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79 Background: Since 2010 The University of Texas MD Anderson Cancer Center (UTMDACC) has been using Time Driven Activity Based Costing (TDABC) to assist in tracking and quantifying changes made to clinical processes to improve efficiency of patient care delivery. Radiation Oncology (RO) providers have recently utilized this method to assist in the growing clinical patient volumes and increasing enrollment in clinical trials. UTMDACC contains disease specific multi-disciplinary centers with separate clinics for different disciplines. Resources are limited which can affect clinical providers’ ability to meet the needs of increasing patient volumes. Implementing efficient clinic work flow models will allow clinicians to provide excellent quality of clinical care even with limited resources. Methods: Standard disease-site specific note templates were created and implemented throughout the entire RO department. Additionally, standardized roles for medical assistants, residents, physician assistants (PAs), attending physicians and nurses were implemented to minimize duplication of responsibilities. Using TDABC methodology, process maps for pre and post implementation pathways were created to illustrate areas of change and possible benefit. Results: Process maps were compared for new consult and follow up and on treatment patient visits. Process times for these patient care visits were compared pre- and post-implementation of templates and clinical roles. Time savings of 110, 18 and 34 minutes were observed for consult visits, follow up visits and on-treatment visits when comparing current to baseline process maps. Conclusions: Standardization of note templates and roles for all members of the care team has led to improvements in process flow and efficiency in the RO clinic setting. Our findings suggest that further implementation of TDABC methodology by having all providers work at the top of their license could can improve clinical efficiency and patient care. Further metrics with a larger sample size is recommended to validate our results. [Table: see text]

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Introduction: The quality control system for construction and installation operations pursues six objectives: completion on time; completion on budget; compliance with the design documents, codes, and standards; safe operations; improvement of skills and experience; environment protection. Purpose of the study: To evaluate reliability of the objectives, correlation between them, and ranking of their priorities within the quality control system for construction and installation operations in Vietnam. Methods: The objectives were evaluated by means of a questionnaire survey conducted in Vietnam, using a five-level scale, based on the reliability coefficient α, correlation coefficient r and mean value М. The sample size was 184. Results: According to the results of the questionnaire survey conducted in Vietnam, homogeneity and correlation between the following objectives was observed: compliance with the design documents, codes, and standards; safe operations; improvement of skills and experience; completion on time; completion on budget; environment protection. The objectives were ranked between two groups of respondents by their experience and roles based on the sample size.