title: Improving satisfaction among established patients in a midwestern pain clinic.
abstract: A problem in many health care practices is deciding the appropriate appointment length for new and established patients. Patients become frustrated when there is inadequate time to have their needs met, yet when a patient's clinic time is spontaneously lengthened, the provider gets behind in schedule, causing delays and greater frustration for others.
  
  
  
  The aims of this evidence based project were to determine whether implementation of a flexible appointment system would improve the current scheduling process in a pain clinic by allowing complex patients the opportunity to schedule a longer clinic appointment and would improve patient satisfaction.
  
  
  
  This evidence-based practice innovation followed a program evaluation process using a descriptive, existing survey completed by clinic staff and patients.
  
  
  
  A Midwestern pain clinic caring for patients with acute and chronic pain diagnoses.
  
  
  
  A convenience sample of 120 patients were surveyed before and after the process change. Thirteen staff members completed the survey on SurveyMonkey pre and post procedural change at the same intervals the patients were surveyed.
  
  
  
  Patients were more satisfied with the time that they spent in the exam room and the waiting room. The process change improved communication with staff and patients and provided an opportunity to discuss their concerns and health changes prior to their scheduled appointment.
  
  
  
  Allowing an option for flexible scheduling in appointment lengths provided an opportunity to meet patient needs, offer improved service, and improve patient-provider communication.
authors.affiliation: University of Illinois at Chicago College of Nursing, 845 S. Damen, Chicago, IL 60612, United States; Indiana University Ball Memorial Hospital, 2401 W. University Ave, Muncie, IN 47303, United States. Electronic address: Shill1370@comcast.net.
authors.forename: Kathy A
authors.initials: KA
authors.lastname: Baule
authors.affiliation: University of Illinois at Chicago College of Nursing, 845 S. Damen, Chicago, IL 60612, United States; University of Wisconsin-Madison School of Nursing, 701 Highland Ave, Madison, WI 53705, United States.
authors.forename: Linda D
authors.initials: LD
authors.lastname: Scott
authors.affiliation: University of Illinois at Chicago College of Nursing, 845 S. Damen, Chicago, IL 60612, United States; Rockford Anesthesiologists Associated, 2202 Harlem Ave, Loves Park, IL 61111, United States.
authors.forename: Kelly D
authors.initials: KD
authors.lastname: Rosenberger
authors.affiliation: Rockford Anesthesiologists Associated, 2202 Harlem Ave, Loves Park, IL 61111, United States; University of Illinois at Chicago College of Medicine, 845 S. Damen, Chicago, IL 60612, United States.
authors.forename: W Stephen
authors.initials: WS
authors.lastname: Minore
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D018710:Pain Clinics / Q000592:standards*; D017060:Patient Satisfaction