Enhancing outpatient clinics management software by reducing patients' waiting time.

The Kingdom of Saudi Arabia (KSA) gives great attention to improving the quality of services provided by health care sectors including outpatient clinics. One of the main drawbacks in outpatient clinics is long waiting time for patients-which affects the level of patient satisfaction and the quality of services. This article addresses this problem by studying the Outpatient Management Software (OMS) and proposing solutions to reduce waiting times. Many hospitals around the world apply solutions to overcome the problem of long waiting times in outpatient clinics such as hospitals in the USA, China, Sri Lanka, and Taiwan. These clinics have succeeded in reducing wait times by 15%, 78%, 60% and 50%, respectively. Such solutions depend mainly on adding more human resources or changing some business or management policies. The solutions presented in this article reduce waiting times by enhancing the software used to manage outpatient clinics services. Both quantitative and qualitative methods have been used to understand current OMS and examine level of patient's satisfaction. Five main problems that may cause high or unmeasured waiting time have been identified: appointment type, ticket numbering, doctor late arrival, early arriving patient and patients' distribution list. These problems have been mapped to the corresponding OMS components. Solutions to the above problems have been introduced and evaluated analytically or by simulation experiments. Evaluation of the results shows a reduction in patient waiting time. When late doctor arrival issues are solved, this can reduce the clinic service time by up to 20%. However, solutions for early arriving patients reduces 53.3% of vital time, 20% of the clinic time and overall 30.3% of the total waiting time. Finally, well patient-distribution lists make improvements by 54.2%. Improvements introduced to the patients' waiting time will consequently affect patients' satisfaction and improve the quality of health care services.

[1]  N. Algiriyage,et al.  A simulation approach for reduced outpatient waiting time , 2014, 2014 14th International Conference on Advances in ICT for Emerging Regions (ICTer).

[2]  B. McNeil,et al.  Patient satisfaction as an indicator of quality care. , 1988, Inquiry : a journal of medical care organization, provision and financing.

[3]  Thomas R Rohleder,et al.  Using simulation modeling to improve patient flow at an outpatient orthopedic clinic , 2011, Health care management science.

[4]  Mariano Corso,et al.  Health Care Information Systems: Architectural Models and Governance , 2012 .

[5]  P. John Clarkson,et al.  An Integrated Model of Patient and Staff Satisfaction Using Queuing Theory , 2015, IEEE Journal of Translational Engineering in Health and Medicine.

[6]  Y. Aldebasi,et al.  PATIENTS SATISFACTION WITH MEDICAL SERVICES IN THE QASSIM AREA , 2011 .

[7]  Susan Meyer Goldstein,et al.  The Role of Clinical and Process Quality in Achieving Patient Satisfaction in Hospitals , 2004, Decis. Sci..

[8]  Quality improvement of general out-patient clinics in Hong Kong , 2013, 2013 IEEE International Conference on Industrial Engineering and Engineering Management.

[9]  Yu Yu,et al.  Notice of RetractionModeling & simulation of an outpatient service system , 2010, 2010 International Conference on Computer Application and System Modeling (ICCASM 2010).

[10]  R. Hall,et al.  Patient flow : reducing delay in healthcare delivery , 2006 .

[11]  N. Hamajima,et al.  Waiting time in the outpatient clinic at a national hospital in Vietnam , 2018, Nagoya journal of medical science.

[12]  R. Hall Patient flow : reducing delay in healthcare delivery , 2006 .

[13]  B. Druss,et al.  Patient satisfaction and administrative measures as indicators of the quality of mental health care. , 1999, Psychiatric services.

[14]  Ta-Ping Lu,et al.  Improving outpatient service quality in department of orthopedic surgery by using collaborative approaches , 2013, Proceedings of the 2013 IEEE 17th International Conference on Computer Supported Cooperative Work in Design (CSCWD).

[15]  Houshang Darabi,et al.  A simulation case study: Reducing outpatient waiting time of otolaryngology care services using VBA , 2011, 2011 IEEE International Conference on Automation Science and Engineering.