Report from the Medical Facility
City Clinic No. 5, a local healthcare facility, is revolutionising the way primary care is delivered, as demonstrated by the implementation of new approaches in their day-to-day operations.
The changes at City Clinic No. 5 have led to a significant increase in the number of patients seen by family doctors per day. Previously, each doctor would see 16 patients, but this number has now risen to 34, thanks to the clinic's strategic delegation of routine medical tasks to mid-level medical staff. This extension allows for up to 24 patients per day to be seen by a family doctor, ensuring that more patients receive prompt attention.
Delegation has also resulted in a 49.4% decrease in home visits by doctors. This shift in approach has been beneficial, as it allows doctors to focus on complex cases in the clinic, improving the quality of care for all patients.
The clinic's nurses are now playing an expanded role, prescribing medications, organising and managing nursing consultations, and inputting data into the information system. These new roles for nurses have helped increase the availability of doctor's appointments at the clinic.
The clinic's Director, Altynshash Tabuldina, welcomed a press tour, showcasing the improvements that have been made. The tour revealed that the duration of a family doctor's appointment at City Clinic No. 5 has been extended to 6 hours, ensuring that each patient receives comprehensive care.
Moreover, the delegation of routine functions to mid-level medical staff has optimised patient care, leading to measurable improvements such as a 30% reduction in referral response times and decreased internal stress. This holistic approach to leadership and delegation fosters trust and mutual respect, creating a sustainable structure for continuous improvement in primary care delivery.
The clinic's new approach has also resulted in a 20.6% increase in patients seeking urgent care during its operating hours. This increase in urgent care patients has led to a decrease in 4th category calls to the emergency service, demonstrating the clinic's effectiveness in managing urgent healthcare needs.
Patients at the clinic now have access to their test results when they see a specialist, further enhancing the quality of care they receive. The clinic has fully embraced the principle of delegating routine functions to mid-level medical staff, creating a person-centered care culture that empowers mid-level staff and promotes cooperation across care teams.
In summary, City Clinic No. 5's experience shows that delegating routine tasks to mid-level medical staff can lead to faster service delivery, improved workflow efficiency, and stronger team dynamics, all of which contribute to better primary healthcare outcomes without expanding the workforce size. The clinic's innovative approach serves as a beacon for other healthcare facilities seeking to improve their service delivery and patient care.
- City Clinic No. 5 has adopted a more comprehensive approach to health-and-wellness, integrating therapies-and-treatments, fitness-and-exercise, and nutrition into their services.
- In light of the clinic's success with delegation, Altynshash Tabuldina, the clinic's Director, is advocating for the application of these strategies in medical-conditions management and patient care.
- As part of their holistic approach, City Clinic No. 5 has expanded their services to include patient access to scientific advancements in health and wellness, ensuring that their patients receive the most updated and effective care.
