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Table 5 Workshop participants’ 10 best strategies and practices to improve implementation of WTMS and help sustain their success

From: Toward systematic reviews to understand the determinants of wait time management success to help decision-makers and managers better manage wait times

Best strategies

Practices

1. Greater alignment

Align agendas across healthcare organizations; focus on the patient.

2. Increased and strategic communications

Increase communications among stakeholders, communicating at the right place and time and to the different levels of responsibilities.

3. Strong data

Establish a strong wait time management (WTM) data repository and ensure WTM data standardization; collect data about the impact of WTMS and identify gaps and goals; note that WTMS projects need to include change management, and that people, processes, and flows must be addressed.

4. Clinical and administrative champion-partners

Clinical and administrative WTMS champions must form a partnership; the system must identify who these champions are, define and resource their roles and actions, and enable them to implement an operational plan.

5. Clear articulations of the value proposition for WTMS

People involved in WTMS must feel that it is part of an integrated strategy and not a ‘stop-gap measure.’

6. Patient engagement

Engage and activate patients; make the current system dysfunctions transparent so that patients understand there are differences in wait times among physicians, and provide them with the option of being seen by the first available physician.

7. Health system trade-offs and patients’ options

Talk about what the health system is for and what the trade-offs are for immediate access.

8. Establish incentives

Create a system with incentives for clinicians that involves paying them for their time.

9. Leadership

Leadership is required in partnership with payers. Make sure the ministries of healthcare are at the table; otherwise the lack of relationship with them can become a barrier.

10. Expectations management

As a parallel strategy, ‘expectations management’ is recommended around WTMS potential and limitations.