epilepsy, outpatient neurology, referrals, emergency department, root cause analysis, goal
ORGANIZING A SYSTEM TO CONSOLIDATE EPILEPSY REFERRALS TO AN OUTPATIENT NEUROLOGY PRACTICE
An outpatient neurology practice was experiencing delayed or lost referrals for epilepsy monitoring. This delay was leading many patients to suffer unnecessary and unmanaged seizures and, in some cases, frequent trips to the emergency department.
As a result, a team consisting of the neurology practice and neuro-navigators used baseline metrics to demonstrate the current state of the problem and conducted a root cause analysis that outlined several causes. A number of countermeasures were initiated with the goal of decreasing referral misses.
Post the initiation of two KPIs, a significant improvement was noted in missed referrals. Next steps include sustaining the process by follow up KPIs to make sure the system is running effectively.
Schrock, Sara; Beane, Michelle; Cope, Kathryn; Parker, Mark; Nayak, Suneela; Hanselman, Ruth; Tyzik, Stephen; Sparks, Amy; and Lilley, Brendan, "Coordination of Inpatient and Outpatient Care for Neurology Patients Undergoing Epilepsy Monitoring" (2018). Operational Excellence. 1.
Business Administration, Management, and Operations Commons, Finance and Financial Management Commons, Health and Medical Administration Commons, Neurology Commons, Neurosciences Commons, Operations and Supply Chain Management Commons