(378) The effect of tailored prenatal care policies with telemedicine on outpatient clinic operations

Implementation of the tailored prenatal care policy resulted in shorter care delays in weeks for all patients (low-risk in-person: 3.5; high-risk in-person: 0.5; low-risk hybrid 3.7; high-risk hybrid 0.6) [Figure 1]. Tailored policies also resulted in decreased percentages of overbooked appointments (percent difference for low-risk in-person: 9.5%; high-risk in-person: 3.2%; low-risk hybrid 14.1%; high-risk hybrid 6.8%) [Figure 2]. Unused clinic capacity was 3% lower with tailored prenatal care policies across all clinics.

 

Conclusion: Tailored prenatal care delivery policies with visit schedules based on medical risk and telemedicine improve clinical operations, including patient delays, overbooked appointments, and overall utilization of clinic capacity.