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Summary
Pages 1-6

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From page 1...
... Although the study was prompted by attention to a high-profile crisis in a health center operated by the Veterans Health Administration of the Department of Veterans Affairs (VA/VHA) , and it was commissioned by the VA, the report focuses broadly on the experiences and opportunities throughout the nation related to the scheduling of and access to health care.
From page 2...
... consider mandates and guidance from relevant legislative processes, review wait time proposals from the VA/VHA Leading Access and Scheduling Initiative, and evaluate all evidence indicated above, along with input and comment from others in the field; (5) organize a public workshop of experts from relevant sectors to inform the committee on the evidence of best practices, their experience with acuity-specifics standards, and the issues to be considered in applying the standards in various health care settings; and (6)
From page 3...
... LEARNING FROM EXPERIENCE AND BEST PRACTICES Drawing not only on their expertise, but also on an extensive review of the literature, the comments at a public workshop held for open discussion of experiences and strategies, and an IOM discussion paper authored by leaders of five health care organizations that have implemented transformative changes, the committee identified innovative systems models that have been shown in limited settings to improve scheduling and wait time outcomes and to have either neutral or positive effects on the quality of care and patient experience. The examples presented reflect experiences in multiple specialties, care delivery settings, and business models and in organizations of various sizes and located in various geographical regions.
From page 4...
... The committee recommendations, which are summarized in Box S-4, call out the need for leadership at both the national level and the level of each health care facility. Nationally, the committee emphasizes several key needs: the spread and implementation of the identified access principles; direct senior federal official collaborative leadership; tools and strategies
From page 5...
... •  est practices: Emerging best practices have improved health care access B and scheduling in various locations and serve as promising bases for research, validation, and implementation. •  eadership: Leadership at every level of the health care delivery system is L essential to steward and sustain cultural and operational changes needed to reduce wait times.
From page 6...
... 6.  For Health Care Facility Leadership leading to: Front-line scheduling practices anchored in the basic access principles.


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