Advanced Access, IDCOP

Scaling Up the Deployment of Advanced Access: A Way Out of Crisis.

Making patient access to clinical practices efficient is the source of excess capacity for the whole system of care. This is the firm conviction at Health Partners in Minneapolis and Jönköping County Council, Sweden. Moving to advanced access improves profitability, improves patient and physician satisfaction and very importantly it opens capacity for improving other intractable problems. Somewhat unexpectedly it also opens up access to emergency departments, hospital wards, and specialty clinics. My conclusions are that the two really important success factors are good leadership in each organization and starting with advanced access. Whatcom County physicians have the benefit of Catherine Tantau's assistance in Advance Access initiatives. She is one of the most experienced and successful coaches in the world. Here are a couple links. I will quickly expand this orientation and add more useful materials and links. http://www.ihi.org/idealized/idcop/sampleresults.asp http://www.ihi.org/idealized/idcop/index.asp

Here is an 18 minute video clip (you need QuickTime player on your PC) from HealthParners. Physicians, nurses and office staff tell of their experience with implementing Advanced Access.

Here is a year 2000 article authored by Catherine Tantau and Mark Murray, the developers of the Advanced Access model.

Here  is a video clip (you need QuickTime player on your PC and a high speed internet connection) of a presentation that Catherine Tantau gave to the Purusing Perfection office teams.

Here are two articles (article 1, an article 2) on advanced access and various models of group visits from Managed Care Magazine.

Here is a link to the Oct. '01 issue of The Quality Indicator Physician Resource journal. This issue has articles on advanced access and group visits.

Here is a link to "Improvement Tip: Do Today's Work Today", by Victoria Minden on the Institute for Health Care Improvement site.

Here is a link to the IHI (Institute for Healthcare Improvement) site on Idealized Design of Clinical Practice. Advanced access is a part of this work.

Here is a manual authored by Dr. John Oldham, and sponsored by the National Primary Care Development Team.

Here is a manual for advanced access published Oct. '01, authored by Ingrid Singer and published by the National Association of Public Hospitals and Health Systems.

Here is an advanced access manual from Tricare, a US government medical site. Here is a link to a PowerPoint presentation on Advanced Access that Mark Murray, MD gave to Tricare.

Here is an order form  for audio tapes/CDs from the 2002 symposium. There are tapes/CDs on advanced access and other useful ideas for improving practice and care.