Av. Lewis et al., APPOINTMENT ACCESS - PLANNING TO BENCHMARK A COMPLEX ISSUE, The Joint Commission journal on quality improvement, 20(5), 1994, pp. 285-293
Background: Kaiser Permanente-southern California Region carried out a
n external benchmarking project to improve appointment access. This ar
ticle provides practical guidelines for planning a benchmark project a
round a complex issue such as appointment access. Method: Before condu
cting external site visits, team members determined the goals of the p
roject, defined internal processes, and identified 16 key elements of
access (or those factors important to member satisfaction with appoint
ment access). Once a questionnaire was finalized, external benchmark p
artners were identified and on-site visits conducted. Conclusion: On t
he basis of the on-site visits, team members identified innovative and
best practices for each of the 16 key elements of access. Based on th
ese recommendations, some improvements were made across the Southern C
alifornia region, such as the elimination of provisional booking. Repo
rts of the results have also been sent to Kaiser Permanente medical ce
nters in the region and across the country. Each medical center is enc
ouraged to use these results to internally improve its own appointment
access.