### CAPtivating Patient Visit Redesign by HRSA

## **Technical Assistance Options**

Last November, we kicked off a technical assistance effort in ambulatory
care redesign that now involves over 30 sites within CAP communities.
Since most grantees have had the opportunity to attend introductory
redesign workshops at past CAP conferences, we hope more sites will take
advantage of this new round of advanced T.A. opportunities! Please note:
CAP Central Office will cover all costs related to the training itself,
including travel and materials.

**Why Redesign?** The purpose of redesign is to dramatically reduce
patient visit times by squeezing most of the waiting time out of the
patient visit process. As a result health care organizations can
achieve:

-   Increases in productivity

-   Improved patient and staff satisfaction

-   Less frustrating streamlined visit processes

**T.A. Redesign Opportunities:**

1.  **Workshop:** Half-Day "Advanced" workshops are offered that cover
    the essentials of redesign using examples from over 300
    organizations that have undergone redesign initiatives. Workshops
    are a good way to "plant the seeds" for a redesign project and there
    is no restriction on size of the audience, however they do not
    prepare you sufficiently to do redesign successfully on your
    own**.**

2.  **Starter Kit:** A condensed training program for very small
    organizations that cannot allocate the required team resources to
    this effort over a long time. This program is tailored for
    organizations with around 20 or less FTEs, all working under the
    same roof. Program includes: Guidance around team selection,
    coaching during the preparatory phase, a 1.5 day on-site training,
    and eight weeks of distance coaching. At the end of the program, you
    will have a redesigned and tested patient visit model. This training
    mode requires team members to be offline from their regular
    responsibilities six to eight hours weekly for about three months

3.  **Single Team or Mini-Collaborative Training:** The full, robust,
    seven month training regimen for redesign teams (and management) of
    organizations greater than 20 FTEs. The larger an organization, the
    more likely it is that it will require multiple redesign teams (i.e.
    five teams for a very large organization of maybe 300 FTEs). This
    program includes: All Starter Kit elements described above, two
    additional on-site trainings and distance coaching for twelve more
    weeks. Additional training and time focuses on training the team and
    management to successfully implement the redesign in an organization
    where a good number of staff must be brought on board. While this
    program enjoys an 80 percent success rate, the training model
    requires team members to be offline from their regular
    responsibilities six to eight hours weekly for about seven months.

> In all cases, successful redesign requires: Top management commitment,
> a well-chosen redesign team, and an outside trainer/coach.

Interested in applying for Redesign TA?

Please click here (*Insert link to application in "Past TA Calls"
Section*) to reach the 2002 Patient Visit Redesign Application. Feel
free to contact Diana Der Koorkanian with any questions or comments at
(301) 594-4113 or by email at
[**dderkoorkanian@hrsa.gov**](mailto:dderkoorkanian@hrsa.gov).