Just in Time
Provider Scheduling

Getting consumers to a psychiatric evaluation withing 3 days or fewer, which works to increase show rates to better than 90%


Purpose

An offshoot of Same Day Access now implemented with teams across the country. This process allows teams to move a consumer from their diagnostic assessment to a psychiatric evaluation within 3 to 5 days, greatly increasing engagement and reducing no shows and cancellations.

Process

  • Here is how this work rolls out, the meetings in red are the ones we suggest your medical providers attend, thought they are obviously welcome at all of the meetings if you choose to have them there -  

    1. Initial Kick off and 1st Planning Meeting - 2 Hour Internet Meeting – A review of what JIT looks like at fidelity for all medical staff (Direct service providers and support staff) to assure that all the team members see what the JIT system is supposed to be.  This offers a lot of opportunity for your team and your consultant to take note in the differences of your system as it is installed versus what the model looks like in fidelity.  As well, the team will be given some data capture tools to fill out prior to the next meeting that look at the organization’s capacity and scheduling practices. -  (Normal turn to meeting #2 is 1-2 weeks.  Items that must be completed before scheduling meeting 2 are – The Caseload Calculator and the Scheduling Matrix).

    1. Planning Meeting #2 - 2 Hour Internet Meeting – Finalizing set up with your medical support staff using the data measurement tools given out at the first meeting.  Some teams will include a representative for their providers like their medical director for this meeting, but we do not need all or your medical providers there (Medical providers are welcome to attend, but for most teams it is cost prohibitive).   

    1. 2 - One Hour Internet Meetings for Peer consultation – 2 Peer Meetings scheduled during your planning meetings for 1 hour each to hear their experiences and for them to answer your questions.  Here are the details on those 2 sessions:

      1. Valerie Westhead, MD, Former Chief Medical Officer, Aspire Health Partners - Seminole who can/will discuss the process from the providers aspect (Normally the attendees are your medical providers along with the support staff and/or management staff). 

      2. Valerie Westhead, MD, Former Chief Medical Officer, Aspire Health Partners - Seminole to discuss the practice management of E&M services in an outpatient psychiatric practice to achieve the best results and compliance with national standards using JIT

    1. Planning Meeting #3 – 1-2 Hour Internet Meeting – Right before going live, this meeting allows us to finalize your set up with your medical support staff.  Some teams will include a representatives for their medical providers like their medical director for this meeting, but we do not need all or your medical providers there unless they have last minute questions/concerns on set up (Medical providers are welcome to attend, but for most teams it is cost prohibitive).

    1. Review Meetings 1 and #2 -1 Hour Internet Meeting – These two meetings are set to review your results/answer your questions after you have gone live (Attendees vary, and is up to the team based upon what their questions are). 

Timeframe: 6-7 months (2 months of set up, 3 months for conversion, and 1-2 months of follow up.)

Outcomes:

● An instant increase in client show rates up to the 90% or above range.

  1. ● A 97% client approval rating according to client surveys. 

  2. ● A significant increase in diversion rates from higher cost services (emergency room, jail, inpatient hospitals, etc.). 

  3. ● The ability to see the client face to face versus calling in meds for a consumer that you haven’t spoken with.

  4. ● Better engagement that leads to positive treatment outcomes/medication adherence.

  5. ● Financially, teams see an average of a 5 to 1 return on investment in the first 3 to 6 months based upon the efficiencies generated with those savings continuing into the future.

  6. ● 25-30% gains in additional billings that are generated by the program.

MTM Team

President, Senior SPQM Data Consultant and Senior National Council Consultant

MD, FASM
Medical Operations, Care Integration & Senior National Council Consultant