Overall Practice Organization
Save 1-2 hours per day by re-engineering workflows and information flows. A few hours creating a well-organized system will save much time in the long run, and will make the work more enjoyable.
Working Smarter, not Harder: Straight-forward strategies to transform your practice and reduce burnout (Fam Prac Mgt 2006)
Practice Redesign 101: A step by step guide to improving efficiency
Joy in Practice: Innovations from 23 practices (Ann Fam Med 2013)
Joy: White paper: Detailed description of 23 innovative sites (pdf)
Relationship-centered practice: Interview (J Gen Intern Med 2012)
Reducing Waste in Primary Care: Most solutions to physician shortage: train more, lose fewer, or find someone else. We propose a 4th approach: waste less. (Health Affairs 2013)
Plan ahead for a meaningful and manageable next visit by reappointing patients at the end of each visit, and arranging pre-visit lab. By having results at the appointment the patient can be more engaged, and the practice eliminates hours of post-appointment results reporting work. The idea is "The next appointment starts today."
Visit planner example: Orchestrate next steps of care in seconds with check-list
Visit planner: Modify visit planner to your own needs) xlsx
Planned care appointments: A data management system to decrease missed test results, support workflow efficiency and enhance patient centered care. (letter to editor re: missed PSA results) pdf
A tool for agenda setting: when the patient and physician agree on the agenda the care is better and the visit more satisfying.
Save an hour per day by renewing chronic illness meds only once per year. Increase medication compliance by decreasing renewal gaps
Annual Comprehensive Care Visit
Dr. Michael Zimmerman at Stanford illustrating daily team huddle