Neurology Patient Flow Protocol Template

1. Pre-Visit Management

Patient Registration

• Schedule appointment with appropriate time allocation based on visit type
• Collect insurance information and pre-authorizations
• Send intake forms electronically 48 hours prior to visit
• Request previous medical records and imaging studies

Clinical Preparation

• Review patient history and documentation
• Prepare necessary assessment tools (MMSE, MoCA, etc.)
• Check imaging compatibility requirements
• Set up EMG/NCS equipment if needed

2. Patient Arrival Protocol

Check-in Process

1. Verify patient identity and insurance
2. Collect copayments and outstanding balances
3. Update demographics and contact information
4. Complete required consent forms

Initial Assessment

• Vital signs and basic neurological screening
• Medication reconciliation
• Chief complaint documentation
• Pain assessment (if applicable)

3. Clinical Workflow

Examination Room Protocol

1. Standard Visits (30 minutes)

   • History taking: 10 minutes
   • Examination: 10 minutes
   • Discussion/Plan: 10 minutes

2. New Patient Visits (60 minutes)

   • Comprehensive history: 20 minutes
   • Detailed examination: 20 minutes
   • Assessment and plan: 20 minutes

Special Procedures

• EMG/NCS: 45-60 minutes
• Botox injections: 30 minutes
• Lumbar puncture: 45 minutes

4. Post-Visit Protocol

Documentation Requirements

• Complete clinical notes within 24 hours
• Process medication prescriptions
• Generate referral letters
• Schedule follow-up appointments

Patient Education

• Provide condition-specific materials
• Review medication instructions
• Explain follow-up plan
• Schedule diagnostic tests if needed

5. Quality Metrics

Time Management Targets

• Check-in process: ≤ 10 minutes
• Waiting room time: ≤ 15 minutes
• Provider interaction: ≥ 80% of scheduled time
• Check-out process: ≤ 10 minutes

Patient Satisfaction Measures

• Monthly review of patient feedback
• Quarterly flow assessment
• Annual protocol updates