Improving services at the West Valley Planned Parenthood clinic, West Valley, Utah
Previously, the clinic had two check-in windows—one for exams and one to pick up medicines. Every day, the line to check in for an exam extended through the large waiting room while the other window was typically empty. There was little space for service providers and clinical assistants to write up client notes and check-out was a cumbersome process, as it was handled in the same space as check in.
Today, with only a few simple, practical changes, client waiting time has been cut dramatically; clients now spend between 38 and 45 minutes in the facility for a full examination. If there just for counseling and tests, the visit time is down to 20 minutes.
Practical physical changes have also been made at the clinic. Drop-down chart tables are now available on the walls, so clinicians have a space to write-up notes. Each examination room now has its own supplies, such as blood pressure cuffs and Depo Provera® contraceptive injections. Perhaps the most important physical change was creating a separate space for client check out. As clients leave the facility, they now leave by a different door. The paperwork for entering and exiting clients is kept completely separate (previously they were occasionally mixed up in the same space). Clients can also get their contraception upon check-out.
There is a more streamlined patient flow through the clinic. Patients now take their pregnancy tests in the restroom before getting counseling in the intake room. Patients are now only taken to an intake room when they receive results of any kind.
The redesign has clearly improved the quality of care and increased client satisfaction. While client appointments are shorter, patients recognize that services are more streamlined and do not have a negative effect on patient care—if anything, patient care has improved.
JSI has conducted this clinic efficiency redesign process as a component of its work for the Office of Family Planning, Office of Public Health and Science, Department of Health and Human Services. Under the HHS grant, JSI coordinates the Region VIII Family Planning Training Center, which provides cost-effective training—including the clinic efficiency process—for health care providers and staff of federally-funded family planning programs.
"JSI has helped us tremendously," says Carli Hess, Area Coordinator. "Change never comes easily, but staff see how much better things are now. As new staff join it is easier to implement JSI's clinic efficiency redesign. At first some staff would revert back to old habits, but now everyone is on board."
|Related Project: Title X Family Planning Training and Technical Assistance Centers (2007-2012)|