How to Identify and Fix Delays in Patient Care: A Guide to Patient Journey Mapping
- Waller Hall Research

- Jun 5
- 4 min read
In the Rocky Mountain West and Great Plains, the process of receiving healthcare is often complicated by long travel distances and limited local resources. For a healthcare provider, understanding the exact steps a patient takes to receive treatment is essential for maintaining an efficient practice. Patient Journey Mapping is a tool used to visualize the entire experience of a patient, from the moment they realize they have a health need to their final follow-up.
By mapping this journey, administrators can identify friction points, specific moments where the process slows down, communication fails, or the patient becomes frustrated.

The Three Stages of the Patient Journey
A complete map covers the patient’s experience before, during, and after their clinical visit.
1. Pre-Care: Access and Scheduling
The journey begins before the patient enters the clinic. This stage includes searching for a provider, understanding insurance coverage, and scheduling an appointment.
Regional Friction: In our region, the primary friction point is often the logistics of the visit. Patients may need to take a full day off work or arrange childcare to travel to a facility.
Operational Goal: To make the entry into the system as simple as possible. This involves providing clear, direct information about appointment availability and what the patient needs to bring, reducing the need for multiple phone calls or administrative delays.
2. Treatment: The Clinical Encounter
This is the period the patient spends at the facility. It includes registration, the medical consultation, and any immediate tests or procedures.
Regional Friction: Delays often occur when internal processes are not coordinated. If a patient waits an hour in the lobby only to be told they need a test that wasn't scheduled, their trust in the provider decreases.
Operational Goal: To ensure the value chain of the visit is streamlined. Every administrative step should be evaluated to see if it is necessary for care or if it is just an institutional requirement that could be simplified.
3. Post-Care: Recovery and Follow-Up
The journey continues after the patient leaves the facility. It includes following a treatment plan, managing medication, and attending follow-up appointments.
Regional Friction: Once a patient returns to a remote area, they may have limited access to immediate help if they have questions. If follow-up instructions are filled with jargon or are unclear, the patient may fail to complete their treatment.
Operational Goal: To provide the patient with the specific tools and information they need to manage their recovery independently. Using direct, plain-language instructions ensures the patient knows exactly what to do, which improves their overall health result.
Improving Satisfaction and Clinical Outcomes
Patient Journey Mapping is not just about making patients "happier"; it is about improving the effectiveness of the care provided. When friction points are removed, two things happen:
Increased Satisfaction: Patients are more likely to return to and recommend a provider who respects their time and provides clear communication. In a territory where word-of-mouth is a primary driver of a practice’s reputation, this satisfaction is a critical asset.
Better Health Outcomes: When the journey is easy to navigate, patients are more likely to follow through with their treatment. For example, if the follow-up process is clear and the provider uses direct outreach to check on progress, the chances of a successful recovery increase significantly.
Using Data to Map the Journey
To create an accurate map, providers must move beyond assumptions and gather "ground-truth" data from the patients themselves.
Direct Outreach: Instead of relying on general feedback forms, regional providers can use direct interviews or surveys to find out exactly where patients felt "stalled" or confused.
Internal Process Review: Administrators should walk through the same steps a patient takes to identify unnecessary paperwork or physical bottlenecks in the facility.
Operational Metrics and KPI Benchmarks
The following table identifies the specific metrics required to evaluate the efficiency of the three-stage patient journey model within the Rocky Mountain and Great Plains healthcare markets.
Journey Stage | Primary KPI | Operational Definition |
Pre-Care | Administrative Lead Time | The total duration from initial contact to the confirmed appointment date. |
Treatment | Clinical Value Chain Efficiency | The ratio of medical consultation time to the total time spent within the facility. |
Post-Care | Treatment Adherence Rate | The percentage of patients who successfully complete the prescribed follow-up protocol. |
Operationalizing Data for Regional Growth
To operationalize these KPIs, administrators must transition from general feedback to ground-truth data collection.
Pre-Care Optimization: Practitioners should measure the frequency of "administrative stalls," which are defined as instances where a patient must call more than once to secure necessary scheduling information.
Treatment Throughput: Facilities must monitor internal department coordination, specifically tracking the time between registration and the medical encounter to identify physical bottlenecks.
Post-Care Clarity: Success is measured by the reduction in follow-up inquiries caused by technical jargon, ensuring patients in remote areas possess the tools for independent recovery.
Infrastructure Variable: An adjacent data point indicates that regional energy and natural resource projects in the Powder River Basin utilize similar stakeholder intelligence to secure a social license to operate, suggesting that healthcare reputation is a critical asset for long-term project viability.
Summary: A Practical Path to Growth
Patient Journey Mapping allows healthcare leaders in the Rockies and Great Plains to see their organization from the patient’s perspective. By identifying and fixing the friction points in the pre-care, treatment, and post-care stages, providers can improve both the efficiency of their operations and the health of their community. This objective approach ensures that the facility remains a capable, independent leader in regional healthcare.



