4th International Conference on Primary Health Care & 2nd Euro Nursing Congress
September 15-16 2025 | Virtual Event
Huda MohainiMalibariOjebode
Eastern Health Cluster , Saudi Arabia
The Ibn Hayyan PHC is a busy Primary Health Center that includes an array of services including
primary care, vaccination, health coaching, school health, obesity, dental, pediatrics,
smoking cessation, and maternity care. In addition, on-site lab draw and point of care lab
testing are available. 83% of the patients coming to the center have a prescheduled appointment,
while the remaining 17% have walk-in needs.
Value stream mapping observations of the pre-scheduled patient experience reveal the following:
• The registration process (1’ 21”) can be impacted by variability in demand throughout the
day causing long ques. In addition, the lack of patients having an ID, elderly patient confusion,
along with a mismatch between appointment needs and the appointment type in
the HIS system. These defects result in staff members troubleshooting, dissatisfied patients
and longer waiting.
• The vitals process (2’ 00”) includes patient verification, obtaining height, weight, BP and
temperature. Observations reveal variation in completing the full vitals work-up (height,
weight, blood pressure and temperature) with a reliance on patient reporting. Pulling patients
to the vitals process is variable (median wait of 11’). At times, patients report confusion
on which side of the clinic to wait.
• The wait time to see the provider following vitals is highly variable ranging from 4’ 41” to
over 75’. Patients are unaware of the expected wait and can grow frustrated and may
leave without being seen. Data reveals 62% of patients wait 5 minutes or more beyond
their scheduled appointment time.
• The visit with the provider (median time of 11’09”) is impacted by variability in sending
referrals, invisibility of med lists, long-lead times for lab results, and a lack of clear care
pathways for common conditions.
Huda Abdulrahman Mohaini has completed his MD from Arabian Gulf University in Bahrain, Suadi Board in
Family Medicine from Saudi Commission for Health Specialties in Saudi Arabia & Arab Borad in Family Medicine
from The Arab Board of Health Specialties in Syria. She is the Chief of Primary Health Care Centers in Eastern
Health Cluster. She has participated in publishing books about Primary.