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As part of the transition to a new model of care that includes proactive treatment for individuals with chronic diseases and a greater emphasis on health promotion, FHTs need to find new ways to organize their office processes to free up time for these activities. Improving access - so patients can see their health care provider within 24 hours - and office efficiency are part of the QIIP Learning Collaboratives for Primary Care.
Resources in this section have been divided into two groups, even though they are closely related. The first are resources to improve access, which can lead to "open access" or "same day access". The second group can assist with redesigning systems of care to improve their efficiency and the care patients receive.
The Ontario Health Quality Council has compiled a summary of key references on access. A booklet on advanced access has been prepared by John Oldham in the UK. The Alberta PCI program has produced resources to help improve office efficiency and access. An additional resource is available from IHI.
There are a number of jurisdictions that have developed collaboratives to improve access in the UK, Alberta and British Columbia.
The Ontario Health Quality Council and QIIP offer a series of tools to assist with improving access, including:
Continuity Tracking Form
Cycle Time Tracking Form
Supply and Activity Tracking Form
Supply Tracking Form
Third Next Available Appointment Tracking Form
Demand Tracking Form
Backlog Reduction Worksheet
The OHQC (Ontario Health Quality Council) has also produced a list of references on efficiency with links. The Saskatchewan Quality Health Council have produced a resource to assist with practice redesign to improve acccess. Other resources to help with practice redesign have been produced by:
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