Best practice Model reduces no-shows, increases patient visits Interventions to address patient challenges make big impact on bottom line, according to JAOA study. Feb. 7, 2018Wednesday The DO Staff Contact The DO Staff Facebook Twitter LinkedIn Email Topics no-showspractice management Elmont Teaching Health Center (ETHC), a community-based health center in Long Island, New York, realized a 34 percent decrease in patient no-show rates in the fourth quarter of 2015, according to a study published in the February issue of The Journal of the American Osteopathic Association. A patient survey in the third quarter of 2015 helped ETHC to understand the primary reasons why patients did not show up for their appointments. “The primary reasons were simply forgetting the appointment, being called in to work, or not being able to reach someone at the center or leave a voicemail to cancel,” says Peter Guiney, DO, chairman of the Department of Family Medicine at Nassau University Medical Center. No-shows common, costly Recent studies have found no-show rates in outpatient settings range between 23.1 and 33.6 percent and result in decreased efficiency, lost time, and higher use of resources. Patient no-shows consume 14 percent of anticipated daily revenue for clinics and can result in longer wait times, a lower quality of care, worse health outcomes, and lower patient satisfaction. Research shows that patients who typically don’t show for appointments tend to be younger, have a lower socioeconomic status, are less likely to understand the purpose of their appointment, and have a history of failed appointments. A multi-faceted solution Dr. Guiney notes that many external factors in the patients’ lives contributed to no-show rates; however, ETHC found improvements they could make within their organization. He adds, “We designed an intervention to address every road block that was within our control.” ETHC implemented a series of interventions, including: Reminder calls to the patient the day prior to the appointment Patient education on the importance of complying with appointments Routing calls to all front-desk staff in an effort to answer every incoming call Sending weekly reports on no-show rates to staff and celebrating reductions Using gaps from no-shows to accommodate patients with immediate needs Dr. Guiney says ETHC’s patient visits were up 13 percent during the study period, which he says underscores the efficacy of the interventions. Researchers hope the findings can serve as a model to help other outpatient clinics reduce their no-show rates. More in Newsbriefs “Operation Nightingale” fraud scheme alert: Bogus nursing credentials sold to thousands of aspiring nurses It was recently discovered that a scheme, nicknamed “Operation Nightingale,” offered aspiring nurses the opportunity to purchase fake nursing degree diplomas and transcripts. DO Day Scholarship available for DO residents, fellows and new physicians: Applications due Jan. 31 DO residents, fellows and new physicians in practice can receive a scholarship to cover registration and travel. Previous articleWho got the big bump? Top 10 cities for doctor pay raises Next articleThe road to PyeongChang took years of hard work—for Olympic physicians too
“Operation Nightingale” fraud scheme alert: Bogus nursing credentials sold to thousands of aspiring nurses It was recently discovered that a scheme, nicknamed “Operation Nightingale,” offered aspiring nurses the opportunity to purchase fake nursing degree diplomas and transcripts.
DO Day Scholarship available for DO residents, fellows and new physicians: Applications due Jan. 31 DO residents, fellows and new physicians in practice can receive a scholarship to cover registration and travel.