Discussion – Patient-Centered Workflow
One of the identified workflow processes that require enhancement regarding patient-centeredness includes the check-in and waiting time process. In my most recent practice setting, patients spend a lot of time waiting, from check-in to seeing the healthcare provider, which is frustrating and causes anxiety. This can cause dissatisfaction, followed by the perception that something is not functioning properly within the practice (Harbi et al., 2024). Digital check-in systems or updated waiting time information can enhance interaction and relieve patients’ anxiety. Strengthening this area would be helpful in improving the patient’s experience and their overall experience in the care process.
Based on my experience, I believe there is a need to improve in order to embrace the patient-centered approach fully. In that regard, staff members are mostly friendly and will try their best to provide quality care, though the system seems to work more to maintain personal efficiency than to meet the needs and wants of the patient. There is a discontinuity in communication, a lack of paperwork updates on patient records, and a lack of inclusion of the patient fully in any decision-making during his visit. According to Kwame and Petrucka (2021), these gaps can result in patient confusion and anxiety. With this understanding, I have concluded that it is crucial to make the change to a more patient-centered approach to foster increased effectiveness.
In order to increase the levels of patient satisfaction as well as the overall productivity and quality of care, the patient-centered work redesign plan should be put into practice. This plan will start with the use of short online or paper-based questionnaires for patients at the closest point of care to evaluate their concerns and expectations. From this feedback, specific staff training would be organized with a major emphasis on interpersonal communication skills, empathy, and cultural sensitivity in patient care. Furthermore, adaptable features, which include appointment reminders, the use of patient check-in kiosks, and timely updates to patients, can be made to help reduce waiting time and assist in making a health facility’s processes more transparent (Sehgal et al., 2024). It would also be helpful to have a staff member responsible for giving reports to the patients and making the patients feel that there is someone actually taking care of them and guiding them throughout the visit. Collectively, such an approach would create a more effective and empathetic environment that is centered on the patient.
References
Harbi, S. A., Aljohani, B., Elmasry, L., Baldovino, F. L., Raviz, K. B., Altowairqi, L., & Alshlowi, S. (2024). Streamlining patient flow and enhancing operational efficiency through case management implementation. BMJ Open Quality, 13(1), e002484. https://doi.org/10.1136/bmjoq-2023-002484
Sehgal, H. L. K., Greenfield, G., Neves, A. L., Harmon, M., Majeed, A., & Hayhoe, B. (2024). Efficacy and safety of a digital check-in and triage kiosk in emergency departments: A systematic review protocol. BMJ Open, 14(7), e084506. https://doi.org/10.1136/bmjopen-2024-084506
Kwame, A., & Petrucka, P. (2021). A literature-based study of patient-centred care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(158). https://doi.org/10.1186/s12912-021-00684-2
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Question 
Discussion – Patient-Centered Workflow
Week 3 Discussion
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Initial Post due Day 3Responses due Day 7
Discussion Board Question:
Patient-Centered Workflow Case Study
Discussion – Patient-Centered Workflow
Careful consideration must be paid to Medicare patient care workflow. It is important that the healthcare team meet to review the workflow, from beginning to end, of a patient visit to your practice setting. Larry was scheduled to be the key observer for the patient-centered care project at our facility. He was assigned to observe 10 patients. He had to follow the patient from the time they entered and checked-in through processing, taking note of the time it took them to be assigned to a room or a technician. Larry stayed with the patient through treatment, testing, or all other procedures. Finally, he observed how the patient was discharged from the practice setting. Once Larry analyzes his timings, notes, patient responses, interaction with the staff, and overall perspective of the experience, he will then set a meeting with the entire staff to discuss his findings and thoughts. Larry will garner others’ perspectives and reaction to his findings. Think about your most recent practice setting in relation to patient workflows and quality improvement. Identify a common workflow process that needs to improve to meet the patient-centeredness criteria. Answer the following questions:
Share a common workflow process that needs to improve to meet the patient-centeredness criteria.
Upon reflection, what do you think of your workflow? Do you think you have a patient-centered practice?
Critically think about the patient experience and formulate a plan to enhance patient satisfaction, your practice’s efficiency, and the quality of care that patients receive. Share with your peers.
Purpose:
The purpose of the threaded discussion is to promote dialogue among students and faculty related to course competencies and constructs to enhance mastery of knowledge related to course objectives.
Requirements
The student must provide the initial substantive response to the discussion question/topic(s) posted by the course faculty by Friday of those weeks with a discussion board assignment.
The student must also provide a minimum of two additional responses to two student colleagues on two different days by Tuesday of those weeks with a discussion board assignment.
All questions posed to the initial student post by course faculty need to be answered by the student to earn full credit for the discussion board assignment.
This should be substantive feedback to a student colleague’s response to the question/topic posted by the course faculty. All responses must be respectful and thoughtful.
Discussion boards are not opinion boards. Students are expected to have scholarly sources to support their claims and constructs presented in the original post and citations must be provided. While scholarly resources are not required for your response posts, they do strengthen your posts and you must cite information taken from a source. Citations for parts of posts that are synthesized from the course text, peer-reviewed research articles, and other credible sources are required. Course faculty monitor for the compliance of citations with Turnitin evaluation of the posts intermittently during the course session.