Windshield Survey

9/5/2018

Exploring around in the neighborhood, looking at medical urgent cares, and exploring online, what have really caught attentions this urgent care called MG; it had really bad reviews and was not following the successful protocols, order sets and forms, instructions and guidelines for implementing.

The Model for Improvement,* developed by Associates in Process Improvement, is a simple, yet powerful tool for accelerating improvement. This model is not meant to replace change models that organizations may already be using, but rather to accelerate improvement.

The Model for Improvement,* developed by Associates in Process Improvement, is a simple yet powerful tool for accelerating improvement. The model is not meant to replace change models that organizations may already be using, but rather to accelerate improvement. This model has been used very successfully by hundreds of health care organizations in many countries to improve many different health care processes and outcomes.

The model has two parts:

·     Three fundamental questions, which can be addressed in any order.

·     The Plan-Do-Study-Act (PDSA) cycle** to test changes in real work settings. The PDSA cycle guides the test of a change to determine if the change is an improvement.

Forming the Team
Including the right people on a process improvement team is critical to a successful improvement effort. Teams vary in size and composition. Each organization builds teams to suit its own needs.

Setting Aims
The aim should be time-specific and measurable; it should also define the specific population of patients or other system that will be affected.

Establishing Measures
Teams use quantitative measures to determine if a specific change actually leads to an improvement.

Selecting Changes

Ideas for change may come from those who work in the system or from the experience of others who have successfully improved.

Testing Changes
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting — by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning.

Implementing Changes
After testing a change on a small scale, learning from each test, and refining the change through several PDSA cycles, the team may implement the change on a broader scale — for example, for an entire pilot population or on an entire unit.

Spreading Changes
After successful implementation of a change or package of changes for a pilot population or an entire unit, the team can spread the changes to other parts of the organization or in other organizations.

Reviews

I’m giving it a one-star strictly because the staff and the doctor were very nice. Don’t let their kindness fool you. They x-rayed my granddaughter’s foot and then lied for eight days about a radiologist checking it. When I talked to the doctor that manages it, Dr Asad, on the 8th day I found out they never sent it to a radiologist because their equipment malfunctioned. Even though I was told every day for 8 days they were waiting for the results. He states there’s nothing wrong with the bone BUT he is not a radiologist! I would never recommend going here and if you are going to roll the dice and go, don’t believe what they tell you! I might need legal help with this one.

Susan Grubb

This place was a total joke. There is NO WAY in hell these reviews are honest ones. It’s pretty typical of establishments like this one to have everyone and their brother post positive feedback to make the business look appealing. Was just there to be seen and the “front desk” girl had her baby on the counter crying and screaming, playing with anything on the desk, as I tried to check in. The girl proceeds to ask if I’d been there before, at which time I said no. She spends a solid 5 minutes typing away on the computer, squinting at it, asking how to spell my name, what’s my address. Even after she has my drivers license in front of her. I reminded her that all of that info is listed right on the license. She finally states I’m not in the system. No kidding. I said right. Because I haven’t been here before. So then she gives me a form to fill out. So I do. And I bring it back up tot he counter and go back to sit down. She tried to close her glass sliding window and closed the whole clipboard in it. Seriously what a joke. And I’m suppose to feel safe and secure to get check out there? No thanks. There was one family ahead of me, and when she got up to call them back, the baby started screaming and throwing a tantrum because she stepped away. As far as I’m concerned, the medical field and medical clinicals are a professional environment. This is absolutely the opposite of any clinic you’d want to go to. AVOID!!

Brittany D.

I went into urgent care to get some tests done, upon walking in the receptionist was very rude, and constantly stared at me. I filled out the paperwork and payed for my visit, and waited in the waiting room for about half an hour. My vitals were taken and I was placed in a room, while waiting for the doctor I overheard nurses and a student talking about performing a procedure that they were not certified to do. I also heard my name and chart being discussed out loud between nurses, doctor, and reception. If i could hear this behind a closed door, at the end of the hall, it makes me uncomfortable to think who else heard. It is a violation of patient privacy to discuss a chart loudly where other patients and unauthorized people can hear. The nurse came into my room and told me she wasn’t going to run the tests I wanted, they ran one out of three tests that I requested and sent me out without seeing the doctor. I was told to wait 2 days for my results, and here I am, 4 days, 3 phone calls, 6 minutes of hold time, and no call backs later. They told me my tests weren’t complete yet. Terrible for “urgent service” and terribly unprofessional & invasive.

Christine I.

Zero Stars!! The Doctor is a scammer. They charge out of pocket money with no intention of treating and they don’t ever have the supplies to do the services. Ask them for a X-ray…The people are rude and they are always on their cell phones. They don’t even have soap to wash your hands nor paper towels to dry them. This place should be closed.
Leonard Q.

Do not go here! Was told my son had a sprain, took him to a specialist the next day and was told he actually fractured his ankle! Rate a zero. Jackie M.

References

http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx

https://www.yelp.com/biz/mg-urgent-care-dearborn-heights

1- Identify the Need/Gap/Health Problem identified in your community assessment. What is the one healthcare concern NOT addressed via programs/support at your local hospital?

Urgent Care

2- Is the Need/Gap/Health Problem a Knowledge, skill or practice gap? And why?

3- What is the BEST PRACTICE in the literature? Please provide data, research to substantiate your claim.

4- State the Purpose/Goal of the Activity- What are you going to do?

5- Provide (3) learning objectives of which you would like to accomplish?