I am a RN and recently hired as the nursing supervisor to a family practice that also does urgent care. We have 2 sites. The goal of the practice is to book patients every 15 minutes from 830 to 430 with double booking at 9, 10, 2 and 3. 5 practioners to see 20-25 patients per day.
my nursing staff, primarily MA's, and I are having some difficulty and hope someone out there can help me understand the nature of this business. my nursing staff are scheduled 830-5 or 9-5. it is taking 10-15 minutes to check patients in (vitals, complete history, review of systems, medication, etc..), we are also responsibe for following protocols to order labs and diagnostics which we do onsite and the goal is to get them done the day the patient is here. The wait time goal is also 15 minutes for a patient to wait in the waiting room. Providers are supposed to show up from 9-5. Issue is they don't and they also take longer than 15 minutes per patient (usually 30 -45 minutes). My staff work through lunch many times as do I but are supposed to get a 1 hour lunch between 12 and 1.
On top of that we are to review all patient charts, get all pre-certifications and pre-authorizations and call patients back by the end of the day and provide procedures during visits that are required based on patient need.
I am finding this very challenging to accomplish these goals and want to show my staff that I support them and understand their frustration and increase morale and motivate them while making some changes to accomplish the facilities goals. I have been on the job only 4 weeks and feel like the goals may be unattainable? my nursing staff work between 3 floors and another site facility in another town. The one plus is that we have an EHR so no paper records.
Is there anyone else working in a profitable practice that can assist me with ideas in improving our patient care, patient flow and scheduling issues....
I would appreciate any input as this is a new arena for me but I am eager to learn.