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Table 2 Microsystem team project examples

From: Developing primary care teams prepared to improve quality: a mixed-methods evaluation and lessons learned from implementing a microsystems approach

Specialty

Project

Pediatrics

Increase percentage of time immunizations are done before MD enters visit so patient/family wait time is decreased

Increase percentage of patients ages 11–18 who have a biannual well child check

Complete chart review and pending orders by rooming staff prior to MD entering clinical encounter

Family Medicine

Reduce the number of refill calls/requests after a visitby creating a process to ask if refills are needed at every visit and documenting if refills were reviewed

Increase the percentage of patients seen for acute visits

Improve timeliness of visits through decreasing the amount of time between scheduled visit time and provider log in time

General Internal Medicine

Increase the percentage of after visit summaries given to patients that have provider instructions

Increase the number of scheduled chronic care follow-up appointments

Increase the number of patients with activated MyChart accounts (electronic health record patient portal)