title: Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care.
abstract: The emerging changes in healthcare impose significant burdens on integrated outpatient specialty services with respect to setting patient expectations, handling outside medical records; and coordinating specialty appointments scheduling. Moreover, because of the evolution of the electronic health record and its widespread use, it is critical that patient and physician interaction is maintained and clerical tasks are minimized. In the context of increased government regulation, declining reimbursement, and the rise of new payment models, outpatient practices need to be reimagined so that they are more efficient for the patient and the provider. The redesign of integrated outpatient specialty services can be accomplished only through teamwork, innovation, and efficient use of technology. To address these challenges, the Department of Medicine at Mayo Clinic in Scottsdale, Arizona, implemented an ideal practice design initiative that leveraged a hybrid set of change strategies. The change strategy, which was initiated after examination of current practices and design options, engaged key stakeholders and patients. A number of enablers and barriers to adoption were identified as a result of the implementation experience.
authors.forename: Rafael
authors.initials: R
authors.lastname: Miranda
authors.forename: Sean W
authors.initials: SW
authors.lastname: Glenn
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Leighton
authors.forename: Shabana E
authors.initials: SE
authors.lastname: Pasha
authors.forename: Suryakanth R
authors.initials: SR
authors.lastname: Gurudu
authors.forename: Harry G
authors.initials: HG
authors.lastname: Teaford
authors.forename: Lester E
authors.initials: LE
authors.lastname: Mertz
authors.forename: Howard R
authors.initials: HR
authors.lastname: Lee
authors.forename: Sylvia A
authors.initials: SA
authors.lastname: Mamby
authors.forename: Margaret F
authors.initials: MF
authors.lastname: Johnson
authors.forename: T S
authors.initials: TS
authors.lastname: Raghu
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards*; D001130:Arizona; D006801:Humans; D019982:Organizational Case Studies; D017060:Patient Satisfaction; D058996:Quality Improvement / Q000458:organization & administration*; D013038:Specialization; D011795:Surveys and Questionnaires