RE: scheduling capacity

[Guest guest]

Good Morning- I work as an outpatient dietitian in a hospital and most of the people I see are those with Type II Diabetes or pre and post GBSX (with some gestational diabetics, heart healthy, etc. mixed in). For the bulk of the people, I spend 1 to 1 ½ hours on an initial consult and about 30 minutes on follow ups. The maximum number of outpatients I generally allow is about 5 per day to allow time to see GBSX pts who are currently inpatient, respond to phone calls/e-mails from patients, complete documentation, do inservices as well as a variety of other administrative duties. I can't imagine trying to see 12 outpatients in one day. I hope this helps. I would be interested also to hear what other responses you get. Good luck! Cheryl>>> kcfahnoe@... 6/4/2006 8:45 AM >>>

Good morning,I'm hoping for some feedback regarding how others are designing their patient schedules. My supervisor is asking that I begin seeing 12 patients daily. My current capacity is 9, and when it fills up, the day is crazy and I'm behind on documentation (we use electronic medical records). My main concern is quality of care, so I'm researching what my peers are doing in order to bring the info back to my supervisor.My questions for those in a clinic/outpatient education setting are:How many patients do you schedule daily?How long are your appointments? (Initial and follow-up)Do you have time allotted for documentation and administrative tasks? Any feedback would be appreciated!Thanks,

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[Guest guest]

Hi and list,

I do not see bariatric patients regularly but in a general outpatient

practice, I schedule 6 hours a day for patients. The initial visit is 1 hour

and follow ups are 15 or 30 minutes depending on the patient's needs. Since

I do my own billing at the end of the month, that gives me time for

documentation, phone calls and other projects. I find it extremely busy if

all 6 hours are filled up! I know another CDE, RD at our facility books 6

hours and our hospital clinical counselors also book 6 hours. Hope this

helps,

Kitty

scheduling capacity

Good morning,

I'm hoping for some feedback regarding how others are designing their

patient schedules. My supervisor is asking that I begin seeing 12

patients daily. My current capacity is 9, and when it fills up, the

day is crazy and I'm behind on documentation (we use electronic

medical records). My main concern is quality of care, so I'm

researching what my peers are doing in order to bring the info back to

my supervisor.

My questions for those in a clinic/outpatient

education setting are:

How many patients do you schedule daily?

How long are your appointments? (Initial and follow-up)

Do you have time allotted for documentation and administrative tasks?

Any feedback would be appreciated!

Thanks,

[Guest guest]

Hi -

My intial visits are scheduled for 90 minutes and I allow 60 minutes

for follow-ups (I can usually finish my appointment and

documentation in those time spans). Pre-op weight loss appointments

are allowed 30 minutes. SO.... a day with 6 patients is very busy

for me. If I have some weight loss patients mixed in then I could

possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and

maintaining a good quality of care.

Hope that helps.

>

> Good morning,

>

> I'm hoping for some feedback regarding how others are designing

their

> patient schedules. My supervisor is asking that I begin seeing 12

> patients daily. My current capacity is 9, and when it fills up,

the

> day is crazy and I'm behind on documentation (we use electronic

> medical records). My main concern is quality of care, so I'm

> researching what my peers are doing in order to bring the info

back to

> my supervisor.

>

> My questions for those in a clinic/outpatient

> education setting are:

> How many patients do you schedule daily?

> How long are your appointments? (Initial and follow-up)

> Do you have time allotted for documentation and administrative

tasks?

>

> Any feedback would be appreciated!

>

> Thanks,

>

>

>

[Guest guest]

If they are 1 hour assessments I do not allowed more than 4 to be scheduled.

If it is 30 minute follow up appointments it depends upon if they are the

only ones I am seeing that day (I will see between 4 - 6) or if they are

mingled in with the hour assessments I will see maybe 2. Hope that helps!

J. Sams MS RD/LD

>From: " kcfahnoe " <kcfahnoe@...>

>Reply-

>

>Subject: scheduling capacity

>Date: Sun, 04 Jun 2006 12:45:10 -0000

>

>Good morning,

>

>I'm hoping for some feedback regarding how others are designing their

>patient schedules. My supervisor is asking that I begin seeing 12

>patients daily. My current capacity is 9, and when it fills up, the

>day is crazy and I'm behind on documentation (we use electronic

>medical records). My main concern is quality of care, so I'm

>researching what my peers are doing in order to bring the info back to

>my supervisor.

>

>My questions for those in a clinic/outpatient

>education setting are:

>How many patients do you schedule daily?

>How long are your appointments? (Initial and follow-up)

>Do you have time allotted for documentation and administrative tasks?

>

>Any feedback would be appreciated!

>

>Thanks,

>

>

>

>

>

[Guest guest]

I see patients for 20-30 minutes intially, and 30 minutes for

followup. I could fit in 12 patients if needed, but those days would

be crazy and I don't think I could catch up on charting either.

Right now the most I have ever scheduled for one day would be 8

patients.

Hope that helps,

Talbot

>

> Good morning,

>

> I'm hoping for some feedback regarding how others are designing

their

> patient schedules. My supervisor is asking that I begin seeing 12

> patients daily. My current capacity is 9, and when it fills up,

the

> day is crazy and I'm behind on documentation (we use electronic

> medical records). My main concern is quality of care, so I'm

> researching what my peers are doing in order to bring the info back

to

> my supervisor.

>

> My questions for those in a clinic/outpatient

> education setting are:

> How many patients do you schedule daily?

> How long are your appointments? (Initial and follow-up)

> Do you have time allotted for documentation and administrative

tasks?

>

> Any feedback would be appreciated!

>

> Thanks,

>

>

>

[Guest guest]

My boss has determined that I need to be seeing patients 30 of 40 hours

worked, she also manages several diabetes dietitians and the same applies

for them. some days are longer and some are shorter but I am with patients

for those 30 hours, the other 10 hours is for charting, meetings etc. I see

new patients for 60 minutes and follow ups for 30 minutes. This seems

manageable for me now. I was seeing patients 38/40 hours and I thought I

was gonna go crazy. There were many 12 hour days which I think is just

wrong. I now limit my days to 10 hours or less and have changed the

schedule to meet this goal. Hope this helps.

Laschkewitsch RD LD

Dietitian, Legacy Obesity Institute

(503) 413-8135

Re: scheduling capacity

Hi -

My intial visits are scheduled for 90 minutes and I allow 60 minutes

for follow-ups (I can usually finish my appointment and

documentation in those time spans). Pre-op weight loss appointments

are allowed 30 minutes. SO.... a day with 6 patients is very busy

for me. If I have some weight loss patients mixed in then I could

possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and

maintaining a good quality of care.

Hope that helps.

>

> Good morning,

>

> I'm hoping for some feedback regarding how others are designing

their

> patient schedules. My supervisor is asking that I begin seeing 12

> patients daily. My current capacity is 9, and when it fills up,

the

> day is crazy and I'm behind on documentation (we use electronic

> medical records). My main concern is quality of care, so I'm

> researching what my peers are doing in order to bring the info

back to

> my supervisor.

>

> My questions for those in a clinic/outpatient

> education setting are:

> How many patients do you schedule daily?

> How long are your appointments? (Initial and follow-up)

> Do you have time allotted for documentation and administrative

tasks?

>

> Any feedback would be appreciated!

>

> Thanks,

>

>

>

[Guest guest]

How many RDs out there are working 12 hour days (due to work load and wanting to meet standards of care) and being paid for 8?

-------------- Original message -------------- From: "Laschkwitsch, :LPH Obes Inst" <KLaschke@...> My boss has determined that I need to be seeing patients 30 of 40 hoursworked, she also manages several diabetes dietitians and the same appliesfor them. some days are longer and some are shorter but I am with patientsfor those 30 hours, the other 10 hours is for charting, meetings etc. I seenew patients for 60 minutes and follow ups for 30 minutes. This seemsmanageable for me now. I was seeing patients 38/40 hours and I thought Iwas gonna go crazy. There were many 12 hour days which I think is justwrong. I now limit my days to 10 hours or less and have changed theschedule to meet this goal. Hope this helps. Laschkewitsch RD LDDietitian, Legacy Obesity Institute(5

03) 413-8135 -----Original Message-----From: [mailto: ]On Behalf Of mkzzglSent: Sunday, June 04, 2006 8:30 AM Subject: Re: scheduling capacityHi - My intial visits are scheduled for 90 minutes and I allow 60 minutes for follow-ups (I can usually finish my appointment and documentation in those time spans). Pre-op weight loss appointments are allowed 30 minutes. SO.... a day with 6 patients is very busy for me. If I have some weight loss patients mixed in then I could possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and maintaining a good quality of care.Hope that helps.>> Good morn

ing,> > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor.> > My questions for those in a clinic/outpatient > education setting are:> How many patients do you schedule daily?> How long are your appointments? (Initial and follow-up)> Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated!> > Thanks,> > >

[Guest guest]

I often work 10 hour days (paid for 8) and

spend many hours at home doing paperwork and various administrative duties

I am a “clinical dietitian” who

has no real hours designated to bariatric surgery, except some classes. I

fit other things in as I can

From:

[mailto: ]

On Behalf Of md-gonzales@...

Sent: Tuesday, June 06, 2006 4:27

PM

Subject: RE:

Re: scheduling capacity

How many RDs out there are working 12 hour days (due to work load and

wanting to meet standards of care) and being paid for 8?

--------- Re: scheduling capacity

Hi -

My intial visits are scheduled for 90 minutes and I allow 60 minutes

for follow-ups (I can usually finish my appointment and

documentation in those time spans). Pre-op weight loss appointments

are allowed 30 minutes. SO.... a day with 6 patients is very busy

for me. If I have some weight loss patients mixed in then I could

possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and

maintaining a good quality of care.

Hope that helps.

>

> Good morn ing,

>

> I'm hoping for some feedback regarding how others are designing

their

> patient schedules. My supervisor is asking that I begin seeing 12

> patients daily. My current capacity is 9, and when it fills up,

the

> day is crazy and I'm behind on documentation (we use electronic

> medical records). My main concern is quality of care, so I'm

> researching what my peers are doing in order to bring the info

back to

> my supervisor.

>

> My questions for those in a clinic/outpatient

> education setting are:

> How many patients do you schedule daily?

> How long are your appointments? (Initial and follow-up)

> Do you have time allotted for documentation and administrative

tasks?

>

> Any feedback would be appreciated!

>

> Thanks,

>

>

>

[Guest guest]

I have a private clinic-type practice.

I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day.

We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load.

Randee Reidy, MA, RD

Private Practice

Sacramento

[Guest guest]

I agree. We schedule 30 minute and 1 hour for pts depending on what we are seeing them for. We never schedule more than 6/d/therapist.

Re: scheduling capacity

I have a private clinic-type practice.

I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day.

We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load.

Randee Reidy, MA, RD

Private Practice

Sacramento

[Guest guest]

I agree 1000 %%% !!!!!!!! Personally, I will NOT do any work on my own time. I

expect as a professional to be paid for the hrs I work.

Strathdee, RD, LD, LMHC

>>> rreidy@... 6/7/2006 10:54 PM >>>

I have a private clinic-type practice.

I find a day with 6 (1 hour) visits are about it for me. I do schedule them

back to back, even though it will take me some time to also do the

documentation. As I am in a private practice setting, if I had a no-show, I

would not want 90 minutes of not getting paid!! I then catch up with paperwork

over lunch, or at the end of the day.

We have to keep in mind we are doing nutrition COUNSELING!!. That requires

listening, empathy, thinking, feeling, etc. More than six patients a day and

you are way too burned out, and not able to give any more. My sister, who is a

psychologist, only schedules 3 people per day. She is too wrung out after that.

No one would expect any other type of counselor to see 9-12 patients a day. As

dietitians and nutrition THERAPISTS, we need to all start putting our foot down

as far as a reasonable work load.

Randee Reidy, MA, RD

Private Practice

Sacramento

[Guest guest]

I recently had a day on my schedule which, when I saw it, went ballistic inside

! I was scheduled non-stop from 8 am -5 pm with 30 min lunch. The day included 5

new pts with many f/u appts ( I do 60 and 30 min, too ). I told my boss I needed

it changed , and pts were moved to make it a more reasonable day.

Strathdee, RD, LD, LMHC

>>> bevlyann@... 6/8/2006 7:14 AM >>>

I agree. We schedule 30 minute and 1 hour for pts depending on what we are

seeing them for. We never schedule more than 6/d/therapist.

Re: scheduling capacity

I have a private clinic-type practice.

I find a day with 6 (1 hour) visits are about it for me. I do schedule them

back to back, even though it will take me some time to also do the

documentation. As I am in a private practice setting, if I had a no-show, I

would not want 90 minutes of not getting paid!! I then catch up with paperwork

over lunch, or at the end of the day.

We have to keep in mind we are doing nutrition COUNSELING!!. That requires

listening, empathy, thinking, feeling, etc. More than six patients a day and

you are way too burned out, and not able to give any more. My sister, who is a

psychologist, only schedules 3 people per day. She is too wrung out after that.

No one would expect any other type of counselor to see 9-12 patients a day. As

dietitians and nutrition THERAPISTS, we need to all start putting our foot down

as far as a reasonable work load.

Randee Reidy, MA, RD

Private Practice

Sacramento

[Guest guest]

I want to thank everyone for their input on this topic. As the only RD in a primarily family practice, physician-based network, I'm trying to differentiate my services from the cut & dry MD acute care visit. Administration is struggling to understand, but I do believe the feedback of my peers will be very helpful. Thanks again for your personal insight and feedback! Strathdee <strathdee@...> wrote: I recently had a day on my schedule which, when I saw it,

went ballistic inside ! I was scheduled non-stop from 8 am -5 pm with 30 min lunch. The day included 5 new pts with many f/u appts ( I do 60 and 30 min, too ). I told my boss I needed it changed , and pts were moved to make it a more reasonable day. Strathdee, RD, LD, LMHC>>> bevlyanncomcast (DOT) net 6/8/2006 7:14 AM >>>I agree. We schedule 30 minute and 1 hour for pts depending on what we are seeing them for. We never schedule more than 6/d/therapist. Re: scheduling capacityI have a private clinic-type practice.I find a day with 6 (1 hour) visits are about it for me. I do schedule them

back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day.We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RDPrivate PracticeSacramento __________________________________________________