This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (57)  • Contact me when this article is cited  Related Content  • Related letter  • Related article  • Similar articles in JAMA  Topic Collections  • Medical Practice  • Medical Practice, Other  • Primary Care/ Family Medicine  • Alert me on articles by topic  Social Bookmarking   What's this?

Case Studies of the Advanced Access Model

Mark Murray, MD; Thomas Bodenheimer, MD; Diane Rittenhouse, MD; Kevin Grumbach, MD

JAMA. 2003;289:1042-1046.

The advanced access model of patient scheduling is based on the core principle that if the capacity to provide patient appointments balances the demand for appointments, patients calling to see their physician are offered an appointment the same day. The accompanying article in the series "Innovations in Primary Care" presents the theory behind advanced access scheduling. In this article we describe 4 case studies of primary care practices that successfully implemented advanced access and 3 examples of practices that were unable to achieve advanced access despite considerable efforts. The lessons of these case studies should be useful for primary care practices desiring to improve timely access to care and wishing to avoid the pitfalls that can derail this innovation.

Author Affiliations: Mark Murray & Associates, Sacramento, Calif (Dr Murray); Department of Family and Community Medicine, University of California, San Francisco (Drs Bodenheimer, Rittenhouse, and Grumbach).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED LETTER

Advanced-Access Scheduling in Primary Care
David Siegel
JAMA. 2003;290(3):333.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Advanced Access: Reducing Waiting and Delays in Primary Care
Mark Murray and Donald M. Berwick
JAMA. 2003;289(8):1035-1040.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Group Health Cooperative's Transformation Toward Patient-Centered Access
Ralston et al.
Med Care Res Rev 2009;66:703-724.
ABSTRACT  

Ethical Considerations in Cross-Linguistic Nursing
Carnevale et al.
Nurs Ethics 2009;16:813-826.
ABSTRACT  

Evaluating Open Access: Problems with the Program or the Studies?
Salisbury
ANN INTERN MED 2008;149:910-910.
FULL TEXT  

Uninsured Adults Presenting to US Emergency Departments: Assumptions vs Data
Newton et al.
JAMA 2008;300:1914-1924.
ABSTRACT | FULL TEXT  

So Much to Do, So Little Time: Care for the Socially Disadvantaged and the 15-Minute Visit
Fiscella and Epstein
Arch Intern Med 2008;168:1843-1852.
ABSTRACT | FULL TEXT  

Middle of the health care pack: Canada's performance in the 2007 Commonwealth Fund international survey
MacKinnon and Sanmartin
cfp 2008;54:965-966.
FULL TEXT  

Au milieu du peloton en matiere de sante: Le rendement du Canada dans le sondage international du Fonds du Commonwealth en 2007
MacKinnon and Sanmartin
cfp 2008;54:970-971.
FULL TEXT  

Implementing Open-Access Scheduling of Visits in Primary Care Practices: A Cautionary Tale
Mehrotra et al.
ANN INTERN MED 2008;148:915-922.
ABSTRACT | FULL TEXT  

Chronically ill Australians' satisfaction with accessibility and patient-centredness
Jayasinghe et al.
Int J Qual Health Care 2008;20:105-114.
ABSTRACT | FULL TEXT  

Assessment of a Medical Outreach Program to Improve Access to HIV Care Among Marginalized Individuals
Cunningham et al.
AJPH 2007;97:1758-1761.
ABSTRACT | FULL TEXT  

A Systems Approach to Patient-Centered Care
Bergeson and Dean
JAMA 2006;296:2848-2851.
FULL TEXT  

Ambulatory Care Quality Measures for the 6 Aims From Administrative Data
Solberg et al.
American Journal of Medical Quality 2006;21:310-316.
ABSTRACT  

Effect of open access scheduling on missed appointments, immunizations, and continuity of care for infant well-child care visits.
O'Connor et al.
Arch Pediatr Adolesc Med 2006;160:889-893.
ABSTRACT | FULL TEXT  

Challenges of Change: A Qualitative Study of Chronic Care Model Implementation
Hroscikoski et al.
Ann Fam Med 2006;4:317-326.
ABSTRACT | FULL TEXT  

Advanced access: more than just GP waiting times?
Dixon et al.
Fam Pract 2006;23:233-239.
ABSTRACT | FULL TEXT  

Effect of Improved Primary Care Access on Quality of Depression Care
Solberg et al.
Ann Fam Med 2006;4:69-74.
ABSTRACT | FULL TEXT  

The Break-Even Point: When Medical Advances Are Less Important Than Improving the Fidelity With Which They Are Delivered
Woolf and Johnson
Ann Fam Med 2005;3:545-552.
ABSTRACT | FULL TEXT  

Insurance Status and Access to Urgent Ambulatory Care Follow-up Appointments
Asplin et al.
JAMA 2005;294:1248-1254.
ABSTRACT | FULL TEXT  

Open Access in Primary Care: Results of a North Carolina Pilot Project
Bundy et al.
Pediatrics 2005;116:82-87.
ABSTRACT | FULL TEXT  

The Essential Role of Generalists in Health Care Systems
Ferrer et al.
ANN INTERN MED 2005;142:691-699.
ABSTRACT | FULL TEXT  

Why We Don't Come: Patient Perceptions on No-Shows
Lacy et al.
Ann Fam Med 2004;2:541-545.
ABSTRACT | FULL TEXT  

Why Isn't It Better?
Wasson
Ann Fam Med 2004;2:292-293.
FULL TEXT  

The 21st Century: The Age of Family Medicine Research?
Lam
Ann Fam Med 2004;2:S50-S54.
ABSTRACT | FULL TEXT  

Behind Schedule: Improving Access to Care for Children One Practice at a Time
Randolph et al.
Pediatrics 2004;113:e230-237.
ABSTRACT | FULL TEXT  

Innovations in Access to Care: A Patient-Centered Approach
Berry et al.
ANN INTERN MED 2003;139:568-574.
ABSTRACT | FULL TEXT  

Advanced-Access Scheduling in Primary Care
Siegel
JAMA 2003;290:333-333.
FULL TEXT