One Team United On Access — Did You Know? Issues Raised by Faculty Peers About United on Access Are Regularly Addressed by UVA Health Leadership

May 21, 2024 by

Did You Know ? GraphicIssues raised by faculty peers about United on Access are regularly addressed by UVA Health leadership. Feedback from faculty has primarily focused on template standards and flexibility within those standards, staffing, and other operational concerns. UVA Health leadership have listened and worked to be responsive to physician concerns, while staying true to the project’s fundamental goals of patient-centered care. Examples of this responsiveness include the following:

  • Allowing flexible start/end times for clinic sessions as long as this is coordinated with staff
  • Adding 90 minute or less sessions that are not included as part of the metrics
  • Implementing MyChart changes to patient messages to encourage more appropriate patient use of MyChart
  • Decreasing primary care physician panel target sizes below the expected national median resulting in a decrease in the number of required new initial visits
  • Adding asynchronous slots so that physicians have the ability to catch up on charting and other patient related work
  • Adding the new metric, Scheduled Slot Adherence, to provide flexibility to pursue other non-clinical academic missions
  • Decreasing the number of new initial visit slots
  • Granting exemptions from the metrics for grand rounds, tumor boards, many multi-disciplinary clinics, and out of town conferences.
  • Enabling physicians to bill for MyChart message responses as appropriate/eligible (in process)
  • Implementing operational improvements such as new protocols (e.g., point of care testing) and MyChart/Epic enhancements to help reduce provider In Basket Work.
  • Increasing investment in recruiting and staffing efforts to support clinic operations (ongoing).

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Filed Under: Clinical