Access is closely linked to patient satisfaction and is a prominent objective for many practices. Though the science of access is well developed, practices frequently fail in their efforts to reduce patient waiting. Our experience has been that practices are more successful at improving access in a sustainable way when they first measure and control panel size (block 3) and build capacity enhancing teams (block 4). Access and continuity may be in tension if patients prefer to see any clinician today than their own clinician next week. High-performing practices allow patients to decide which takes priority.
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