No Show Rates in Academic Clinics: Why We All Should Care

Fellowship Paper

Patient Flow

Patient Access

Cameron L. Smith DO, FACOI, FACMPE
Patients who choose not to attend their appointments cause excessive burden in three key areas: financial, reduction of access for other patients, and, in academic clinics, reduction of the learning potential. The no show rate in the clinic studied was examined and room for improvement was found. After extensive analysis, it was determined that the majority of patients who didn’t keep their appointment had simply forgotten about it. Therefore, processes were implemented not only to identify why this occurred but also to remedy it. Additionally, the process of providing notification to those not attending their appointments as well as terminating chronic offenders was drafted and implemented. As a result, a 3.6% reduction in the no show rate was realized over the first three month period.
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About the Author

Cameron L. Smith
Cameron L. Smith DO, FACOI, FACMPE
Internal Medicine St. Luke's Hospital Kansas City, Mo.



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