Kapazitätsverlust durch nicht integrierte Patient-Reported-Measures-Workflows
Definition
The national guide on using Patient Reported Measures in Clinical Quality Registries states that PRMs are increasingly being introduced into Australian registries to monitor outcomes and evaluate quality improvement, and that sufficient budget should be allocated for PRM data collection, analysis and reporting.[1] These measures often need to be collected at baseline and at follow-up time points that may not coincide with clinical encounters.[1] In outpatient care, this frequently leads to manual processes: printing and scanning paper questionnaires, phone calls to patients to complete forms, and manual entry into registry portals. Each incomplete or late PRM requires staff time to resolve, yet there is no direct reimbursement for PRM collection. Logic-based estimation: if a clinic collects PRMs on 2000–3000 patients per year and 20–30 % require follow-up contact or manual data correction, and each such case consumes 5–10 minutes of staff time, this equates to roughly 330–900 staff hours annually. At 4–6 patients per hour in an outpatient setting, this corresponds to ~130–450 lost appointment slots per year. With an average revenue of AUD 150–250 per visit, the opportunity cost ranges from ~AUD 20,000–110,000 annually in foregone billable activity, attributable to inefficient PRM-related workflows mandated by quality reporting requirements.
Key Findings
- Financial Impact: Logisch abgeleitet: Opportunitätskosten von ca. 20.000–110.000 AUD pro Jahr an entgangenen abrechenbaren Konsultationen durch 130–450 verlorene Slots infolge manueller PRM-spezifischer Tätigkeiten.
- Frequency: Stetig über das Jahr verteilt, mit Peaks rund um Registry-Reporting-Zeitpunkte oder QI-Projektphasen.
- Root Cause: PRM-Erhebung nicht in Terminmanagement/EHR integriert; fehlende Self-Service-Digitalformulare; getrennte Systeme für klinische Dokumentation und Registry-Upload; keine automatischen Erinnerungen oder eHealth-Integration für Follow-up-Messungen.
Why This Matters
The Pitch: Outpatient providers in Australia 🇦🇺 verlieren jährlich hunderte von Konsultationen, weil Personal mit dem Hinterherlaufen und Nacherfassen von Patient-Reported Measures für Qualitätsregister beschäftigt ist. Digitale, workflow-integrierte PRM-Erhebung und automatische Registry-Schnittstellen geben diese Kapazität für zusätzliche, abrechenbare Patientenkontakte frei.
Affected Stakeholders
Practice Manager, Nurse Unit Manager, Reception/Front Desk Staff, Allied Health Practitioners, Quality/Registry Coordinator
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Financial Impact
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Current Workarounds
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Methodology & Sources
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Related Business Risks
Sanktionsrisiko durch fehlerhafte Qualitätskennzahlen-Berichterstattung
Überhöhte Personalkosten durch manuelle Qualitätsdaten-Erfassung
Umsatzverluste durch fehlerhafte Leistungsdokumentation für Qualitätsindikatoren
Fehlentscheidungen durch unvollständige oder isolierte EHR‑Daten
Poisons and Controlled Substances Non-Compliance Fines
Schedule 8 Drug Diversion and Theft Losses
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