An adequate nursing workforce is essential to health centers and their expected growth under health reform

Shin, Peter; Sharac, Jessica

doi:10.5430/jnep.v4n1p129

Cited by 2 publications

(2 citation statements)

References 11 publications

(9 reference statements)

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“…Though panel size selection and overbooking are widely used operational levers to cope with patient no‐shows, they may not be implementable in a large number of practices. For instance, 1128 community health centers in the U.S. are Federally Qualified Health Centers (FQHCs) as of 2011, and they receive government grants under the Public Health Service Act (Shin et al 2013, U.S. Department of Health and Human Services 2014). In return for these grants, FQHCs have to serve all patients regardless of their ability to pay (Rural Assistance Center 2013).…”

Section: Introductionmentioning

confidence: 99%

Optimal Choice for Appointment Scheduling Window under Patient No‐Show Behavior

Liu

2016

Production and Operations Management

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Observing that patients with longer appointment delays tend to have higher no‐show rates, many providers place a limit on how far into the future that an appointment can be scheduled. This article studies how the choice of appointment scheduling window affects a provider's operational efficiency. We use a single server queue to model the registered appointments in a provider's work schedule, and the capacity of the queue serves as a proxy of the size of the appointment window. The provider chooses a common appointment window for all patients to maximize her long‐run average net reward, which depends on the rewards collected from patients served and the “penalty” paid for those who cannot be scheduled. Using a stylized M/M/1/K queueing model, we provide an analytical characterization for the optimal appointment queue capacity K, and study how it should be adjusted in response to changes in other model parameters. In particular, we find that simply increasing appointment window could be counterproductive when patients become more likely to show up. Patient sensitivity to incremental delays, rather than the magnitudes of no‐show probabilities, plays a more important role in determining the optimal appointment window. Via extensive numerical experiments, we confirm that our analytical results obtained under the M/M/1/K model continue to hold in more realistic settings. Our numerical study also reveals substantial efficiency gains resulted from adopting an optimal appointment scheduling window when the provider has no other operational levers available to deal with patient no‐shows. However, when the provider can adjust panel size and overbooking level, limiting the appointment window serves more as a substitute strategy, rather than a complement.

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Section: Introductionmentioning

confidence: 99%

Optimal Choice for Appointment Scheduling Window under Patient No‐Show Behavior

Liu

2016

Production and Operations Management

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“…Federally Qualified Health Centers operate in predominantly resource-constrained communities with a shortage of medical services and providers (Health Resources and Services Administration, 2018; Heisler, 2016). Federally Qualified Health Centers provide essential primary and preventive care services, including medical, dental, mental, vision, and substance abuse services to largely uninsured or underinsured, poorer, and racial/ethnic minorities patients (Shin et al, 2012; Shin et al, 2013). Since its inception, the FQHC program has grown steadily.…”

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confidence: 99%

Where Are the New Federally Qualified Health Center Sites? Uncovering FQHC Expansion and Ambulatory Care Policy Implications

Choi

Davlyatov

Opoku-Agyeman

2022

Journal of Ambulatory Care Management

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So-called "geographic expansion race," health care organizations expand physical facilities to different geographical locations as a way to foster growth. This study furthers knowledge on Federally Qualified Health Centers' (FQHCs') geographical expansion in relation to the local market's payer mix. The results indicated that areas with a higher proportion of Medicaid patients with fewer uninsured are more likely to see new FQHC sites opening. The findings are consistent with previous literature on the health care organization's geographical expansion and also indicated that some areas might lack proper FQHC services despite the high needs.

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An adequate nursing workforce is essential to health centers and their expected growth under health reform

Cited by 2 publications

References 11 publications

Optimal Choice for Appointment Scheduling Window under Patient No‐Show Behavior

Optimal Choice for Appointment Scheduling Window under Patient No‐Show Behavior

Where Are the New Federally Qualified Health Center Sites? Uncovering FQHC Expansion and Ambulatory Care Policy Implications

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