Table 1.

Improvement Areas Addressed in RAP Meetings

Types of Improvement AreasSpecific Issues Addressed in RAP Meetings
EMR = electronic medical record; RAP = reflective adaptation process.
Patient care–related areas
    Improve patient flowIncrease staff ability to schedule tests
Front desk procedures
Clinician time with patient
Open access
    Improve patient access to practiceEncourage patients to see new clinicians
Telephone system
Referrals
Prescription refills
Call backs with test results
    Improve “interpersonal“ communication with patientsPatient surveys, patient satisfaction
Patient education materials
    Clinical IssuesEducating staff about clinical processes (eg, eligibility
for influenza vaccines)
    ChartingImproving chart documentation
Chart organization and culling
EMR implementation
Practice improvement areas
    Staffing issuesTurnover
Vacations
Clinician style
Clinical support staff
Staff style
    Improve interpersonal staff communicationTeamwork
Respectful interactions (bridging work “silos”)
Improving communication between practice and hospital
    Improve workflow-related staff communicationCreating procedures manuals, communication logs
Consistency in following protocols
Creating job descriptions
    Improve leadership (more facilitative leadership style)Increase staff appreciation
Better decision making
Updating job descriptions
    Financial issuesImprove reimbursement