Enhanced Access

What Works: Effective Practices for Office-based CareProvider Access
Enhanced Access

Recommendation: Patients are able to access providers during off hours.


 Exemplary Practice

Provider is on call 24/7

Benefits:
  • Direct access to a provider familiar with the patient
  • No middleman
In practice at: The Office of Michael McKenzie (NWH), Revere Broadway (MGH), Renaissance Health (MGH), Urban Medical Group (BIDMC), The Office of Dr. Kristen Keefe (BWH)


 Exemplary Practice

The practice offers a specialized professional team to provide care to patients in their homes, in skilled nursing facilities, and in assisted living facilities

Benefits:
  • Use of this specialized team promotes patient safety
  • Promotes both coordination and continuity of care
  • Supports patients who otherwise may be lost to the health care system
In practice at: Waltham Geriatrics (MAPS), Urban Medical Group (BIDMC)


 Exemplary Practice

The gynecology surgeon schedules consult appointments after obstetrical hours

Benefits:
  • Physician spends undistracted time with patients
  • Enhances appointment access
  • Improves the patient/physician relationship, showing understanding of gynecology surgery patient's feelings
In practice at: New England OB/GYN Associates (BWH)


 Exemplary Practice

The practice provides open walk-in hours at a set time every day

Benefits:
  • Enhanced access to a known provider
  • Promotes both coordination and continuity of care
In practice at: Bowdoin Health Center (BIDMC), Concord Hillside Adult Medicine (HVMA)


 Exemplary Practice

Access to alternative care therapies, e.g., clinical psychology, massage therapy, acupuncture, nutrition counseling, aesthetics and aromatherapy, qigong, reflexology, Reiki, and therapeutic touch, in the office

Benefits:
  • Enhances availability to access alternative care
  • Emotionally supportive
In practice at: The Office of Dr. Kristen Keefe (BWH)


 Effective Practice
Practice has expanded office hours to include one or more evening a week and/or weekends.
Benefits:
  • Promotes access, decreases ED use
  • Increased likelihood of direct process to a provider who is familiar with the patient
  • Reduces reliance on urgent care centers
In practice at: Chelsea Pediatrics (MGH), Charlestown Pediatric (MGH), Revere Health Center (MGH)


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