Table 1.

Improvement Areas Addressed in RAP Meetings

Types of Improvement Areas	Specific Issues Addressed in RAP Meetings
Patient care–related areas
Improve patient flow	Increase staff ability to schedule tests
	Front desk procedures
	Clinician time with patient
	Open access
Improve patient access to practice	Encourage patients to see new clinicians
	Telephone system
	Referrals
	Prescription refills
	Call backs with test results
Improve “interpersonal“ communication with patients	Patient surveys, patient satisfaction
	Patient education materials
Clinical Issues	Educating staff about clinical processes (eg, eligibility
	for influenza vaccines)
Charting	Improving chart documentation
	Chart organization and culling
	EMR implementation
Practice improvement areas
Staffing issues	Turnover
	Vacations
	Clinician style
	Clinical support staff
	Staff style
Improve interpersonal staff communication	Teamwork
	Respectful interactions (bridging work “silos”)
	Improving communication between practice and hospital
Improve workflow-related staff communication	Creating procedures manuals, communication logs
	Consistency in following protocols
	Creating job descriptions
Improve leadership (more facilitative leadership style)	Increase staff appreciation
	Better decision making
	Updating job descriptions
Financial issues	Improve reimbursement

EMR = electronic medical record; RAP = reflective adaptation process.