necessary for approval of schedule changes. The Teleform data is analyzed using a Microsoft Excel Software program. The number of patients seen per session and per hour and the amount of experience with various medical diagnoses is tabulated.

Benefits

Initial assessment revealed a need to increase the number of new patients seen by residents and the amount of time they spent participating in clinics. This resulted in the opening of additional new patient appointment slots and the development of a new patient scheduling mechanism to increase resident productivity and improve the continuity and efficiency of patient care in the PC clinics. Monitoring of residents' experience with various diagnoses is also now possible.

Contact Person: Linda Mermelstein, MD, MPH

Service: Chief of Staff

Facility: Northport, NY VAMC

Number: (516) 261-4400 Ext 7910 or FTS (700) 663-7910

RN Case Managers for Primary Care Patients

When we initiated primary care, each patient was assigned a specific physician as primary care provider. However, this action by itself did not fully achieve the goals of primary care, which include comprehensiveness, continuity, and accessibility. Since many primary care physicians were not working full-time in the outpatient clinics, they were often unavailable when their clinics were not scheduled. Even during clinic hours, physicians were fully occupied attending to scheduled patients and could not respond readily to patient concerns that arose between scheduled visits. These limitations adversely affected the comprehensiveness and continuity of the care we provided.

To address these problems, a group of primary care nurse case managers were recruited. Each patient was assigned a primary care nurse in addition to a primary care physician. The nurses work with either one full-time physician (equivalent of 8 half-day clinic sessions per week) or with two to three part-time physicians. The RNs and physicians work together as teams.

The RN case manager's responsibilities include the following:

A series of practice guidelines are being developed for the common problems seen in Ambulatory Care. The RN case managers will be responsible for monitoring compliance with these recommendations and, in some cases, for initiating interventions. For example, the RN will monitor compliance with and assist in implementing recommended preventive medicine practices for diabetic care such as annual eye examinations and regular hemoglobin A1C's.

Benefits

Evaluation of this system has shown a 20-25% decrease in the number of walk-in visits. Chart monitoring has shown marked improvement in regular recording of vital signs, weight, medication use, and adverse drug reactions. Many favorable comments have been received from patients as this system provides them with an identified individual whom they regularly see during their scheduled visits and who is available to provide assistance at other times. This is an important development in a system that was often faceless and difficult to access. Physician reaction has been extremely favorable as the RN case managers provide the physicians with an important element of support, allowing them to spend more time on complex medical issues.

Contact Persons: Michael Mayo-Smith, MD and Marcia Lorang, RNP

Service: Ambulatory Care and Nursing Services

Facility: Manchester, NH VAMC

Number: (603) 624-4366 Ext 6047 or FTS (700) 837-6011

Optimizing Provider Productivity

D ata on overall and individual provider productivity are tracked daily and summarized monthly in an electronically generated management report. The report is used to examine provider performance and to identify outliers. Indicators include patients scheduled per session, patients seen per session, patient no show and cancellation rates, clinic cancellation rate, walk-ins seen, and provider panel sizes. The data can be aggregated for an individual provider or as an overall average for all providers. Since the provider who actually sees the patient is at times different from the scheduled provider, our Medical Informatics section recently developed the capability for our clinic clerks to enter the provider who saw the patient in a "provider seen" field in DHCP.

Benefits

Examination of the above data convinced us to increase by 30% the number of patients scheduled per half-day session for each primary care staff physician. Use of these data has also enabled us to optimize our scheduling processes to reduce the average waiting time to the next available appointment in primary care clinics. The "provider seen" field in DHCP provides a more accurate accounting of provider productivity; the capability to electronically generate an automated provider productivity report saves the many man-hours that would be required to manually prepare a monthly productivity report.

Contact Person: Kenneth E. Klotz, Jr., MD

Service: Ambulatory Care Service

Facility: Richard L. Roudebush VAMC, Indianapolis, IN

Number: (317) 635-7401 or FTS (700) 332-3057

Computerized Identification of Primary Care Provider and Team

T he Seattle VAMC developed primary care teams within the General Medicine Clinic in 1993. With the new emphasis on primary care providers and teams came the need to be able to readily identify which team a patient was assigned to. This information needed to be accessible to many medical center staff even when the medical record was not available, making a computer based flag or field in DHCP the most reasonable way to present this information.

A computer option was created under the Patient Inquiry File which allows input of the primary provider and team responsible for patient care. The field contains the name and beeper number of the primary provider and the name and extension of the individual to be called if the provider is not available. This information is available in a look-up capability under the patent inquiry DHCP menu option. For the General Medicine Clinic, the backup individual is usually the RN working with the team.

The program was automated for patients enrolled in the General Internal Medicine Clinic (GIMC) and identifies patients, matches them with their provider and their clinic team, and extracts the necessary information regarding beeper numbers from the DHCP telephone directory. Manual input is currently used when providers outside of the GIMC are assigned primary provider responsibilities. With the recent identification of subspecialists in Medicine and specialists in Mental Health as potential primary providers, further automation is being reviewed. Our plans also include displaying the information on the screen when patient information is brought up on the computer, as well as printing the name of the primary provider and team assignment on action profiles that are used throughout the medical center.

The program also allows identification of a primary provider's patient panel. A primary provider database has been created, allowing providers to review the number of visits in other clinics for patients within their panel. This database is also being used to identify patients who do not yet have a primary provider and to develop strategies for making the most appropriate assignment.

Benefits

This DHCP capability allows staff caring for a patient to readily identify the primary provider responsible for the patient's care and facilitates communications with that provider, thus improving continuity of care. The capability also helps to prevent duplication of testing, confusion over medications, and unnecessary referrals.

Contact Person: W. Paul Nichol, MD

Service: Ambulatory Care Service

Facility: VA Puget Sound Health Care System, Seattle, WA

Number: (206) 764-2360 or FTS (700) 396-2360

Primary Care for POWs

Las Vegas VAMC developed its outpatient POW Program as a primary care unit, with an interdisciplinary POW treatment team led by the POW physician, who provides ongoing medical care in addition to performing the protocol examination. The team of a physician, psychologist, social worker, and a secretary has remained stable over the past ten years, personalizing care through long-term relationships with patients and their families. The patient population has grown from the initial 25 in 1983 to a current active caseload of 280; a case management model has helped facilitate this growth.

By virtue of their enrollment in the POW Clinic, former prisoners of war are enrolled in the Primary Care Unit of which the POW Clinic is a sub-unit. After admission to the Ambulatory Care Center (ACC) and screening by the Acute Care Nurse, a new POW patient is referred to the secretary who serves as the point of contact for all POWs. If medical attention is needed that day, the POW is escorted to the Primary Care Unit to be seen in POW Clinic or, in the absence of the POW physician, by a physician in the Primary Care Unit. A follow-up appointment, in the latter case, is made in the POW Clinic. If immediate care is not required, the first available appointment is made in the POW Clinic. During the initial contact, the POW is introduced to the social worker/POW Coordinator and the POW Program Support Group. Clinic procedures are explained, and a business card with the names and telephone numbers of primary care providers is provided.

Coordinated, comprehensive care with provider continuity permits a change in focus from acute care to prevention and wellness. Ongoing care may include evaluation and treatment by specialists in the ACC's Specialty Care Unit or in an inpatient setting. In either case, treatment is coordinated with the POW Clinic, and the patient is referred back to the POW Clinic for primary care.

Several factors make this program unique. First, the protocol physician is the primary care provider for all POWs, and the protocol is made a working part of the treatment record. Second, from the outset the POW Clinic was identified as a Primary Care Unit, with an identified multidisciplinary treatment team providing services for a well defined patient population. Finally, one individual serves as the contact person and case manager. This function, along with a telephone triage system, improves accessibility to and timeliness of needed services.

Benefits

The primary benefit is customer satisfaction: Our POW patients are generous with their praise of the program and the treatment team. POWs from other areas of the country frequently tell us how different our program is from that of other VAMCs and how much they appreciate the specialized care they receive here.

Contact Person: Wyn Rhys-Jones, MD

Service: Medical Service

Facility: Las Vegas, NV VAMC

Number: (702) 386-3211 or FTS (700) 386-3597

Use of Community Primary Care Clinics and Telemedicine in a VA Healthcare Network

T he Amarillo VA Health Care Network was designed and developed to improve access to high quality, primary health care for the 70,000 veterans residing in the Texas Panhandle, eastern New Mexico, southeast Colorado, and southwest Oklahoma and Kansas. The network consists of the medical center in Amarillo, a satellite outpatient clinic in Lubbock, TX, a primary care clinic in Clovis, NM, and community primary care clinics in Memphis, TX and Stratford, TX, with additional community primary care clinics under development. Each of these facilities serves as the initial access point for entry into the network managed care system.

The community primary care clinics involve collaboration between our medical center and community resources to provide primary care services to veterans in rural, medically underserved areas. We made use of the Rural Health Clinic Services Act of 1977 to develop sharing agreements based on capitation methodologies with Certified Rural Health Clinics for the primary care of veterans. To assure the most effective use of limited resources, we evaluated potential sites using the Needs Assessment Criteria set forth in M-9, Chapter 9, Change 4, Appendix 9G, "Criteria and Standards for New Outpatient Services Remote From VA Medical Centers," dated May 4, 1992.

From the outset, telemedicine and teleconferencing have been included in our plans to support the growing number of primary care clinics in the Network. The medical center purchased and activated two telemedicine units in September 1994. At that time, the primary care clinic in Clovis, NM was opened and staffed with a physician and two nurses. Since telemedicine support of the Clovis clinic was the immediate need, one unit was installed there, with the base unit installed at the Amarillo VAMC. Immediate applications were dermatology and cardiology consults between the general internist at the primary care clinic and subspecialists in Amarillo, and the teleconferencing of patient education activities.

Benefits

The Community Primary Care Clinics provide cost-effective, accessible primary care to veterans living in rural, medically underserved areas, while enhancing existing community health care resources. Entering the community as a partner, not as a competitor, prevents duplication of services and supports the goals of health care reform. All financial resources are applied to direct patient care, and funds are adjustable to accommodate fluctuations in workload. With no capital outlays and no required FTE, the Community Primary Care Clinics are a viable alternative in the current atmosphere of shrinking financial resources. Patient satisfaction survey data have been very positive and enthusiastic.

The rapidly growing patient population in Clovis has generated a variety of telemedicine specialty consultations and teleconferencing of educational activities. As a result of this demand and the realization of additional therapeutic and education uses, we are hoping to purchase additional telemedicine equipment for support of the other rural primary care clinics in our network.

Contact Person: Wendell Jones, MD

Service: ACOS/AC Ambulatory Care Service

Facility: Amarillo VA Health Care Network, Amarillo, TX

Number: (806) 355-9703 Ext. 7285 or FTS (700) 735-7285

A Concerned Phone Call That Improves Patient Satisfaction

Since primary care was implemented, patients have been given specific appoint- ment times to see a provider in the urgent care clinic. However, 30% of the patients have failed to keep their appointments or call to cancel. Since our primary care program is striving to create a long-term relationship with each patient, we decided that our telephone triage nurse would call patients who did not keep their scheduled appointment and ask how they are feeling and why the urgent care appointment was not kept.

Each day the nurse calls those patients that did not keep their appointments during the previous day and asks, "We missed you for your appointment yesterday; how are you feeling?" Some patients respond that they did not need to be seen because they were feeling better; others say they forgot and need another appointment. The nurse evaluates the patient's need for additional treatment and schedules new appointments where appropriate. There have also been a few patients that were too sick to keep their appointment and transportation was arranged to bring them into the hospital.

Benefits

Thirty-seven percent of the patients who have been called made another appointment; 1% needed transportation assistance to get to the hospital. Some patients have also been prevented from coming to the hospital unnecessarily by the telephone triage nurse evaluating their need for another appointment. The no-show rate has also been reduced from 30% to 20%. Informal patient response to the program has been favorable. For example, a conversation overheard between patients waiting went as follows: "You know things are changing here, these people really care. They called me at home when I missed my appointment."

Contact Person: Fran Johnson-Feldmann, RN

Service: Nursing Service

Facility: Washington, DC VAMC

Number: (202) 745-8567 or FTS (700) 745-8567

A Pilot Study of a Centralized Telephone Triage System

Northport VAMC provides its patients with coordinated, comprehensive, and personalized primary care (PC) through four PC teams that function much like private practices. In the past, patients were given a direct telephone number to contact their team's clinic. Their calls were generally answered by the team clerks, who had a number of other responsibilities including checking patients in and out. To reduce the volume of telephone calls handled by the PC team clerks and to provide prompt and appropriate responses to veterans' calls, a pilot study of a new telephone triage system was conducted.

Baseline survey data regarding the volume and types of calls received each day were obtained and analyzed using the "Teleform" Software Package. Using these data, plans were made for a telephone triage system in which calls from the patients of the PC teams would be forwarded to two multi-line telephones in the Central Scheduling Office. Two MAS triage clerks were trained to receive and appropriately respond to these calls, with each clerk being responsible for taking calls for two teams.

Scheduling issues for all clinics are handled directly by the clerks. Pharmacy calls are transferred to the PC team pharmacist; calls related to medical questions are forwarded to a nurse (RN) on the PC team, and other work related or personal calls are transferred to the appropriate person on the PC team.

A four week trial of the system was conducted, initially forwarding calls for one team and then for two teams. The number of calls and the reasons for them were monitored using a Teleform, and the distribution of calls over time was determined. The satisfaction of patients, level of stress of PC team clerical staff, and the reduction of unnecessary clinic visits due to involvement of nursing staff in telephone triage were also assessed.

Benefits

Overall, the pilot study was quite successful: It showed that a centralized telephone triage system could provide improved service while maintaining personalized care. Veterans expressed satisfaction with the way their calls were handled and the courtesy of staff (99.5% of respondents positive for both questions). Fifty percent of the calls were successfully resolved by MAS triage personnel, reducing the number of calls referred to the PC teams; the great majority of these involved appointment questions. Use of RN staff to respond to medically related calls avoided unnecessary appointments; this occurred in 46% of the calls transferred to RNs.

The PC teams expressed great interest in continuing the new triage system, and plans are underway to implement the system permanently for all four teams. The new system also appears to be more efficient. We plan to transfer four MAS clerks from the PC teams to other clinics because of the addition of the two telephone triage clerks to the PC program.

Contact Person: Linda Mermelstein, MD, MPH

Service: Chief of Staff

Facility: Northport, NY VAMC

Number: (516) 261-4400, Ext 7910 or FTS (700) 663-7910

Improving Access to Care through Telephone Liaison Care

An interdisciplinary team at the Knoxville VAMC has been busy reinventing the hospital's care delivery system: Recognizing the need to improve customer service, the team implemented the Telephone Liaison Care Program in October 1994. This program provides continuous access to care, meets the VA customer service standards, and supports the medical center's mission to provide quality care to the aging psychiatric veteran.

Prior to the Telephone Liaison Care Program, veterans had to travel great distances to present as walk-ins when they had questions or concerns. The new program allows patients and their families to contact the facility by phone to discuss access to care, eligibility, scheduling issues, medical concerns, and questions regarding medications. The service is provided 24 hours a day, 365 days a year and includes an 800 number. To publicize the service, announcement letters were mailed out with the regular appointment letters and wallet cards were printed and given to staff and patients. A station-wide education program was presented for staff at regular staff meetings.

MAS provided the initial staffing for the program, but this was subsequently changed to nursing staff. At present, over 500 calls are processed each month. The calls bypass the operator and come in either on the 800 number or a direct local line. A telephone care assistant answers the call within eight seconds and requests the veteran's name, reason for calling, phone number, and the last four digits of his or her social security number. These data are put into the DHCP system immediately. We then determine if the caller is on the rolls, since VA regulations require that patients not on the rolls be directed to come in to be assessed in person. Calls are directed according to VA criteria and protocols; special protocols were developed for depression, suicide, and acute alcohol intoxication. Since each call is viewed as a potential walk-in, staff are empowered to schedule appointments to convert the walk-in to a scheduled visit. Emergencies are directed to the closest emergency room and 911 number. Other calls are directed to the appropriate disposition site. If it is necessary to return their call, patients are told, "We will call you back within two hours, please stay by your phone." Before hanging up, the patient's phone number is verified.

Documentation, based on facility developed guidelines, is made under the Telephone Triage Clinic module in DHCP. The computerized notes are available to all staff to enhance continuity of care. The content of the progress notes are reviewed weekly to ensure appropriateness.

Benefits

The number of calls increased from 189 in October 1994 to 550 in June 1995. While all services on station can receive calls, most go to the following: Clerk 33%, Nurse 25%, Pharmacy 18%, Physician 12%, Alcohol Treatment Unit 7%, Social Worker 3%, Psychology 2%. Monthly monitoring examines the number of calls, the distribution of calls, the time that calls were received, and the number of inappropriate calls. This information has enabled us to continuously improve the program.

We examined the relationship between the number of walk-ins, the number of calls, and patient satisfaction. As the number of calls increased, the number of walk-ins decreased and customer satisfaction increased. We have received continuous letters and calls praising the new service. The most touching is, "You don't know what it means to know I can reach someone who cares."

Contact Person: Dixie Ribar, RN, MSN

Service: Ambulatory Care Services

Facility: Knoxville, TN VAMC

Number: (515) 842-3101 or FTS (700) 861-6226

Using Telephone Call-In Time to Limit Walk-In Clinic to the Truly Ill

Over the past several years, patients have made increasing numbers of unscheduled walk-in visits to our clinic. As these unscheduled walk-ins accounted for more than 50% of our patient visits, leaving limited time for scheduled continuity of care visits, they were contrary to our mission of managed primary care. In addition, many patients saw their primary provider during fewer than half of their visits, and multiple surveys showed that about 60% of the walk-in visits were unnecessary. To further complicate the issue, the number of very sick patients appearing as walk-ins was increasing drastically, as indicated by the increase in ambulance runs from five per year to five per month over the past four years.

In response to this situation, all patients on the current patient lists were asked to choose a primary provider. To remind patients about the importance of this change, signs were posted throughout the clinic, MAS clerks reminded patients about their primary provider at each visit, and clinicians gave their professional cards to patients. We also sent letters to all patients announcing that Walk-In Clinic, as it had been in the past, was being abolished; in the future it would be limited to patients who were truly ill. Patients were told to arrange all of their care through their primary providers; if they felt sick, they were to call their provider for guidance.

We also instituted telephone call in time for all Medicine Clinic providers from 8:00 - 8:30 a.m. During these calls, patients receive test results, request medicine refills, and ask questions relating to their health and treatment. Many patients are instructed on these calls to make an "unscheduled" visit to the clinic at the time when their doctor will be MOD and thus available to see them as a walk-in. Over a three month period, 1,680 phone calls were logged, many of which would have otherwise resulted in an unscheduled walk-in visit.

Benefits

Walk-in visits have declined by approximately 30% compared to last year. The use of the Walk-In clinic is more appropriate: 65% of these visits are now for acutely ill patients as opposed to 40% in 1993. Routine medication issues currently account for 12% of Walk-In Clinic visits, as opposed to 44% in 1993.

Use of a MUMPS File in a Telephone Care Program

T he Telephone Care Program was initiated at the Louisville VAMC in May 1994 to enable veterans to gain easier access to outpatient care. The primary goal of the program is to refer outpatients to the appropriate staff member without multiple transfers and delays. A telephone coordinator with a clerical background ensures that patient calls are efficiently referred to the proper person. Primary care providers are responsible for returning telephone calls to patients during the same business day.

IRM developed a local file written in MUMPS to prompt the collection of and document and track the information necessary for the Telephone Care Program. Using the computer program, the telephone coordinator enters the patient's name; this automatically displays the patient inquiry screen. The coordinator then inputs the type of problem, status, chief complaint, and to whom the patient's call is being referred. Subsequently, the provider indicates the resolution of the patient's problem, e.g., medication refill, advice given by provider, administrative information provided, appointment made, test results communicated. Trend reports have also been developed that allow the tracking of calls per provider, per chief complaint, and per type of resolution.

Patients who call may be told to report to the Primary Care Clinic on the same day. To ensure that these patients are seen promptly, one 20-minute appointment is set up per hour for each provider to accommodate patients coming in as a result of the Telephone Care Program.

Benefits

Emergency room visits have declined from over 26,000 in FY 1992 to a projected 23,000 in FY 1995. In addition, the average waiting time in the emergency room was 1.75 hours in March 1995 compared to 2.3 hours in FY 1992. Waiting times are also continuing to decrease in the Primary Care Clinic as a result of veterans utilizing the Telephone Care Program. In March 1995, the average waiting time for the Primary Care Clinic was only 18 minutes.

Contact Person: Marylee Rothschild, MD

Service: Ambulatory Care Service

Facility: Louisville, KY VAMC

Number: (502) 894-6880 or FTS (700) 548-5047

Reducing Backlogs in Subspecialty Clinics

Virtually all VA hospitals are struggling with the difficult issue of excessive delay in obtaining appointments to outpatient clinics. This is especially true at the large tertiary referral centers that receive consults from a number of smaller hospitals. In 1992, we began to notice an increase in the number of days to the next available appointment in many subspecialty areas. As a tertiary referral center for several smaller VAMCs in Texas, our number of consult requests for subspecialty evaluation was steadily increasing.

We developed an aggressive initiative to address this problem. It is based on the notion that clinic backlog is a function of two simple variables: inflow or the number of consults accepted, and outflow which is equivalent to the number of patients discharged or dying. If inflow exceeds outflow, backlog will steadily increase. Conversely, if outflow outpaces inflow, backlog will decline. Contrary to popular belief, it is our feeling that care capacity (the availability of physicians, clinic space, and clinic time) is not necessarily an important consideration in the solution of backlog problems, and we usually consider it to be a constant. As support for this hypothesis, we have significantly decreased backlog in all of the clinics we have targeted with no increase in resources allocated.

We have been very discriminating in the acceptance of new consults and judicious in discharging patients from our subspecialty clinics. The methods we have found most useful are the strict adherence to current eligibility criteria and, when appropriate, discharging patients to primary care or community resources. When contemplating taking these steps, physicians must ask themselves two basic questions. First, if I accept a consult and that appointment is set for one year away, isn't that similar to the patient not receiving an appointment at all? Second, is it fair to follow all patients who wish to be seen and see them all at very wide and unacceptable intervals?

Benefits

By the careful assessment and adjustment of inflow and outflow, one can achieve remarkable and predictable results. We targeted some of our worst clinics in terms of excessive backlog and achieved the following generally gratifying results:

Days to Next Available Appointment

1991
1992
1993
1994
1995
Audiology
90
120
8
2
5
ENT
22
144
67
19
24
Neurosurgery
61
90
150
210
69
Orthopedics
51
21
90
66
25
Pulmonary
46
45
60
22
0

The one clearly problematic clinic as of 1994 was Neurosurgery. In spite of an inflow which was roughly double the outflow, our Chief of Neurosurgery continued to assign all consult patients to available clinic slots. Predictably the backlog climbed to 210 days.

We quickly determined that inflow was the major problem. Stressing this point to our Neurosurgery Chief had no appreciable impact. We soon discovered that while we were trying to convince him to deny inappropriate consult requests, he was reaching out to referring VAs to bolster the number of patients referred, so as to meet a mandate from our affiliated medical school_to double the number of operative teaching cases within a one year period. In his mind, doubling the number of patients evaluated was the logical solution. To reconcile these conflicting pressures, Neurosurgery agreed to deal with all consult requests "up front" i.e., using information and tests already performed; very few patients were appointed to future clinic slots. In addition, a plan was made to review available data on many patients with pending appointments to determine whether they would benefit from surgery. X-rays were viewed, patients were called on the phone, and further testing was scheduled; this was usually done without an actual clinic appointment. Thus, in spite of continued excessive demand, our effective inflow (consults appointed to clinic slots) was significantly reduced and backlog appreciably declined.

Contact Person: Mark S. Nelson, MD

Service: Ambulatory Care Service

Facility: Dallas, TX VAMC

Number: (214) 372-7010 or FTS (700) 749-5135

Utilization Review of Continued Treatment in Subspecialty Clinics

Since the waiting time for new appointments in several of our subspecialty clinics exceeded the 30 days Customer Service standard, a utilization review program was initiated. The subspecialty clinics with the longest waiting times, Arthritis, Neurosurgery, Orthopedics, and Urology Clinics, were targeted. Appropriateness criteria were developed by the attending physicians responsible for these clinics and quality assessment staff; these criteria identify patients whose care could be safely transferred from the subspecialty clinic to a primary care provider in the General Medicine Clinic.

The appropriateness criteria are applied to documented patient information in the medical record or DHCP, and the patient is either found to be eligible for continued care in the subspecialty clinic or flagged for possible discharge. If the patient meets the appropriateness criteria for discharge, a bright pink notification sheet is left for the provider stating that, according to the criteria, the patient no longer requires the services of the subspecialty clinic. If the provider feels that discharge from the subspecialty clinic is not appropriate, he or she is asked to document the reason for this decision in a progress note.

Benefits

In the six months this program has been in operation, 2,957 patients in the Arthritis, Neurosurgery, Orthopedics, and Urology Clinics were reviewed. Five hundred and seventy three patients were suggested for discharge from the subspecialty clinic; 398 (69%) had their care transferred to a primary care provider. The average waiting time for new appointments in these clinics has decreased from three months to a month or less. Several other clinics are now in the process of developing appropriateness criteria and will be participating in the program.

Contact Person: Karen K. Aalbregtse, BS, CPHQ

Service: Ambulatory Care Service, Quality Assessment

Facility: Ann Arbor, MI VAMC

Number: (313) 761-7189 or FTS (700) 374-7189

Automated Monitoring of Clinic Waiting Times

I n response to the national timeliness goal established by DVA, the Louisville VAMC developed a local file written in MUMPS that calculates patient waiting time in the clinics. Clinics and providers are selected for review on a monthly basis as part of Ambulatory Care Service's quality improvement monitors.

At the time the patient is seen, the provider either logs the patient's name in DHCP or utilizes a light pen that scans the bar code label located on the back of the medical record. The computer program logs the time the patient's name was entered and subtracts that time from their clinic appointment. A daily report is generated that provides a listing of patients, the time of their appointment, the time the patient was seen by the provider, the waiting time per patient, and the average waiting time.

Benefits

The computer program allows us to monitor clinic performance against the national timeliness goal. Appointment times and work schedules can then be modified to ensure veterans are receiving timely care. For the month of May 1995, the average waiting time in the Primary Care Clinic was 16 minutes.

Contact Person: Marylee Rothschild, MD

Service: Ambulatory Care Service

Facility: Louisville, KY VAMC

Number: (502) 894-6880 or FTS (700) 548-5047

Reducing In-Clinic Patient Waiting in Primary Care Clinics

T he following changes were recently made in our primary care clinics to improve waiting times within a clinic session:

Benefits

Contact Person: Kenneth E. Klotz, Jr., MD

Service: Ambulatory Care Service

Facility: Indianapolis, IN VAMC

Number: (317) 635-7401 or FTS (700) 332-3057

Improving Productivity and Timeliness Through an Automated First Appointment System

Our Medical Informatics section wrote a local computer program designed to review our 68 staff physician primary care clinic sessions and to automatically pull up the first available appointment slot for a new patient. Previously this had to be done by a clinic clerk manually reviewing the 68 clinic sessions to locate the first available appointment. A related computer program, also developed by Medical Informatics, generates each week an automated lead time report showing the waiting time for the next available appointment for each of the 68 physician primary care continuity clinics, the 34 house staff continuity clinics, and the 12 ambulatory care block teaching clinics.

Benefits

The first available appointment computer program has enabled us to:

Contact Person: Kenneth E. Klotz, Jr. MD

Service: Ambulatory Care Service

Facility: Richard L. Roudebush VAMC, Indianapolis, IN

Number: (317) 635-7401 or FTS (700) 332-3057

Decreasing Clinic Waiting Times

When we began our primary care program in 1991, we decided to improve the efficiency of our outpatient clinics. Criteria were developed for each clinic to provide a basis for prioritizing care. Emergent, urgent, less urgent, and routine diagnoses were specified so that appointments could be made in a timely manner based on clinical need. Inappropriate diagnoses were also listed so that resources and patient time were not used wastefully. Required diagnostic testing was also specified with the stipulation that it was to be completed prior to the appointment, so that patients would arrive in the clinic prepared for the physician appointment. To facilitate appropriate referrals and patient preps, this information has been placed in a Clinic Criteria manual, which is updated regularly and is available on every ward and clinic; it is also sent to other VA Medical Centers, especially those that refer patients to us routinely.

The Urology Clinic had particularly lengthy waiting times and was targeted for special attention. A veteran could wait several months to receive an appointment and, on arrival at the clinic, could wait as long as three hours to see a physician. Because of these problems, patient satisfaction, as measured in the national VA survey, was low.

Several interventions were made by the Urology Clinic staff and the Primary Care Coordinator. First, the medical records of 566 patients were reviewed, and 313 were discharged from the clinic, as their medical condition did not require care in the Urology Clinic. The discharged patients were appropriately dispositioned. After this process was completed, room was available for new profiles, based on clinic staffing and clinical standards, to be developed. Failure-to-show rates were built into the profiles to reduce the need for overbooking, and overbook locks were placed on them to eliminate uncontrolled overbooking. Finally, a nurse or physician now screens all consults for clinical appropriateness and timeliness to promote efficient use of clinic slots and patient time.

Benefits

The following changes have occurred in the Urology Clinic:

The process was so successful in the Urology Clinic that it is being implemented in all outpatient clinics at our medical center.

Contact Person: Victoria G. Perry, RN, CNA

Service: Primary Care Service

Facility: Clement J. Zablocki VAMC, Milwaukee, WI

Number: (414) 384-2000 or FTS (700) 383-2615

Use of Fileman Programs to Improve Access and Schedule More Timely Appointments for Neurology Clinics

I n 1994, the Minneapolis VAMC instituted several initiatives to respond to the need to become more competitive in our changing health care marketplace. Neurology Service asked its clinics to study the issues of providing greater access to care and providing more timely appointments. Four problems were identified:

To address these issues, the Neurology Clinic staff collaborated with IRM to develop several Fileman programs. One program provides a listing of the phone numbers of scheduled patients which can be printed by clinic. (If the patient is an inpatient, the program lists the ward.) Staff and volunteers use the list to call and remind the patient four days prior to their appointment. The patient's address and phone number are verified during the nursing intake interview.

A second program prints the clinic name and the next five available appointments. This list is used when a clinic appointment slot is needed for an urgent or semi-urgent patient.

The third program identifies the patient's past and future neurology appointments. When an outpatient consult request is received, the neurology office staff first look through this list to identify other past or future neurology appointments. This process enables the office staff to avoid unnecessary or inappropriate visits and helps them schedule appointments with appropriate clinical staff.

Benefits

Patients have greater access to the Neurology Clinic and improved continuity of care. Physicians, nurses, and administrative staff from the Neurology Clinic use their time more productively.

Contact Person: David A. Rottenberg, MD

Service: Neurology Service

Facility: Minneapolis, MN VAMC

Number: (612) 725-2230 or FTS (700) 780-2230

Preventive Screenings Around the Texas Panhandle and Western New Mexico_The Roadies

I t all started with a health fair on Veterans Day in November 1993; the employees had fun and the veterans were enthusiastic. From this was born the idea of our mobile health fairs. Since then, there have been from one to four health fairs each month, and our traveling group has become known as The Roadies.

Several motivated employees share the responsibilities for choosing the time and place; disseminating publicity; distributing information packets to interested individuals; and getting the machines, supplies, and volunteer staff together and to the fair site. Most fairs have been on a Saturday. Once there, everyone joins in to get the equipment and information areas set up. Veterans and their families receive free screening of blood pressure, blood glucose, cholesterol, and oxygen saturation, and usually there is a dietitian to do diet counseling.

Some of the health fairs have been done in conjunction with the openings of our Community Based Clinics, some have been requested, and others have been done based upon need as determined by analysis of demographics.

Benefits

Attendance has ranged from 35 to 450 satisfied customers who regularly say how grateful they are that the VAMC would do this for them. The pride and morale of the Roadies build to a new height as they pack their supplies and tired bodies back into the vans or bus for the return trip to Amarillo. Each fair involves interaction of VAMC staff with veterans organizations and local civic groups and promotes a positive image of the Department of Veterans Affairs and the Amarillo VAMC. Access to health care has been provided to veterans who did not know about their benefits or how to get help from the VA; many of these are female veterans. At the first fair 50 new patients, five of whom were female, were gained. At each fair one or more severe hypertensive patients needing immediate intervention are identified and provided with care either at a community facility or at the VA hospital. The Roadies have also promoted a cooperative working relationship across services in the hospital (MAS, Nursing, Dietary, IRM) by working together as a team at the health fairs.

Operation Desert Foot: Identification of Patients at High Risk for Amputation

Operation Desert Foot is the Phoenix VAMC's initiative to prevent lower extremity amputations in our diabetic population. In November 1994, we held our first Operation Desert Foot screening to identify and begin tracking and treating veterans at high risk for amputation. We sent out 4,800 announcements, and the 300 appointment slots were filled in less than three days.

The screening process involved:

Due to the large demand, we now hold the Desert Foot Screening Clinic once each week to handle the overflow and ongoing referrals. The screening clinic is also open to non-diabetic patients for evaluation of their risk status.

Benefits

Early results show a 50% decrease in the rate of amputation within our patient population. We also anticipate a 70% decrease in the incidence of vascular and podiatric complications associated with diabetes due to early identification, education, and intervention.

Since we initiated Operation Desert Foot, our staff and patients have been increasing their awareness of the conditions that can lead to amputation and the treatments available to prevent and treat these conditions. Staff and patient education programs have been initiated and are ongoing, including a regular staff and patient newsletter.

Contact Persons: Leslie Wheeler, RN and Alan Langer

Service: Prosthetics Service

Facility: Phoenix, AZ VAMC

Number: (602) 222-6417 or FTS (700) 761-6417

Use of Nursing Staff and Patient-Specific Reminders to Enhance Preventive Care

Despite the increasing emphasis being placed on preventive services, particularly patient education, cancer screening, and adult immunizations, preventive care is still often not provided. Various strategies have been tried to increase its use, but few have succeeded. The literature reveals two strategies that have been successful: transfer of some preventive care duties to nursing and providing patient-specific health reminders.

This study, conducted in primary care outpatient clinics at the Salt Lake City VAMC, examined rates of documentation in patient charts of 11 widely accepted preventive care interventions, including patient education (smoking, alcohol habit, diet, exercise, and seat belt use), screening (blood pressure, colon cancer screening, and cholesterol measurement), and immunizations (influenza, pneumococcal, and tetanus-diphtheria vaccines). The rate of documentation of these interventions was examined at baseline, after transferring some preventive care responsibilities to clinic nursing staff, and again after introducing patient-specific health reminders as a tool for the nurses.

The process of involving the nurses in an effective manner required two major process changes. First, the Health Maintenance Record (HMR), a list of preventive services with suggested screening intervals and areas for data recording, was designed with the assistance of clinic nurses. This record was printed on heavy green paper and inserted under the patient problem list on the left side of the chart. It was moved forward when a new volume of the medical record was required. Second, standing orders for immunizations were created to allow the nurses to provide appropriate immunizations to patients without having to obtain a physician's order.

The patient-specific health reminders were inserted into each patient's chart just prior to the appointment. They suggested preventive care interventions to be performed during the visit.

Benefits

Documentation that preventive care was provided rose dramatically from a baseline rate of 50% to a rate of 76% with nursing involvement alone, and to over 97% when nursing involvement and patient-specific reminders were combined. The rate of documentation of patient education showed the most dramatic rise, increasing from a baseline level of 30% to 65% with nursing involvement, and to 95% with the addition of patient-specific reminders. It was also noted that attending physicians consistently reviewed the HMR in their faculty clinics and with residents, especially the guaiac stool cards and the immunizations. This observation is supported by documentation in the physician progress notes.

Contact Person: Geraldine Jones, RN

Service: Nursing Service

Facility: Salt Lake City, UT VAMC

Number: (801) 582-1565 Ext 2560 or FTS (700) 539-1565

NOTE: This study was conducted by V.A.V. Foerster, MD for her Masters in Medical Informatics at the University of Utah, Salt Lake City, UT.

Automated Tracking of Vaccinations

T he Infection Control Committee noted that documentation of the administration of vaccinations was inconsistent. When patients had more than one volume to their chart, important vaccination information was not always carried forward. This was particularly problematic for vaccinations, such as tetanus toxoid or pneumococcal, that are not needed on an annual basis.

Pharmacy Service worked with IRM and the Infection Control Committee to develop a DHCP generated vaccination tracking program. All vaccinations are now entered into the computer generated program; the date, person who administered the vaccine, manufacturer, and lot number are recorded. The date of the last vaccination and the result of any PPD administration are printed on all pharmacy profiles. Any practitioner can retrieve the more detailed information through the computer program.

Benefits

Clinical staff have found the program quite handy. The improved documentation of vaccinations and the easy access to the information have made it easy to know when vaccinations are needed and have reduced the number of duplicate vaccinations.

Contact Person: Steven Thomas, R.Ph., MBA

Service: Pharmacy Service

Facility: North Chicago, IL VAMC

Number: (708) 578-3750 or FTS (700) 384-3750

Coordination of PPD Screening with Community Health Departments

T he Battle Creek VA Medical Center provides services to veterans within a 200 mile radius. Due to the distances involved, it is often difficult for veterans to return to the medical center 48 hours after a PPD test is administered. The Ambulatory Care committee formed an ad hoc group to develop a method to provide our outpatients with convenient access to PPD screening. The ad hoc group worked with community health departments to develop a process for patients who cannot return to the medical center.

All community health departments within our catchment area were contacted to obtain a listing of the days PPDs are given and read, the costs for these services, the name of a contact person, and their willingness to coordinate with our medical center. Index cards containing the above information were created for quick reference. Overprinted progress notes with specific instructions for the patient and community health department were also developed, and PPD codes were added to the encounter form: one for PPD test ordered, one for PPD test given, and one for PPD reading (negative or positive).

During the exit interview, the nurse determines whether the patient will be using the community health department for either the reading alone or for both the test and the reading. The patient is provided with a progress note/information sheet and a self-addressed, postage-paid envelope for the community health department to mail the progress note with the PPD reading back to the medical center. The nurse reviews the information sheet with the patient, filling in appropriate data, i.e., the community health department's hours, the days PPDs are given or read, and the name of the contact person. When the patient is checked out by MAS, the appropriate PPD code is entered into DHCP.

The progress notes are mailed back to MAS, which enters the appropriate code for the PPD reading into DHCP. Then, the medical record along with the progress note is provided to the nurse, who communicates the PPD results to the appropriate primary care provider.

Tracking is a coordinated effort by MAS and Nursing. On the last day of each month, MAS runs a list of all patients with incomplete/pending PPDs. This list is provided to the primary care nurse, who contacts the patient regarding the status of the PPD screening. MAS is then notified whether the case is to remain open or is closed.

Benefits

In the four months prior to the initiation of the program in May 1995, 30 PPDs per month were placed and read. In the following six months, 39 per month were placed and read. The new process has been primarily of benefit to those outpatients who must travel a great distance to visit the medical center. Prior to its initiation, those patients often would not return to the medical center for a PPD reading. Now they are given the option of utilizing a service within their community that is coordinated with their primary care provider. The cost to the patient for this service is minimal, usually $3.00-$5.00.

Contact Person: Ketan Shah, MD

Service: Ambulatory Care Service

Facility: Battle Creek, MI VAMC

Number: (616) 966-5600 Ext 3851 or FTS (700) 974-3851

Use of Reminders to Encourage Preventive Health Counseling

A literature review performed when our facility's primary care program opened identified computer reminders as a useful method for increasing attention to prevention. Individualized reminders were beyond the initial capabilities of our informatics system, but a computer-generated overprint was developed for primary care notes, reminding clinicians to counsel about diet, exercise, smoking, and alcohol, and providing a record of previous health maintenance activities. In addition, we developed and publicized special programs for smoking cessation and for exercise. Primary care staff also participated in a faculty development course on prevention.

Benefits

More patients were counseled about exercise in 1993 than in 1992 (41% vs. 35%, p<.05). A higher proportion of primary care patients who smoked reported being counseled about smoking (21.2% increase; p<.01). These results were confirmed when we risk adjusted the patient's health status, and number of visits. The types of visits for which patients received care also changed, with more patients receiving check-ups: The proportion of clinic patients who came in for check-ups was 44% in the post-intervention period as compared to 35% pre-intervention (p<.001).

Contact Person: Lisa V. Rubenstein, MD, MSPH

Service: Primary Ambulatory Care and Education (PACE)

Facility: Sepulveda, CA VAMC

Number: (818) 895-9449 or FTS (700) 966-9449

A Male Sexual Dysfunction Education Course

Sexual impotence and other sexual dysfunctions are among the major complaints presented to Urology Service by male patients. Urology Service does not have personnel trained in sexual dysfunction to evaluate the multiple complexities, both physical and psychological, that often comprise the complaint of impotence and other sexual dysfunctions. Patients were routinely referred to Psychology Service prior to radical procedures such as surgically implanting penile prostheses. However, for less radical treatments the patients were most often provided trial and error methods of treatments. Consequently, many patients were not being helped and were becoming more confused about their sexual dysfunctioning.

The Urology and Psychology Services at the Little Rock VAMC established a cooperative referral network to screen all sexual dysfunction complaints in 1994. A Sexual Dysfunctioning Educational group is the first course of treatment for the patient and his significant other. Materials related to male sexual functioning and dysfunctioning are provided by a staff psychologist certified in sex therapy in an educational format for about 2 1/2 to 3 hours. Following this presentation, the patients completes an extensive diagnostic questionnaire. Patients then are briefly interviewed and are triaged to the appropriate treatment for their problem: psychological (sex therapy or psychotherapy), physical (urological or other medical condition), or both psychological and medical.

Benefits

During the first year of its operation, nearly 100 patients were seen. This process allows the urology clinic to more quickly see a large number of patients than could be done on a one-to-one basis by Urology staff physicians. Patients are responsive to being seen in a more efficient and effective manner. The process has also prevented needless and expensive procedures.

Contact Persons: Edward Kleitsch, Ph.D. and Scott MacDiarmid, MD

Service: Psychology and Urology Services

Facility: JLM Memorial VAMC, Little Rock, AR

Number: (501) 660-2071 or FTS (700) 742-3221

A Headache Education Course

Head pain is one of the most frequent presenting complaints in ambulatory care clinics. Usually, the ambulatory care physician or treatment team effectively evaluates and treats the patient without significant complications. However, sometimes the patient's problem is not readily resolved, and he or she makes repeated attempts to gain treatment, becoming a "revolving door" patient. After numerous treatment failures, a referral to Neurology Service is usually made. By this time patients have often become tired, disillusioned, and sometimes angry at what they perceive as mismanagement of their condition.

To address the needs of these patients, the Neurology Service at the Little Rock VAMC established a Headache Clinic three years ago and asked Psychology Service to be involved in the screening, examination, and treatment process. Initially, the Headache Clinic was conducted one day weekly, with available Neurology physicians and two staff psychologists seeing all patients individually and conducting an extensive interview and headache evaluation. Treatment options included medications and psychological treatments, e.g., individual psychotherapies, hypnosis, and biofeedback training. This initial approach did not resolve the issue of the "revolving door" patient and opened both consulting services to a flood of patients. Additionally, patients often complained about being seen by numerous clinicians, each with their own approach to treatment.

The next step was to assign a single physician and consistent nursing staff to the Headache Clinic and to institute a multi-disciplinary course of treatment. Patients are seen initially as new consults in the Headache Clinic, which meets weekly. After a medical evaluation including a review of previous treatments, the patient is encouraged to attend a headache psycho-educational course established by the two psychologists. This course provides patients with information about pain in general, head pain in particular, medications used to treat head pain, and self-regulation methods to prevent and eliminate head pain. Prior to the first session, each patient is evaluated with the MMPI-II and the MCMI-2. The course meets once a month for three consecutive months. Upon completion of the course, patients are given an opportunity to try hypnosis or bio-feedback or to attend ongoing headache group therapy to further control their headaches. Follow-up is provided in the Headache Clinic, the regular Neurology clinic, or by a private physician since many of these patients live up to 150 miles from the hospital.

Benefits

There has been a significant reduction in the number of "revolving door" patients. Many of the patients who attended the psycho-educational classes as well as those who received individual bio-feedback have reported a significant reduction in the frequency and intensity of head pain. They have also become much more compliant, cooperative, and receptive to treatment by the Headache Clinic staff; some have also reported needing fewer medicines and fewer medicine changes. Finally, there has been a significant reduction in trips by patients to the Emergency Room with headache complaints.

Contact Persons: Robert B. Doyle, Ph.D. and Sarkis Nazarin, MD

Service: Psychology and Neurology Services

Facility: JLM Memorial VAMC, Little Rock, AK

Number: (501) 660-2071 or FTS (700) 742-2439

Gaining American Diabetes Association Recognition for a Diabetes Care Program

For many years, several disciplines provided diabetes education at our hospital without a coordinated approach. Weekly sessions were established, but our efforts were fragmented and outcome data were not collected. As the diabetic population grew and waiting times became longer, the need to obtain further staff training to strengthen our program became clear.

Improvement began when we decided to develop a program which could earn recognition from the American Diabetes Association (ADA). (Standards for ADA recognition are aligned with Joint Commission requirements for patient and family education.) A Diabetes Team involving an endocrinologist, nurse, and dietitian was formed and the RN and RD received training to become Certified Diabetes Educators (CDEs). To improve the referral process, nurses on each floor were identified as Diabetes Resources Nurses and were provided with inservices by the two CDEs.

A new interdisciplinary Diabetes Education Series was developed for patients and their families; referred patients are invited to bring a family member to share in their educational experience. A series of four classes offered each month covers 15 content areas specific to diabetes and is designed to enable patients and their families to constructively change their behavior. Instructors from Dietary, Nursing, Medicine, Pharmacy, Physical Therapy, Cardiology, and Psychiatry Services and a patient consumer present information facilitating goal directed behavior change. Information on basic physiology, acute and chronic complications of diabetes, treatment options, adjustment to a chronic illness, healthy food habits, foot care, taking responsibility for one's own care, and available supportive resources are included in the curriculum. The Diabetes Education Series has a broader scope than most patient education programs: It serves as a stepping stone for diabetes medication readjustment, and outpatient insulin and glucose monitoring can be successfully started during the series.

Prior to attending the Diabetes Education Series, patients are assessed for educational needs and asked to develop behavioral goals for themselves. After completing the four classes, graduate patients are given a three month follow-up appointment to assess their success in changing their behavior to meet their personal goals.

The nutrition class provides hands-on meal planning, utilizing a match game that helps patients learn to create a balanced meal. By making choices from the various food groups, they learn to identify carbohydrates, proteins, and fats while preparing their own meal. A yard sale game involves patients in choosing items to use in life-like scenarios in daily diabetes management and in emergencies. It is a useful indicator of patient retention and comprehension and is a useful replacement for the traditional pre- and post-tests. Because the game brings humor to the learning process, it is popular among patients.

Benefits

Contact Person: Nancy McCullough, RN

Service: Nursing Service

Facility: White River Junction, VT VAMC

Number: (802) 295-9363 or FTS (700) 829-5726

Providing Patient Education During Intake Assessment

Traditionally, patient education at our clinic has been provided by nursing during the patient's exit interview at the end of his visit. While evaluating performance improvement data two years ago, the nursing staff concluded that the education being provided at this time was often not effective. The obstacles to effective patient education were:

The nursing staff concluded that providing education during the intake assessment would eliminate some of these obstacles to effective patient education. By starting the visit with patient education, the nurse would have more time to assess the patient's readiness for learning and to provide the necessary education and preventive health information required to make sound health care decisions. Exit interviews could be confined to changes in the treatment plan and explaining preps for diagnostic tests, thus avoiding information overload.

Benefits

Dividing the education process into two parts has improved patient compliance and the identification of health risks. Referrals by nursing for health risk interventions, such as the smoking cessation clinic and nutrition classes, have doubled. Patient satisfaction and feedback both indicate that this new approach has been well received by the clinic's clients. Finally, nursing staff morale has improved because of the patient's positive feedback and their own sense of doing a better job of teaching.

Contact Person: Janice Hess, ARNP, MSN

Service: Nursing Service

Facility: William V. Chappell, Jr. VAOPC, Daytona Beach, FL (Gainesville VAMC)

Number: (904) 274-4600 or FTS (700) 848-9144

Primary Care for Medically Ill Alcohol Abusers

Alcoholics with severe medical illnesses are known to consume a disproportion- ate amount of health care resources. These patients report to urgent care areas frequently and may require multiple hospitalizations for alcohol-related medical complications. Medical staff, however, are often inadequately trained to screen, identify, and effect change in patients who drink hazardously. In addition, traditional chemical dependency programs do not have adequate resources to meet the wide range of medical needs of this population.

In April 1987 the Health Improvement Program/Alcohol Related Diseases (HIP/ARD) Clinic was established at the Minneapolis VAMC to provide primary outpatient medical services and long-term case management for these patients. The clinic provides preventive health care, routine treatment of medical problems, and education to prevent relapses. If there is a need to hospitalize a patient, the HIP/ARD team continues to work with the patient while they are in the hospital and helps with discharge planning. The treatment team is interdisciplinary and includes a family physician, two nurse practitioners, an RN educator, a social worker, a psychologist, and a part-time psychiatric consultant. The most frequent diagnoses treated include alcoholic liver disease, pancreatitis, gastrointestinal bleeding from esophageal varices or gastritis, alcoholic cardiomyopathy, alcoholic peripheral neuropathy, and chronic cerebellar degeneration/ataxia secondary to alcohol.

The team currently is providing long-term management for 150 patients. Care is often intensive at the outset and then becomes less intensive as the patient stabilizes and becomes known to the clinic staff. Patients are typically discharged after two years of sobriety or stability; in FY 1994, the HIP/ARD Team discharged approximately 30 patients into the General Outpatient Medicine Clinics at this hospital.

Benefits

Based on a quasi-experimental study published in the May 1995 edition of The Journal of Studies on Alcohol, it appears that the HIP/ARD clinic may be reducing levels of morbidity and mortality in this population. A five year HSR&D grant is currently underway to study the efficacy of the HIP/ARD clinic experimentally.

Contact Person: Douglas H. Olson, Ph.D.

Service: Psychology Service (HIP/ARD Clinics), Addictive Disorders Section

Facility: Minneapolis, MN VAMC

Number: (612) 725-2228 or FTS (700) 780-2228

Individualized Treatment of Chronically Mentally Ill Veterans to Avoid Re-hospitalization

In February 1991, the Admission Intervention Team (AIT), an interdisciplinary team consisting of two .25 psychiatrists, one .75 nurse, one .75 psychologist, and one full-time social worker, was formed to work with patients who were high users of inpatient psychiatric care. Any veteran with three admissions to general psychiatry within 12 months is referred for follow-up by the AIT. At present, 77% of veterans followed by AIT are dually diagnosed. The only exclusion criterion is the sole diagnosis of substance abuse.

The AIT provides intensive follow-up and case management. The team works closely together to individualize treatment plans and to develop individualized interventions and strategies to meet the veteran's needs, whenever possible on an outpatient basis. For example, we have taken an aggressive approach to ensuring medication compliance. The use of court-ordered compliance, known as Mandatory Outpatient Treatment (MOT) in Tennessee, is one way we have done this. While this process involves recertification of need every six months and filing affidavits and making court appearance when the patient is non-compliant, it has proven very effective for the approximately 15% of AIT patients who are on MOT status. Similarly, if our patients fails to report for a neuroleptic injection, we pursue them. We telephone them, their family, or their court-appointed guardian to encourage them to come in. If there is some compelling reason that a patient cannot come to the hospital, such as debility or extreme paranoia, we go to his or her home or send a home health agency there to administer the injection. We have on occasion had the patient's guardian mail a veteran's weekly spending money to the medical center to ensure that he or she comes in to the clinic.

We have also taken an assertive approach to the management of our veterans' personal resources. We have initiated competency ratings through the VA Regional Offices in pursuit of fiduciary or guardian appointments. We have also initiated payee relationships with Family Services of Memphis, an agency that serves as payee for people who do not have a willing family member or friend. Once a guardian or payee is established, we work aggressively with him or her to insure that the veteran's basic needs of housing and food are met and, as mentioned above, to encourage treatment compliance. We negotiated with Fiscal and Medical Administration Services to allow some of our outpatients to maintain active Patient Funds accounts. (Previously, these were restricted to inpatients.) This allows some of our patients who come to the VAMC regularly for treatment to withdraw money from their account each day for transportation and meals. The funds are deposited by the guardian who specifies the frequency and amount of permissible withdrawals.

Since its inception, the AIT has emphasized continuity of care. With the same small group of providers seeing the same patients consistently over time, we become quite familiar with the individual patients. The veteran also gets to know the providers well, and this often leads to greater trust than the patient has previously experienced. The consistency also reduces the opportunity for manipulation and splitting of staff.

The AIT is quite flexible about seeing patients on an unscheduled or urgent basis. We are also able to spend considerable time with a patient in crisis. The AIT staff, operating as a team, is much more willing to risk not admitting a veteran than most outpatient psychiatry staff who function independently. The AIT operates as a true interdisciplinary team, as differentiated from a multi-disciplinary team: The team members willingly take on problems and tasks without strict regard to professional discipline, except when necessitated by the constraints of licensure.

Benefits

The number of psychiatric admissions for patients followed by AIT was compared to the number prior to the initiation of the program. There were reductions of 62% in the first year of the program, 72% in the second year, and 70% in the third year. Assuming that the number of hospitalizations would have remained constant if AIT had not been implemented, the cost savings to the medical center were calculated to be approximately $550,000 for the first year, $700,000 for the second year, and $800,000 for the third year, for a total savings of over $2,000,000.

Contact Person: Lynda Penny, LCSW

Service: Psychiatry

Facility: Memphis TN VAMC

Number: (901) 523-8990, ex 5321 or FTS (700) 222-5321

A Structured Referral Program Between Ambulatory Care and Outpatient Psychiatry

Traditionally, psychiatric referrals at our facility came unannounced from Ambulatory Care and had to be seen as "drop-ins." This process was very disruptive to the operation of the Mental Health Clinic, and patients frequently became more agitated while waiting to be "worked-in."

A structured triage system for referrals was developed to address these concerns. Ambulatory Care staff were asked to categorize referrals as urgent or non-urgent; urgent patients were those with suicidal or homicidal ideation, attempts, or threats, or who were actively psychotic or exhibiting uncontrolled behavior.

The triage coordinator, who is accessible via pager, is contacted regarding both urgent and non-urgent referrals. All urgent referrals are seen immediately by the triage coordinator and a staff psychiatrist. The veteran can be seen either in the Outpatient Psychiatry area or in the Ambulatory Care setting. Non-urgent referrals are scheduled into a newly established clinic that meets daily for two hours to evaluate and screen these patients.

Benefits

The structured triage system has resulted in:

Contact Person: Tempie M. Evans

Service: Nursing Service

Facility: Columbia, SC VAMC

Number: (803) 776-4000 Ext 6167 or FTS (700) 677-6823

A Dual Diagnosis Program for Patients With Schizophrenia

Patients with both schizophrenia and substance use disorders are difficult to treat as outpatients. They are often non-compliant with psychiatric treatment, are frequent users of inpatient psychiatry services, are usually too psychologically frail for traditional substance abuse programs, and are vulnerable in the community when using alcohol or drugs. To meet their special needs, Outpatient Psychiatry (OP) and Dual Diagnosis Program staff developed a special outpatient treatment program for these patients. During two 4-hour sessions each week, they attend a combination of groups focused on psycho-social education, problem solving, social resources, relapse prevention, therapeutic recreation, and physical exercise. They are monitored with urine toxicology screens. Many patients who were never before committed to abstinence have committed and achieved it, while others have significantly reduced alcohol and drug use.

Benefits

Of the 102 patients who participated during the first nine months of the program, 50% remain enrolled in outpatient treatment and report increased self-esteem, coping skills, and stability. Of the 50 patients currently in the program, 20% have documented sustained abstinence for a variable but meaningful period of time.

Primary care providers report increased medication compliance and more stable functioning. Patients report benefiting from the structure of the program and gaining social support from interacting with other patients with similar problems, as well as increased skills in recognizing signs of relapse and managing psychiatric symptoms. As a result of their more regular outpatient contact, they recognize their symptoms and report problems sooner to avoid relapse and recidivism.

Contact Person: Carolyn Cassin, Psy.D.

Service: Psychiatry Service

Facility: Westside VAMC, Chicago, IL

Number: (312) 455-5841 or FTS (312) 455-5841

A Bipolar Disorder Program

T he Bipolar Disorder Program (BDP) is a high intensity ambulatory treatment program based on collaboration between nurses and physicians and between caregivers and patients. The program utilizes nurse clinical specialists as primary care providers with physician back-up. The population served is veterans with bipolar or schizoaffective disorders. Bipolar disorder is a chronic, severe mental illness which affects 1% of the population; it leads to substantial social and occupational functional impairments, but its victims have considerable rehabilitative potential. The BDP's only medical or psychiatric exclusion criteria is severe dementia, which would impair the patient's collaborative role.

The BDP emphases intensive medical management supplemented by ongoing psychoeducation to increase patient participation in health care assessment and decision making. Easy patient access to the primary caregiver and patient decision making are the key principles of the program. In addition to the high intensity individual treatment program, patients have the option of participating in therapy groups specifically developed for patients with bipolar disorders. The groups emphasize training in illness management and facilitation of the achievement of life goals. They are manual driven and have cognitive-behavioral and interpersonal theoretical underpinnings.

Benefits

Data were collected on the first 76 patients who completed six months of the program. Compared to baseline, patients at six months showed highly significant increases in satisfaction with care and intensity of medication treatment and a trend toward decreased exposure to neuroleptics. There were significant decreases in the use of emergency medicine and psychiatry services, and in the frequency of psychiatric hospitalization compared to the prior year. As expected, the number of ambulatory mental health clinic appointments increased. Nevertheless, annualized expenditures for the cohort fell to approximately 53% of the prior year due to the decreased use of more costly services.

Contact Person: Mark S. Bauer, MD

Service: Psychiatry Service

Facility: Providence, RI VAMC

Number: (401) 457-3057 or FTS (700) 838-3057

A Primary Psychiatric Care Team

We created a Primary Psychiatric Care Team (PPCT) in August 1995 to provide primary care for psychiatric patients. The PPCT consists of an M.D. (boarded in both Psychiatry and Internal Medicine) a nurse practitioner, an RN, an L.P.N., and a social worker. All patients receiving outpatient psychiatric care in the Mental Hygiene Clinic (MHC) are eligible. The PPCT works with MHC psychiatrists to select patients not already enrolled in another primary care team. The MHC psychiatrist remains the attending of record and is encouraged to become as involved in the patient's primary care as he or she wishes.

A new patient undergoes a comprehensive, multi-disciplinary work-up including computerized psychometrics, nursing evaluation, history and physical, and social work evaluation. At its next weekly meeting, the team completes a total biopsychosocial formulation. The patient is then followed by each member of the team for specific treatment. Nursing provides education, health screening, and immunizations. The nurse practitioner or physician provides medical follow-up and walk-in medical care, and the social worker addresses social needs. The team physician, working with the MHC psychiatrist, provides psychiatric care and coordinates the team's efforts.

Benefits

This program combines the advantages of primary care and specialized psychiatric care for a patient population with unique needs. The number of patients cared for by the program has grown to about 150 patients during its first three months of operation. A computerized tracking system for medical outcome variables is currently being developed.

We understand that the union of psychiatry and primary care will create unique clinical challenges, but believe that the two are compatible and represent a future direction of health care. Extrapolation of the model to other facilities should not require the presence of staff boarded in Internal Medicine and Psychiatry. For example, other programs have reported the successful use of nurse practitioners with psychiatric experience who were supervised by an internist familiar with psychiatric issues.

Contact Person: Bradford Felker, MD

Service: Psychiatry Service

Facility: Salem, VA VAMC

Number: (703) 982-2463 Ext. 2515 or FTS (700) 937-2515

The Use of Community Networks in the Management of High Risk Psychiatric Outpatients

T he Chillicothe VAMC wished to increase the degree of intensive management for "High Risk" patients enrolled in the Mental Hygiene Clinic (MHC). This group includes patients who have histories of being dangerous to self or others, those who decompensate due to non-compliance with treatment, those who lack adequate external support systems, and those with poor anger control and certain personality disorders. We established protocols for case management when these patients require rapid interventions. A network was established for each patient through communications with family members, relevant others, and community agencies to allow for appropriate intervention. If a "High Risk" patient misses a scheduled appointment, does not request medication refills on time, or does not keep other commitments essential to maintaining psychiatric stability, the Chief of Nursing Service contacts the appropriate network resource to mobilize support for the patient to perform the needed activity. Stat appointments are also employed. Regular case management reviews of these patients are conducted by the interdisciplinary MHC team, and the importance of following up all incidents of concern and completing interventions is regularly reinforced.

Benefits

The number of untoward incidents involving high risk psychiatric patients has been sharply reduced, and patients who are known to rapidly and regularly decompensate have remained much more stable. The degree of administrative concern over the actions of high risk psychiatric patient in the community has also notably decreased.

Contact Person: Carol Wermuth, MSN, MBA, RN

Service: Nursing Service

Facility: Chillicothe, OH, VAMC

Number: (614) 773-1141 Ext 7365 or FTS ( 700) 975-7365

A Centralized Psychiatric Assessment, Crisis, and Consultation Team

T he Minneapolis VAMC had highly inefficient and uncoordinated procedures for admitting patients into its inpatient and outpatient chemical dependency and psychiatry programs. Staff as well as patients were confused about which program was most appropriate and would send consults to four or five programs hoping that one would be appropriate. As a result, there was much duplication of consults and unnecessary assessments and reassessments for program placement.

In 1993, the multidisciplinary Assessment, Crisis, and Consultation (ACC) team was established and given responsibility for all initial evaluations for psychiatry and chemical dependency services. The ACC team, consisting of clinical nurse specialists, psychiatrists, a social worker, and a psychologist, determines whether the patient's initial need is for hospitalization, crisis management, or short term outpatient therapy and to which treatment team the patient will be assigned. In addition, the ACC Team monitors all admissions, inter-hospital and intra-hospital transfers, and prearranged admissions.

To further reduce the number of assessments by program staff, a comprehensive database was developed for use by all psychiatry and chemical dependency services. Initial evaluations includes the history of psychiatric illness, chemical dependency, and medical status. This comprehensive evaluation allows for better determination of a patient's treatment needs early in the treatment process. Phase II of this system will include rating scales which can be optiscanned. They will be used to generate a narrative database, which can be used in any program as an initial database and treatment plan.

Benefits

The use of the ACC Team has improved treatment planning and service utilization. Consequently, we have been able to eliminate waiting lists for inpatients beds and have reduced our length of stay to community standards. We have also eliminated duplication of assessments and facilitated transfers and patient care planning by using the same database across psychiatric and chemical dependency services.

Contact Person: Mary Olson RN, MSN, CS

Service: Psychiatry Service

Facility: Minneapolis, MN VAMC

Number: (612) 725-2000 Ext. 2979 or FTS (700) 780-2979

Immediate Psychology Consultation to Primary Care Clinics

Prior to this initiative, psychological consultation to primary care involved the physician writing a consultation request and forwarding it through interdepartmental mail; the psychologist would contact the patient to schedule an appointment and, after seeing the patient, complete a consultation report which would be placed in the patient's medical record. This process typically resulted in patients making an additional trip to the hospital, requiring a delay of at least two to three days before they were seen by the psychologist, and then delaying feedback to the referring physician for an additional day or more.

To create a more efficient system, psychology staff were assigned to cover the various half-day primary care clinics which comprise the Faculty Medical Clinic and the General Medical Clinic. Psychologists often remain in the clinic area throughout the half-day schedule; if there are times that they cannot be physically present in the clinic, they can always be reached by pager. A dedicated pager number is used for this purpose to eliminate any confusion over how to reach the psychologist. Psychology staff are thus available to provide immediate consultation to medical staff and to conduct brief evaluations or provide interventions with patients at the time of their clinic visits. The emphasis is on providing immediate service rather than requiring a consult to be sent and a follow-up appointment scheduled. Typical issues assessed include the psychological impact of the illness or injury, psychological factors involved in compliance, screening for possible psychiatric or substance abuse problems, and possible psychosocial factors involved in treatment-seeking. These assessments may lead to specific treatment recommendations, or, in some cases, recommendations for more extensive evaluations. Psychological treatment offered at the time of the original clinic visit include crisis intervention and supportive counseling of the patient or their family.

Benefits

The major benefit has been improved efficiency of service, resulting in greater convenience to patients and more timely feedback to staff. A process that used to require several days is now typically completed in an hour or less. In addition, the presence of psychologists in the clinic has led to an increase utilization of psychological services, resulting in improved patient care.

Contact Person: Robert C. Green, Ph.D.

Service: Psychology Service

Facility: Clement J. Zablocki VAMC, Milwaukee, WI

Number: (414) 384-2000 Ext. 1650 or FTS (700) 383-1650

A Pharmacist Managed H. pylori Clinic

Long-term prophylactic agents for ulcers such as H2 antagonist agents, omeprazole, and carafate are widely used in the VA to treat ulcer disease, accounting for more than $85 million dollars in expenditures in the VA for 1994. The approaches used in the last five to ten years at our hospital to control the cost of these agents met with varying success. Most of these strategies centered around placing patients on the least expensive agent and restricting the duration of therapy. However, many patients lacked an assigned primary care provider and were seen by multiple general medicine physicians as well as specialists. These physicians were often reluctant to take a patient off of a prophylactic agent, because of their uncertainty about why the patient was given the medication and their inability to assure adequate follow-up.

During this same period, data from numerous studies clearly pointed to the relationship between H. pylori and the development and recurrence of ulcer disease. This research demonstrated that eradication of H. pylori decreases recurrence rates of ulcers. In response to these findings, the NIH Consensus statement in 1994 concluded that patients with ulcers should be evaluated and, when appropriate, treated for H. pylori.

The need to try a new approach to cost containment and the consensus regarding the role of H. pylori on ulcer formation led our facility to establish a H. pylori clinic. Patients receiving agents for ulcer prophylaxis are scheduled into the clinic, which is managed by a pharmacist and overseen by the Chief of Gastroenterology. Patients are seen in this clinic in addition to their primary care clinic and are referred back to their primary care provider at the conclusion of their testing or therapy.

Patients found to be H. pylori positive are maintained on acid suppressive agents and treated with one of several antibiotic regimens, depending on their allergies, potential drug interactions, and previous antibiotic experience. The drug regimens include combinations of the following agents: omeprazole, clarithromycin, amoxicillin, tetracycline, metronidazole, and occasionally bismuth. Patients who are found to be positive and treated are seen again at the end of their H. pylori treatment course. Patients who have no documented history of ulcers are not tested for the presence of H. pylori and are taken off their chronic medications and followed over time.

Benefits

The most expensive antibiotic regimens cost under $50.00, a small amount compared to the annual savings achieved by not treating patients with long-term prophylactic agents. Annual cost savings for a patient currently receiving ranitidine are approximately $180-$200 per patient year. At our hospital we identified approximately 500 patients who were receiving these agents solely to prevent recurrence of their ulcers. Cost savings, if all these patients are successfully treated, would amount to approximately $100,000 annually.

Contact Person: Anthony P. Morreale, Pharm.D., MBA, BCPS

Service: Pharmacy Service

Facility: San Diego, CA VAMC

Number: (619) 552-8585 or FTS (700) 897-3206

Express Line Processing of Outpatient Prescriptions

Prior to initiating an express line, we processed prescriptions on a first-come, first-serve basis. Veterans turned their prescriptions in at our outpatient pharmacy turn-in window; we filled the prescriptions and placed the veterans' names on a monitor when their medications were ready; the veterans then came to our outpatient pick-up window and received their medications. Most veterans waited an average of 45 minutes to obtain their medications, no matter how many prescriptions they turned in for filling. Many of our patients, especially those with one to two prescriptions, found it difficult to understand why it took an average of 45 minutes for us to fill their medications.

After reviewing several possibilities, we decided to add an outpatient express line similar to those found in grocery stores for customers purchasing a small number of items. We changed a small patient counseling room close to our existing outpatient pick-up windows into our express line. We initially urged veterans with one or two prescriptions to use the express line, guaranteeing them that their prescriptions would be filled within ten to 15 minutes. We asked the veterans to wait in the express line while we filled their prescriptions, eliminating the need to see them twice. These changes resulted in an average waiting time of less than 15 minutes with no increase in staffing.

We recently made several modifications to our express line. We now give veterans presenting prescriptions at our outpatient pharmacy three options:

We no longer place any restrictions on the number of prescriptions processed in our express lines. Also, pharmacists now counsel patients as they input prescriptions. Our pharmacy technicians fill these orders, and pharmacists check them before the patient receives the medication. We split orders for more than five prescriptions between several technicians so they do not take any longer than small ones.

Benefits

Contact Person: James C. Gatewood, Jr., R.Ph.

Service: Pharmacy Service

Facility: Atlanta, GA VAMC

Number: (404) 728-7642 or FTS (700) 248-7642

Reengineering Outpatient Pharmacy Services

Prior to 1994, the outpatient pharmacy at the Seattle VAMC followed the traditional model, designing its work flow around the filling of prescriptions. Patients were dissatisfied with the long waiting times for prescriptions, poor accessibility to pharmacists, and the inability of the system to handle their individual needs. Pharmacy staff came to the realization that the focus of our tasks had to become the patient.

We decided that pharmacists were needed in the clinics where veterans were being treated and prescriptions were being written. Placing them in the clinics would enable them to function more fully as members of the health care team and participate in medication-related decision making. It would also make pharmacy services more accessible to both patients and providers, facilitating problem solving and eliminating many of the barriers to quality care which existed with the current system.

In January 1994, one pharmacist was placed full-time in the General Internal Medicine Clinic. Prescription entry, patient counseling, medication profile reviews, answering pharmacy-related telephone calls, and providing drug information to medical staff and patients were routine functions of the clinic pharmacist. As time went on, her role expanded: She reviewed medication profiles prior to clinic appointments to screen for drug-related problems, made follow-up calls to patients when needed, routed problem or non-refillable prescriptions to the appropriate providers, and took care of all drop-in patients with medication inquiries. Because of the enthusiastic response to these new functions from patients and providers, a second pharmacist was moved into the clinic in June 1994.

After the success of the internal medicine program, we looked for another clinic which would benefit from direct pharmacist intervention. Our Patient Evaluation Center (PEC), or "Walk-in Clinic" seemed the best candidate, and a pharmacist was moved there in the spring of 1995. In addition to counseling all patients seen in the PEC and inputting their prescriptions, she has been assigned responsibility for the refill clinic and given prescriptive authority for refills on all medications except for controlled substances. The PEC pharmacist is also the primary pharmacy representative involved in our medical center's Telephone Care Program and answers all pharmacy-related telephone calls coming in on that line.

Benefits

As pharmacists became visible in the clinic, patients came to identify and trust "their pharmacist" and were assured that their individual medication needs were important and would be addressed. Rather than feeling that they and their questions were an interruption in the system, veterans began to sense that they had become the center of the process. This was reflected in the feedback given to us in a satisfaction survey, distributed over a two week period to patients with scheduled appointments. The satisfaction of patients who saw the pharmacist in clinic was compared to the satisfaction of those who talked only to a pharmacist in the outpatient pharmacy. Patients who spoke to a clinic pharmacist rated pharmacy services higher in all ten areas specified on the questionnaire, including attentiveness by the pharmacist; being provided instructions regarding how to take medications, the purpose and possible side effects of medications, and whom to call with questions; waiting time for prescriptions; and overall service. All differences were statistically significant with the typical difference about .5 on a five point scale.

Feedback from other clinical staff has been continuous and overwhelmingly positive. Pharmacy services in the clinics eliminated a large portion of their telephone calls, and pharmacists were readily available to answer their questions and counsel patients.

Pharmacy Service was also able to decrease re-work by being present in the clinic. Much of the pharmacy's time is devoted to problems which could have been prevented if things were done correctly the first time. For example, we were aware that many of the clinic prescriptions we filled were never being picked up by veterans. Patients who spoke directly to a pharmacist in the clinic were less likely to leave their medication behind.

Because the clinic pharmacists were able to take most of the their distributive functions with them, pharmacy was able to accomplish these improvements with no net increase in staffing. Plans are in place to further decentralize staff to the remaining clinics in the medical center in the near future.

Contact Person: Pamela Seymour, R.Ph.; Shelley Saiki, Pharm.D.; and

Kristin Petke, R.Ph.

Service: Pharmacy Service

Facility: VA Puget Sound Health Care System, Seattle, WA

Number: (206) 764-2230 or FTS 700-396-2230

Reducing the Need for Hospitalization Through Effective Management of Anticoagulation Therapy

Prior to 1993, many concerned staff believed that most patients receiving anticoagulation (warfarin) therapy on an outpatient basis were not receiving adequate monitoring to ensure therapeutic dosing. Cardiology had a nurse-run PT clinic, but no other clinics had any organized follow-up for patients receiving anticoagulation therapy. Several key clinical staff met in 1993 and developed a flow sheet to help follow the warfarin history of each patient. PT clinics were started in the General Medicine Clinic and the Primary Care Clinic. The monitoring process improved but still had flaws, and many patients continued to be lost to appropriate follow-up for their anticoagulation therapy.

The involved staff met again and agreed that all patients receiving anticoagulation therapy on an outpatient basis could be best served by being followed in a single clinic managed by a clinical pharmacist. An Anticoagulation Clinic Protocol was developed by the involved parties. The Pharmacy & Therapeutics Committee endorsed the proposal and recommended that a pharmacist managed Anticoagulation Clinic be established, with oversight from the ACOS/Ambulatory Care and with appropriate consultation from physicians in the outpatient clinics. The Anticoagulation Clinic began receiving its first patients on October 1, 1993. Pharmacy Service has developed a mechanism to ensure that every patient receiving anticoagulation therapy in the medical center is entered into the clinic.

Benefits

The major benefit from this program is a reduction of the number of admissions related to bleeding among patients receiving anticoagulation therapy. In the baseline fiscal year of 1992, 8.65% of patients receiving anticoagulation therapy had admissions related to bleeding. At the end of FY 1994, the admission rate had fallen to 3.22% of patients receiving anticoagulation therapy. During FY 1994, pharmacists were able to handle 99.7% of 2,578 Anticoagulation Clinic visits without referral to a physician. This allowed the physician time that would have been devoted to these visits to be utilized elsewhere.

Contact Person: John D. Burke, R.Ph.

Service: Pharmacy Service

Facility: Louisville, KY VAMC

Number: (502) 894-6178 or FTS (700) 548-5890

Providing Medication Refills for Patients Whose Appointments are Rescheduled

When appointments are canceled because of a primary care physician's upcoming leave, the next available appointment is sometimes not consistent with the amount of medication remaining to the patient. A multidisciplinary team was established to address this problem and developed the following procedures. The physician's leave schedule is given to MAS and patients are rescheduled. However, letters notifying the patients of the appointment change are not sent at this time. Instead, a list of the appointment changes made that day is given to Pharmacy Service, which determines whether each patient has an adequate supply of medication to last until their new appointment date. For patients who will run out, an action profile is provided to the primary care physician, who either extends the prescription or requests an earlier appointment for the patient. If the prescription is extended, the amount of medication is calculated to go one week beyond the new appointment date. MAS then sends a letter to the patient stating the new appointment time and telling him or her that they can receive a refill when they need it.

When the action profiles are returned to the pharmacy, the prescriptions are suspended to one day after the new appointment date. If the patient does not show up for the appointment, the primary care physician is asked if the medication should still be provided. Depending on the answer, the pharmacists either mails the medication to the patient or cancels the prescription.

Benefits

The primary benefit is that patients see their primary care physician, rather than coming to the clinic for an unscheduled visit to obtain a medication refill. Patients also appreciate knowing that they do not have to be concerned about their medications when their appointment is changed. There has also been a reduction in the number of patients coming to the open pharmacy, which has compensated for the increased responsibilities Pharmacy Service has undertaken in this program.

Contact Person: Vivian S. Kalberer, R.Ph.

Service: Pharmacy Service

Facility: Butler, PA VAMC

Number: (412) 477-5032 or FTS (700) 721-5032

An Automated Pharmacy Information System

To improve efficiency and reduce processing time in the pharmacy, our hospital implemented an Automated Pharmacy Information System in May 1995. This system, which is produced by MUMPS AudioFax, enables patients to order prescription refills and check their prescription status, future appointments in all clinics, and pharmacy co-pay status over the telephone.

Benefits

There has been a very positive response from patients regarding the Automated Information System even though it has only been in operation a short time. More and more patients are using this system because it saves them both time and money. Processing time has been reduced in the pharmacy since fewer prescription renewal requests are being received through the mail. The Automated Information System has improved pharmacy efficiency, while making pharmacy services more readily accessible to patients.

Contact Person: Michael S. Rybicki

Service: Medical Administration Service

Facility: Wilmington, DE VAMC & Regional Office Center

Number: (302) 633-5290 or FTS (700) 487-5290

Electronic Authorization of Medication Refills

Medications ordered through the Mental Hygiene Outpatient Clinic at Coatesville VAMC are authorized for refill by a physician or an appropriately credentialed RN. The previous process required the clinician to sign and date the medication profile sheet, which the patient would then take to the pharmacy for processing. The waiting time would often be 45 minutes to one hour.

A system of authorization by electronic signature has dramatically decreased the waiting time for the processing of refills. While the patient is still in the office, the clinician "signs" the profile by selecting each medication to be refilled on the computer. The medication label is immediately printed in the pharmacy, informing the pharmacists of the authorized refill. The refill process thus begins while the patient is still in the clinician's office. The system is programmed to not allow a refill authorization if insufficient time has elapsed since the last refill or if there are no available refills on the prescription. Previously, this had to be determined by visually scanning the profile sheet.

Benefits

Patients now report the waiting time to be only minutes, and frequently the prescription is waiting for them when they arrive at the pharmacy. Patients who had previously left the hospital and returned later in the day or the following day to pick up their prescriptions no longer need to do this. There has also been a change noted in the urgency previously experienced by some patients to quickly complete their appointment so they could turn in their refill slips.

Contact Person: Carolyn Zelek, RN

Service: Ambulatory Care Service

Facility: Coatesville, PA VAMC

Number: (610) 384-7711 or FTS (700) 695-5216

Medication Labels for Visually Impaired Patients

An outpatient pharmacist discovered the need for special medication labels for visually impaired patient through her participation on the Visually Impaired Services Team (VIST) at this medical center. Many visually impaired patients are unable to comply with medication regimens because they cannot read their medication labels and have no one to assist them. We developed two special features that are available to our visually impaired veterans. "Dots" can be placed on the bottles for visual and tactile purposes; these are colorful, raised circles, bars, or squares that stick to bottles to denote the number of doses per day. Large print labels can be also be made using word processing software such as Word and WordPerfect. Currently, we have about 20 patients using our large print labels. All glaucoma eye drops also have large print labels placed over the regular label to assist patients receiving these medications. We are using pre-printed labels for metipranolol, pilocarpine, betaxolol, and apraclonidine.

Visually impaired patients are identified in DHCP so that these services are consistently provided to them. The Eye Clinic also notifies us if there are new patients who should have special labels.

Benefits

Visually impaired patients are better able to comply with medication regimens without assistance, thus improving compliance.

Contact Person: Susan McCoy, R.Ph.

Service: Pharmacy Service

Facility: McGuire VAMC, Richmond, VA

Number: (804) 230-1319 or FTS (700) 698-2315

Telephone Pharmacist and Telephone Question Log Book

Pharmacy Service receives an average of 150 telephone calls per day, many of which involve questions from patients and staff. In the past, no one was designated to answer phone calls, and the telephone would often ring many times before anyone answered it. Questions were answered by a variety of staff, and the answers were often quite variable. If one of the pharmacy technicians answered the phone, frequently they would need to find a pharmacist to answer the questions.

A telephone pharmacist position was established to address these concerns and to prevent interruptions for the rest of the outpatient pharmacy staff. The pharmacist answers all telephone calls to the outpatient pharmacy and inputs mail-out prescriptions between calls.

To help the telephone pharmacist respond accurately and quickly to inquiries, a telephone question log book was compiled. The most frequently asked questions were identified, and several staff collaborated to perform the necessary research and write accurate and appropriate answers.

Benefits

Our ability to quickly provide consistent and accurate answers to commonly asked questions is greatly appreciated by veterans and clinical staff. The number of documented medication errors has also been reduced by 52% since implementation of the telephone pharmacist position. The entire reduction cannot be attributed to the establishment of this position, since a pharmacy renovation project completed during the same period improved work flow and doubled the lighting in the area. But we believe the establishment of the telephone pharmacist position also contributed to the reduction in medication errors.

Contact Person: Richard Rooney, Pharm.D.

Service: Pharmacy Service

Facility: Lakeside VAMC, Chicago, IL

Number: (312) 640-2240 or FTS (700) 384-8000

Use of Mail Drop Boxes for Renewal and Refill Prescriptions

To reduce patient waiting time for processing renewal and refill prescriptions that the patient will not need for at least five days, we have placed a priority prescription mail drop box outside the outpatient pharmacy. This service allows patients who will be continuing current medication therapy, but are not in immediate need of medications, to drop off prescriptions without waiting. All eligible priority mail prescriptions are processed and mailed within 24 hours of receipt, excluding weekends and holidays.

Pharmacy Service is now considering extending this program by placing excessed US Postal Service mail boxes outside the hospital on VA grounds. Veterans could either walk or drive up to the mailboxes and drop off their prescriptions.

Benefits

This program has been quite successful in reducing the amount of time veterans need to wait in the medical center. It has also indirectly benefited a large number of other veterans by reducing the number of patients using window services. Finally, it has improved the efficiency of Pharmacy Service, since it requires fewer resources to process a mail prescription than a window prescription.

Contact Person: Stephen D. Huckleberry, Pharm. D

Service: Pharmacy Service

Facility: Wilmington, DE VAMC & ROC

Number: (302) 633-5576 or FTS (700) 487-5576

Homeless Veterans Assistance Centers

Prior to 1994, homeless veterans in Milwaukee were served in the VAMC Domiciliary or by local community providers, with the latter offering rather limited shelter services. Veterans for whom domiciliary care was not available experienced fragmented services and limited support in breaking the cycle of homelessness.

In August 1994, the Milwaukee VAMC entered into a joint venture with the Wisconsin Department of Veterans Affairs, the Milwaukee Social Development Commission, and the Center for Veterans Issues to establish Vets Place Central, a 65-bed veterans assistance center offering safe housing, psychosocial treatment, vocational rehabilitation, and other services. Vets Place Central's mission is to assist veterans with the transition to stable, productive community living. FTE and related funding were received from VA Headquarters.

A second veterans assistance center was opened in July 1995 on the grounds of the Wisconsin Veterans Home located in King, Wisconsin. This center focuses on the needs of the rural homeless veteran population, and provides transitional housing for up to 30 homeless veterans along with alcohol and drug counseling, vocational rehabilitation, and other services. The center is operated by VAMC staff, working collaboratively with the Wisconsin Department of Veterans Affairs and community- based veterans organizations.

Benefits

As a result of this partnership, comprehensive services are available to homeless veterans in these two cities. Approximately 360 veterans were housed at Vets Place Central between its inception in July 1994 and the end of FY 1995. Another 45 veterans received services at the second center during the less than three months of FY 1995 that it was open. In addition, the VA has expanded its relationship with state agencies, veterans service organizations, and other community-based organizations. We believe that these veterans assistance centers offer a new model for the care of homeless veterans.

Contact Person: Barbara J. Gilbert, MSW

Service: Social Work Service

Facility: Milwaukee, WI VAMC

Number: (414) 384-2000 Ext 1826 or FTS (700) 383-1826

The Homeless Veteran Connection Program

Studies have repeatedly shown that approximately one-third of the shelter popula- tion consists of veterans, and that a large proportion of these veterans has never utilized any VA services. The Chillicothe VAMC, the Columbus Outpatient Clinic, and the Columbus Vet Center jointly developed a pilot Homeless Veteran Connection Program to expand VA services to veterans living in Columbus shelters. The primary goal of the pilot program was to have a VA representative visit the veterans at open shelters in Columbus once a week. To accomplish this, each VA facility provided social work services to one of the three open homeless shelters in Columbus.

When social workers visited the shelters, they identified veterans, engaged them in a screening process, quickly assessed their needs, and then connected them to appropriate VA and community resources for health care, housing, financial benefits, vocational services, social and recreational activities, and transportation. The social workers helped the veterans complete the following VA forms: 10-10M, 10-10F, and 10-10. A folder was developed for each veteran and placed on file at the Chillicothe VAMC. Follow-up of referrals was provided to those veterans who continue to reside in the shelter.

Benefits

During the first half of CY 1995, 60 veterans were seen in the one shelter serviced by the Chillicothe VAMC, 154 referrals to VA and community organizations were made, and 48 transportation arrangements were made. Eighty-eight percent of the veterans seen had not previously received services from a VA organization.

Despite the success of the pilot program, the available man-hours were found to be insufficient to meet the needs of homeless veterans in the Columbus area. Consequently, our medical center in September 1995 signed a contract with the American Red Cross to support the equivalent of one full-time social worker to provide services to homeless veterans. This has resulted in expansion of the Veteran Connection Program to include other facilities where homeless veterans congregate, such as those in the rural communities in South Central Ohio, as well as the original three open shelters in Columbus.

Contact Person: Matthew Williams, ACSW

Service: Social Work Service

Facility: Chillicothe, OH VAMC

Number: (614) 772-7005 or FTS (700) 975-7005

The Resources, Entitlement and Advocacy Program (REAP)

T he Bronx VA Medical Center serves a large, economically disadvantaged population, many of whom may be entitled to a wide array of federal, state, and municipal benefits. In addition, patients often request referrals to unusual benefit programs, assistance with the filing of applications, and follow-up to ensure the continuation of community services. The volume and complexity of this workload required more than the one social worker assigned to Ambulatory Care.

The Resources, Entitlement & Advocacy Program (REAP) was developed in 1991 to maximize the services that could be provided to veterans seeking assistance. VA volunteers, consisting primarily of retirees and veterans in the second phase of a Substance Abuse Recovery Program, are comprehensively trained by a NYC agency, ACES (Advocacy, Counseling & Entitlements). Representatives from various agencies such as Medicaid, Social Security, Public Assistance, and Food Stamps supplement this training with specific information about their respective programs, including eligibility, documentation requirements, and filing procedures. All of the volunteers must pass an examination before they become a REAP volunteer and are supervised by a VA social worker, who is available to provide additional guidance and information.

Housed in our Ambulatory Care Section, REAP volunteers see veterans and their family members during all clinic hours. The office is well stocked with innumerable forms, applications, and referral materials that are invaluable to veterans seeking assistance.

Benefits

REAP has become a permanent fixture at the Bronx VAMC; during FY 1994 there were 495 patient contacts. Social workers throughout the medical center refer patients to REAP for practical assistance with a myriad of problems. The program has allowed the assigned ambulatory care social worker to concentrate on the more complex clinical cases and to dedicate more time to our budding Primary Care Practice.

Contact Person: Donna Festa and Ann Feder

Service: Social Work Service

Facility: Bronx, NY VAMC

Number: (718) 579-1637 or FTS (700) 884-5665

A Patient/Family Needs Checklist for Referrals to Community Services

Specialty clinics at the Augusta VAMC are restructuring to improve access and timeliness of patient services, as part of the facility's movement toward primary care and the greater use of community based services. In response to the task of downsizing clinic workload, Social Work Service developed a Patient/Family Needs Checklist Form to ensure that there are no gaps in patient services during the transition period.

Upon arrival for a scheduled specialty clinic appointment, each patient or a family member is given a checklist to complete while waiting to be seen by the health care provider. When the forms are completed, they are reviewed by social workers for identification of needs or problems. Patients and families who request social work assistance or check a need or problem are seen immediately during the clinic appointment time. Referrals to community based resources and VA programs are completed at that time. We also make every effort to see each patient being discharged from a specialty clinic with an identified concern or need for follow-up care, on the day of the clinic visit. If a patient cannot be seen that day, follow-up contact is made within 48 hours to address patient and family concerns.

Benefits

The utilization of this checklist form has enabled social workers to serve patients and their families in a more timely, efficient, and effective manner. As a result, more patients who needed services were seen, and care has been continued through appropriate resource referrals.

Contact Person: Lena C. Richardson

Service: Social Work Service

Facility: Augusta, GA VAMC

Number: (706) 823-3908 or FTS (700) 251-2532

Clinic Follow-Up for Community Nursing Home Patients

I n the past, patients placed in a community nursing home (CNH) under VA contract were not consistently returned to this medical center for scheduled clinic visits. In addition, ambulatory CNH patients who were confused and those who required total care were frequently not identified when they arrived for check in. Consequently, escorts seldom accompanied these "at risk" patients during their clinic visits.

Following discussions with Emergency Room, Ambulatory Care, and Medical Administration staff, the following plan was developed to address these issues:

Benefits

Follow-up surveys with Emergency Room, Ambulatory Care and Medical Administration staff have revealed that the new system has been effective with very few breakdowns. It has assured that our patients receive the care they need and that our external customers, the community nursing homes, receive timely information so that they can better care for our veterans.

Contact Person: John Camarda

Service: Social Work Service

Facility: William Jennings Bryan Dorn VAMC, Columbia, SC

Number: (803) 695-6744 or FTS (700) 677-6744

The Southeast Pennsylvania Comprehensive Healthcare Network for Women Veterans

T he Southeast Pennsylvania Network for Women Veterans includes four VAMCs: Philadelphia, Coatesville, Lebanon, and Wilmington. To better serve women veterans, the four medical centers wrote a grant requesting funding for the Network to be one of the first four Comprehensive VA Women's Centers. The proposal was accepted, and in October 1993 the Network was established to provide comprehensive gynecological and gender-specific care to a tri-state population. The services include gynecology, screening for breast disease, mammography, specialized women's mental health programs, and a complete range of medical and surgical services.

Each site has its own gynecological nurse practitioner or physician assistant who provides primary care and basic gynecological screening and treatment to women veterans on-site, while the gynecology physician staff (two 5/8 positions) is based at the Philadelphia VAMC. Complex gynecological cases are referred to the Philadelphia Gynecology Clinic, where the gynecologists are available to treat Network women veterans five days a week; they also perform all gynecological surgeries for Network patients. The Philadelphia VAMC also houses an accredited Mammography Center and breast surgery services. One of the gynecologists travels to each Network site monthly to see patients, as well as to serve as a professional mentor to the on-site gynecology practitioner. The other serves as the attending gynecologist in Philadelphia.

All referrals are channeled through the Network Coordinator in Philadelphia, who is responsible for appointment scheduling, patient and records transfer, and coordination of inter-VAMC travel. Consult information is sent from the clerk in the referring facility's Women's Health Clinic by FAX and Patient Data Exchange (PDX) to the Network Coordinator at the Philadelphia VAMC. She makes a call directly to the appropriate specialty area (gynecology, surgery, or mammography) to make the appointment. The referring nurse practitioner is called back with all the necessary information and the time and date of the appointment. Travel is provided to patients by a daily inter-VA shuttle.

The success of this model has depended on the cooperation of staff from the involved VAMCs. The Network hosts bi-monthly staff meetings to discuss future directions and to address current problems and issues. The staff have worked extremely well together during the evolution of the Network and the first two years of implementation.

Benefits

The women veteran population receives comprehensive gynecological/gender-specific care within the VA System. The women who have used the system are quite pleased, as is indicated by the 47% increase in workload from FY 1994 to FY 1995.

The Network is also a cost-effective model for delivering care to women. Instead of having a gynecologist on staff at each VA as well as gender-specific support systems, such as mammography and cytology, there are two 5/8 physicians based in Philadelphia who are able to successfully treat the Network population. The Philadelphia VA Mammography Center and breast surgery services are also available to all Network sites. Using the expedited referral procedures described above, the turnaround time for making referral appointments within the Network is one working day. Thus, the Network allows the involved medical centers to efficiently care for their women veteran patients within the "system," instead of using costly, non-VA fee-basis providers.

Staff receive the benefit of not being an isolated clinical specialty at each medical center. Because of their involvement in the Network, they receive support and supervision from the Network gynecologist who is on-site monthly. They are also able to form collegial relationships with the other Network gynecological providers.

Contact Person: Jennifer A. Harkins

Service: Women's Health Center

Facility: Philadelphia, PA VAMC

Number: (215) 823-4GYN or FTS (700) 481-5400

Note: Michael S. Rybicki of Wilmington VAMC and Suzanne White Villarini, CNRP of Coatesville VAMC contributed to this write-up.

The Wellness Program and Wellness Flow Sheet

Surveys of client preferences as well as current research findings led to establish- ment of the Wellness Program, a multidisciplinary approach to health promotion and disease prevention designed to promote the physical, mental, and spiritual wellness of women veterans. The multiple strategies to enhance the health status of women veterans include a Stop Smoking Program for Women Only, support groups for weight loss and body image, individual screening, education, and research related to health promoting behaviors. The stop smoking classes uses the QuitSmart program developed by Dr. Robert Shipley and are tailored specifically to the needs of women. Overall program implementation involved outfitting a patient education/resource room, educating staff on health promotion strategies, enlisting staff in initiating support groups and classes, and encouraging research in health promoting behaviors.

The Wellness Flow Sheet is a user friendly, single page tool that provides a quick, accurate reference specifying the health promotion, disease screening, and prevention needs of woman veterans. The flow sheets are in all Women's Health Clinic charts and are used to track targeted interventions for individual patients.

Benefits

Contact Person: Andrea Wilkes, MSN, RN, FNP

Service: Nursing Service

Facility: Durham, NC VAMC

Number: (919) 286-0411 Ext. 5073 or FTS (700) 671-0411 Ext 5073

Integrating Women's Health into a Medical Center's Primary Care Program

T he Sepulveda Women's Health Center's (WHC) weekly women's health clinic rotates among the medical center's three primary care teams. Each patient is assigned a primary care provider from the team responsible for her care. A female physician from the team always staffs the clinic for triage and back-up. Staff from Radiology, Gynecology, Surgery, Internal Medicine, Psychology, Psychiatry, Social Work, Dietetics, and Education work together so that a woman can have all of her health care needs met in one visit. To increase privacy, a team will hold few other clinics when the Women's Clinic meets and personal counseling sessions are held in the separate offices of the WHC, away from all regular clinic areas.

A full-time nurse practitioner reviews every patient's chart after each clinic reviews all gender-specific test results, and makes all presentations to the tumor board, ensuring that test results are reported and followed up. A female clinical pharmacist provides counseling and education for birth control, hormone replacement, and all of the medications prescribed for female patients, thereby providing a high level of patient education while also assuring quality of care.

Victims of sexual trauma are known to make greater use of medical and mental health services, and the WHC screens every patient for a history of sexual trauma. Outreach is also made to female veterans using other medical center services. One-on-one counseling is offered to all patients with a history of sexual trauma. The counselor is backed up by a female psychiatrist.

Benefits

Since the WHC opened two years ago, there has been a ten-fold increase in the number of pap smears and mammograms performed. Half of the patients offered counseling have begun regular visits to the sexual trauma counselor. Providing female veterans a distinctly separate clinic and counseling area affords them some degree of privacy in what would other wise be a very male-dominated medical setting.

Contact Person: Lisa Altman, MD

Service: Primary Ambulatory Care and Education (PACE)

Facility: Sepulveda, CA VAMC

Number: (818) 895-9555 or FTS (700) 966-9555

Preparing Patients for Annual Examination Appointments

T he importance of annual breast and pelvic examinations and mammograms is well documented in the medical literature. To meet this standard, our Women's Preventive Health Care Clinic, after completion of an annual examination, scheduled a return appointment in one year. However, attendance at the next year's appointment was only about 50%, mainly due to the time lapse between the scheduling and appointment dates.

To improve attendance, a reminder letter is now sent out about two weeks prior to the scheduled appointment. A questionnaire to be returned at the time of the clinic appointment accompanies the letter; it requests information, such as the dates and results of the last Pap test and the last mammogram, the date of the last menstrual period, and hormone/contraceptive usage. The use of the questionnaire allows the veteran to consult her personal records to obtain this information. An educational needs assessment is also included on the same questionnaire to help the veteran identify specific issues that she wishes to discuss at the clinic appointment. An inquiry regarding influenza and pneumococcal vaccination is also included, as well as one about interest in a screening flexible sigmoidoscopy.

Benefits

Attendance at scheduled Women's Clinic appointments for annual examinations has improved to 90%. An increase in patient's rescheduling of their appointments has also been noted. The information provided to the physician concerning the woman's recent medical history should be more accurate as a result of her having had an opportunity to consult personal records beforehand. Also, the veteran is able to raise more appropriate questions and concerns during the appointment since she assessed her educational needs prior to the appointment. Finally, increased immunization and use of flexible sigmoidoscopy have resulted.

Contact Person: Patty Evans, RN

Service: Women Veterans Service

Facility: Fargo, ND VAMC & ROC

Number: (701) 232-3241 Ext 3597 or FTS (700) 783-3597

Improving Access to Mammography for Women Veterans

Results of quality improvement monitoring revealed that less than 7% of female patients at our hospital received mammograms in the previous fiscal year. This rate was significantly reduced from previous years when a portable mammography unit was available on station to provide mammograms. However, use of the portable unit had to be discontinued as it did not meet current standards, and attempts to obtain a free-standing mammography unit were unsuccessful.

A process action group, formed to examine this issue, interviewed woman veterans to find out what barriers were preventing them from receiving mammograms. The veterans reported that they were unable or unwilling to travel to another VAMC to receive a mammogram because of the time or inconvenience required. They also reported feeling uncomfortable traveling on the van or waiting in Radiology as they frequently were the only female present.

We contacted the American Red Cross, who helped us locate a local medical center that had an American College of Radiology accredited mammography unit. A fee-basis contract was developed to allow female veterans to be scheduled for mammograms at the community hospital. Mechanisms were established for entering mammography results into DHCP and notifying VA providers of any abnormal findings.

Benefits

The number of mammograms performed increased 400% to over 111 in the past year. Female veterans who received mammograms were surveyed and were uniformly positive in praising the ease of access, the personnel performing the mammograms, and the environment.

Contact Person: Katherine E. Dong, MS

Service: Women Veterans Coordinator

Facility: North Chicago, IL VAMC

Number: (708) 578-3759 or FTS (700) 384-4644

From Victim to Victory: A Group for Women Veterans Who Experienced Sexual Trauma

We surveyed over 400 consecutive women veteran primary care patients using outpatient clinic services at our Women's Health Center. Approximately 30% stated that they had suffered sexual trauma. Many of these women experienced symptoms of depression, insomnia, pain, and anxiety that may have been connected to their sexual trauma. We developed a time limited group using cognitive behavioral and psycho-educational techniques to help these women move from being victims to survivors to victors over their sexual trauma experience.

Benefits

Data from surveys of the two groups who piloted the 14 week program indicated that:

Contact Person: Marian I. Butterfield, MD, MPH

Service: Psychiatry Service

Facility: Durham, NC VAMC

Number: (919) 286-0411 Ext. 7302 or FTS (700) 671-0411 Ext 7302

Reporting Laboratory Results Directly to Practitioners Via DHCP

P rior to computerization, carbon copies of laboratory results were placed in physicians' boxes in Laboratory Service. With the advent of computers, printed results were distributed to mailboxes in the ordering physicians' services. Given the considerable costs in personnel time and paper, computerized distribution seemed preferable. Two staff and one house staff physician developed and pilot- tested a system that returned results directly to the ordering physician. The program was subsequently refined so that providers are prompted with the results of laboratory tests they or their firm ordered whenever they sign on. The normal range and the patient's phone number is also displayed, as is the status of tests that are still being processed. The provider can then take one of several actions; the default is to delete the result from the program. Alternatively, one can forward the result to another provider, look up past results to check for trends, print the results, suspend it for later viewing, or quit. A surrogate can also be designated to receive the results during leave or other absences.

Benefits

The system is very user friendly and widely accepted by physicians. It ensures a measure of accountability because it records when the result has been seen by a provider. Also, considerable resources have been saved in pager and personnel time previously required for the distribution of laboratory results.

The program has been exported to other facilities. They report great utility for staff and house staff who rotate to other medical centers; on their return to VA, they can follow the laboratory tests they ordered without maintaining their own list of results they need to access and review. Also, the display of phone numbers makes it easy to contact patients.

Contact Person: David Lee, MD

Service: Chief of Staff

Facility: Boise, ID VAMC

Number: (208) 338-7201 or FTS (700) 554-7201

Increasing the Accuracy of Orders for X-Ray Examinations

Our previous procedure for ordering x-rays could lead to transcribing errors. First, the physician would write the order on the progress note and complete the radiology order form by writing the name of the exam and the reasons for ordering it. The MAS clerk would then attempt to read these handwritten entries and order the test in DHCP. Inaccuracies in recording the exam and the reasons for ordering it inevitably occurred and were probably unavoidable.

A new radiology form was developed to address this problem. The front side of the form lists all the radiology procedures that are performed at the clinic; the clinician checks those that are needed. On the back side, a clinical history checklist is provided, and the clinician checks off the reasons for ordering the tests for a particular patient.

Benefits

The new form involves an objective transfer of information from the radiology order sheet to DHCP by the MAS clerk. The possibility of an error occurring during this transfer has been significantly reduced. The change has also resulted in improved efficiency among MAS staff, and has decreased their frustration since they no longer have to spend time deciphering provider handwriting.

Contact Person: Mukesh Jain, MD

Facility: Canton, OH VAOPC (Cleveland, OH VAMC)

Number: (216) 489-4617 or FTS (700) 290-3800 Ext 4617

Notifying More Than One Provider of Abnormal X-Ray Reports on DHCP

Since delayed actions may have tragic consequences, the transmission of abnormal radiology reports to health care providers has to be a fail-safe process. However, the logistics can be overwhelming at institutions employing large numbers of residents, fellows, and part-time staff members, particularly in the outpatient area. At VA Connecticut, we utilize several common systems to disseminate radiology reports: telephone access to dictations, VA view alerts, transcription of reports into DHCP, and printing of reports in the Health Summary. However, none of these systems have addressed the need to rapidly notify more than one provider regarding an abnormal report, to avoid delays when the requesting practitioner leaves the VA.

Three years ago, we modified our system as follows:

Benefits

It is difficult to quantify the impact of the revised system, since the frequency and clinical impact of delayed actions are difficult to track. However, we feel that this procedure is a valuable addition to a multi-level effort to ensure transmission of critical clinical data.

Contact Person: Kenneth L. Cohen, MD

Service: Ambulatory Care Service

Facility: VA Connecticut - West Haven Campus

Number: (203) 932-5711 Ext 4483 or FTS (700) 428-4483