Management of patient no shows in family practice residency programs
Download
1 / 17

- PowerPoint PPT Presentation


  • 174 Views
  • Uploaded on

Management of Patient No-Shows in Family Practice Residency Programs. Bradley Johnson, MSIII James Mold, M.D., M.P.H. Michael Pontious, M.D. Research Question. What is the best way to reduce no-shows in residency clinics? What it the best way to manage no-shows that do occur?. Methods.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - lexiss


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Management of patient no shows in family practice residency programs l.jpg

Management of Patient No-Shows in Family Practice Residency Programs

Bradley Johnson, MSIII

James Mold, M.D., M.P.H.

Michael Pontious, M.D.


Research question l.jpg
Research Question Programs

  • What is the best way to reduce no-shows in residency clinics?

  • What it the best way to manage no-shows that do occur?


Methods l.jpg
Methods Programs

  • Survey directors of all U.S. family practice residency clinics

  • Find exemplary clinics for each of the two steps/components

  • Interview (phone) medical directors/managers of exemplary clinics

  • Identify a combined “best” method for managing no-shows


Methods4 l.jpg
Methods Programs

Definition of “best” methods

  • Clinics with the lowest no-show rates for resident appointments (<10%)

    2) Clinics seeing 8-10 patients/resident/half day and a satisfaction level of 4-5 for current management technique


Methods5 l.jpg
Methods Programs

Survey Instrument

  • Clinic demographics

  • Average number of visits/half day/resident for:

    • established patients

    • new patients

    • no-shows


Methods6 l.jpg
Methods Programs

  • Perception of no-show problem

  • Satisfaction with current methods

  • Current methods in use

  • Impact of no-shows


Results l.jpg
Results Programs


Results8 l.jpg
Results Programs




Frequency of no show rates l.jpg
Frequency of No-Show Rates Programs

Mean 20.5%


Correlations l.jpg
Correlations Programs

  • No correlation between no-show rates and satisfaction with no-show rates

  • No correlation between no-show rates and percentage of Medicaid patients

  • Negative correlation between no-show rate and number of patients seen/half-day

  • Positive correlation between number of patients seen/half-day and satisfaction with management of no-shows once they have occurred


Top 10 clinics for no show rate l.jpg
Top 10 Clinics for No-Show Rate Programs

  • No-Show Rate

    - Range: 3 - 9%

    - Mean: 6.3%

  • Satisfaction with Method to Reduce No-shows

    - Range: 1 - 5

    - Mean: 3

  • Prevention Method

    7 - reminder calls to all patients

    1 - reminder calls to problem patients only

    1 – nothing


Bottom 10 clinics for no show rate l.jpg
Bottom 10 Clinics for No-Show Rate Programs

  • No-Show Rate

    - Range: 33 - 57%

    - Mean: 43.3%

  • Satisfaction with Method to Reduce No-shows

    - Range: 1 - 4

    - Mean: 2.3

  • Prevention Method

    4 - reminder calls to patients

    2- sometimes make reminder calls to patients

    2 - patient education

    1 - reminder letter

    1- letter 10 days, call 1& 2 days before


Top 10 clinics for visits half day of 8 10 and no show management satisfaction of 4 or 5 l.jpg
Top 10 Clinics for Visits/half day of 8-10 and No-Show Management Satisfaction of 4 or 5

  • No-Show Rate

    - Range: 10-30%

    - Mean: 14.6%

  • Management Method

    3 - fill with walk-ins

    1 – overbook

    (3 - send warning letters, dismiss from practice after 3 no-shows

    3 - send letters)


Bottom 10 clinics for visits half day of 8 10 and no show management satisfaction of 1 or 2 l.jpg
Bottom 10 Clinics for Visits/half day of 8-10 and No-Show Management Satisfaction of 1 or 2

  • No-Show Rate

    - Range: 12-38%

    - Mean: 12.8%

  • Management Method

    (3 - send letters

    2 - send warning letters, possibly dismiss from practice after 3

    no-shows

    2 - nothing

    1 - send letters, after 3 no-shows patient asked to come in at end

    of schedule and is worked in

    1 - patient education)


Interviews to date l.jpg
Interviews to Date Management Satisfaction of 1 or 2

4 Interviews with managers of clinics with low no-show rates

  • 1 actually has rate of 14-15% (disqualified)

  • The other 3 call EVERY patient the day before, record ALL no-shows and cancellations in chart; send policy letter after first no-show; dismiss patients after 3-in-a-row


ad