Re: Re: Missed appointments

[Guest guest]

Maybe we are going about this the wrong way. Saw an article on MSN.com the other day about the hottest personal care ideas in California. First one was providing manicure & pedicures to people while they are getting a tattoo done. The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done. 2nd was mobile nail technicians. They called the business Taxi Mani and brought their services to the client in all sorts of settings Charges paid for thee services were crazy. Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo. We just need to find a setting that people like to go to, and arrange to provide health services in these settings. Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor. And since rooms are private, HIPPA wouldn’t be a huge issue either. Just because tanning imparts other health risks, doesn’t mean it couldn’t work. We need to give this some thought… LOL!!!!!!!!!! Dr. Beth Sullivan, DO From: [mailto: ] On Behalf Of roxywibleSent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdobefore a date.Whaddaya think?Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.Visual/cosmetic vs. non-visual, non-cosmeticHumans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405www.idealmedicalcare.org " (S)He is the best physician who is the most ingenious inspirer of hope. " ~ Coleridge>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

[Guest guest]

While patietns should not no show obviously coming to  see me to be told they  need to  do this  take this pill  etc is nuthing compared to the positive rewards of cigarettes hair nails etc.agree

 

Follow-up visits for silent conditions like HTN, high cholesterol,

just don't have the urgency of a good set of nails and a nice hairdo

before a date.

Whaddaya think?

Now, if patient was having unstable angina that would probably

beat out the nail-salon visit.

It's a competition between asymptomatic vs. symptomatic conditions.

Visual/cosmetic vs. non-visual, non-cosmetic

Humans - very simple and superficial animals at times.

Pamela Wible, MD

3575 St. #220 

Eugene, OR 97405

www.idealmedicalcare.org

" (S)He is the best physician who is the most ingenious inspirer of hope. "

~ Coleridge

>

> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating

>

> Ardiana M. Teran

>

--      MD          ph    fax

[Guest guest]

this issue really bothers me, because I try to do my best to stay on time and may patients hardly wait.

I see them when I tell that I will see them. I refuse to double,triple book the time slots like other practices.

I will have to have a serious conversation with patients that do not come and do not call to let me know about.

This behavior hurts me double because every day I have people that want to come for the first time or f/u and I can not see them because of busy slots.

when a patient does not come not only I lose money on his/her appointment but others that really want to come.

I also refuse to pay for reminders system or personal to call people before the appointments.

I strongly believes in personal responsibility and accountability, We do not need to baby people.

Society in general complains about how much they have to wait at doctors appointments right? , they do not say when they never wait but they are rude not coming and not calling me about it.

they complain but when you produce something different and personal care they take it for granted.

I think those patients needs a touch or reallity and go back to their previous treadmill care, 5 minutes appointments.

adolfo

To: Sent: Sunday, August 19, 2012 6:11 AMSubject: RE: Re: Missed appointments

Maybe we are going about this the wrong way. Saw an article on MSN.com the other day about the hottest personal care ideas in California. First one was providing manicure & pedicures to people while they are getting a tattoo done. The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done. 2nd was mobile nail technicians. They called the business Taxi Mani and brought their services to the client in all sorts of settings Charges paid for thee services were crazy. Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo.

We just need to find a setting that people like to go to, and arrange to provide health services in these settings. Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor. And since rooms are private, HIPPA wouldn’t be a huge issue either. Just because tanning imparts other health risks, doesn’t mean it couldn’t work. We need to give this some thought…

LOL!!!!!!!!!!

Dr. Beth Sullivan, DO

From: [mailto: ] On Behalf Of roxywibleSent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments

Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdobefore a date.Whaddaya think?Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.Visual/cosmetic vs. non-visual, non-cosmeticHumans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405http://www.idealmedicalcare.org/"(S)He is the best physician who is the most ingenious inspirer of hope."~ Coleridge>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

[Guest guest]

adolfo you are new in practice You may have to wait  After a while people   will be loyal to you IN the begiinng there is lot of turnoverIf you do open access and do not  book alot of them ahead the no show rate drops

No show rates a re hgiher in first  time only patietns HAng in If they no show  do not rebook except  as that day only and do them at the end of a session  so ti  does not hurt too much I hear Fla is insane... They are not used to you yet

Jean

 

this issue really bothers me, because I try to do my best to stay on time and may patients hardly wait.

I see them when I tell that I will see them. I refuse to double,triple book the time slots like other practices.

I will have to have a serious conversation with patients that do not come and do not call to let me know about.

This behavior hurts me double because every day I have people that want to come for the first time or f/u and I can not see them because of busy slots.

when a patient does not come not only I lose money on his/her appointment but others that really want to come.

I also refuse to pay for reminders system  or personal to call people before the appointments.

I strongly believes in personal responsibility and  accountability, We do  not need to baby people.

Society in general complains about how much they have to wait at doctors appointments right? , they do not say when they never wait but they are rude not coming and not calling me about it.

they complain but when you produce something different and personal care they take it for granted.

I think those patients needs a touch or reallity  and go back to their previous treadmill care, 5 minutes appointments.

adolfo

To: Sent: Sunday, August 19, 2012 6:11 AM

Subject: RE: Re: Missed appointments

 

Maybe we are going about this the wrong way.  Saw an article on MSN.com the other day about the hottest personal care ideas in California.  First one was providing manicure & pedicures to people while they are getting a tattoo done.  The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done.  2nd was mobile nail technicians.  They called the business Taxi Mani and brought their services to the client in all sorts of settings  Charges paid for thee services were crazy.  Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo. 

 

We just need to find a setting that people like to go to, and arrange to provide health services in these settings.  Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor.  And since rooms are private, HIPPA wouldn’t be a huge issue either.  Just because tanning imparts other health risks, doesn’t mean it couldn’t work.  We need to give this some thought…

 

LOL!!!!!!!!!!

 

Dr. Beth Sullivan, DO

 

From: [mailto: ] On Behalf Of roxywible

Sent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments

 

 

Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdobefore a date.Whaddaya think?

Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.Visual/cosmetic vs. non-visual, non-cosmetic

Humans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405

http://www.idealmedicalcare.org/ " (S)He is the best physician who is the most ingenious inspirer of hope. " ~ Coleridge

>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

--      MD          ph    fax

[Guest guest]

thanks, some of the now shows are return patients, but again I will have that conversation with them.

adolfo

To: Sent: Sunday, August 19, 2012 10:23 AMSubject: Re: Re: Missed appointments

adolfo you are new in practice You may have to wait After a while people will be loyal to you IN the begiinng there is lot of turnoverIf you do open access and do not book alot of them ahead the no show rate dropsNo show rates a re hgiher in first time only patietns HAng in If they no show do not rebook except as that day only and do them at the end of a session so ti does not hurt too much I hear Fla is insane... They are not used to you yetJean

this issue really bothers me, because I try to do my best to stay on time and may patients hardly wait.

I see them when I tell that I will see them. I refuse to double,triple book the time slots like other practices.

I will have to have a serious conversation with patients that do not come and do not call to let me know about.

This behavior hurts me double because every day I have people that want to come for the first time or f/u and I can not see them because of busy slots.

when a patient does not come not only I lose money on his/her appointment but others that really want to come.

I also refuse to pay for reminders system or personal to call people before the appointments.

I strongly believes in personal responsibility and accountability, We do not need to baby people.

Society in general complains about how much they have to wait at doctors appointments right? , they do not say when they never wait but they are rude not coming and not calling me about it.

they complain but when you produce something different and personal care they take it for granted.

I think those patients needs a touch or reallity and go back to their previous treadmill care, 5 minutes appointments.

adolfo

To: Sent: Sunday, August 19, 2012 6:11 AMSubject: RE: Re: Missed appointments

Maybe we are going about this the wrong way. Saw an article on MSN.com the other day about the hottest personal care ideas in California. First one was providing manicure & pedicures to people while they are getting a tattoo done. The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done. 2nd was mobile nail technicians. They called the business Taxi Mani and brought their services to the client in all sorts of settings Charges paid for thee services were crazy. Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo.

We just need to find a setting that people like to go to, and arrange to provide health services in these settings. Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor. And since rooms are private, HIPPA wouldn’t be a huge issue either. Just because tanning imparts other health risks, doesn’t mean it couldn’t work. We need to give this some thought…

LOL!!!!!!!!!!

Dr. Beth Sullivan, DO

From: [mailto: ] On Behalf Of roxywibleSent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments

Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdobefore a date.Whaddaya think?Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.Visual/cosmetic vs. non-visual, non-cosmeticHumans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405http://www.idealmedicalcare.org/"(S)He is the best physician who is the most ingenious inspirer of hope."~ Coleridge>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

-- MD ph fax http:///

[Guest guest]

Adolfo,Make a policy.   Also we call every patient at least 48 hours before appointment to remind them.  I don’t like that we have to but it has cut down on the no-shows.  My dentist does it.  My salon even does it.  We do it 48 hours ahead (or 2 business days) so that people have a chance to call and cancel if that is there intent. Also, we send a letter to the patient with each “no showâ€.  I explain I don’t charge but if you habitually don’t show it indicates that you don’t appreciate me.  We advise them how many times they haven’t shown in each letter and the policy of terminating them from the practice after 3 no shows or 5 in the same family.  We do take some leeway on this if each no show was years apart,etc.  Or if they called and the car battery was dead or something like that.    We tell them that less than 24 hours notification is the same as not showing because often the appointment  can not be filled.  When we forget to call, there is a big upswing in the no-shows.  I always know right away. And I have that policy for all the reasons you state below.  Kathy Saradarian, MDNJ From: [mailto: ] On Behalf Of Adolfo Enrique TeranSent: Sunday, August 19, 2012 12:06 PMTo: Subject: Re: Re: Missed appointments Grace, I agreed with regarding come across mad, that's where my rock comes into place ( Ardiana). she tune down my emails and official communications. She is always in my case because of that, I am not a grumpy guy actually all the way around. I do not like confrontation I love peace and equilibrium but when sometimes when I get frustrated I open my mouth and words do not have any sugar on it. Sometimes I can tell you what I have to tell you with smile and a hug but I say it. had a point earlier, I just opened my practice so obviously I am not super busy. I am noticing a higher demand for my services and it is not fair that 6 patients did not show up last Friday. Some of them called but some did not, we had multiple calls of new patients that I could not see because I was busy on the schedule. I had to see a patient after 5 pm because I did not have a space and some people did not show up and I ended up having the space earlier. I was not happy staying later because of that. I open my doors at 08:00 am and I am there 10 minutes before I open, some practices you have an appointment at 8:am and the doctors shows up at 10 am. anyway thanks for your input. we are plannying to see you guys in San Diegito, take care, Adolfo To: Sent: Sunday, August 19, 2012 10:51 AMSubject: Re: Missed appointments adolfo,i am always running late so i tend to be easier on people.you should call them on it. esp the next time you see them, tell them i missed you this last time and waited for you to show up.. etc.. when you come across mad, then you end up being the bad guy again...i do have personnel call to remind. and people dont forget but repeat offenders i do discharge. new patient no shows esp may not be booked again. grace> >>> >> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > >> > >> Ardiana M. Teran> >>> >> >> > > -- > > > >    MD>    >    > ph   fax > http:///>

[Guest guest]

Adolfo,I will add my 2cents to the other words of wisdom here.

You are setting the policies.  If they no show and it has no consequences and don't even hear from you, they get the message it is no problem. 

I agree, have call them, or have an email or letter ready to go out, not written when you are angry, but rather just calmly explain what happened on Friday: patients who needed to be seen couldn't, you had to stay late when there ended up being free blocks during the day.  Then explain how you respect their time, your appointments start on time and you want patients that can honor that.

If it is not too hard, have na make a note in the system to schedule the at the end of a session next time.  But in any case, keep track.  Charge a fee and/or dismiss at whatever point you fee comfortable, but decide that now, put it in a policy and take the power those no-shows have to ruin your day away.

You are in charge!  

Can't wait to meet you guys in San Diego.

SharonSharon McCoy MD

Renaissance Family Medicine10 McClintock Court; Irvine, CA  92617PH: (949)387-5504   Fax: (949)281-2197  Toll free phone/fax:  www.SharonMD.com

 

Adolfo -

1) Charge a 50-75 dollar no-show fee

2) Fire repeat offenders of those who refuse

to pay

3) Don't feel sorry for them because they

will pay big bucks for dumb stuff like

cigarettes and alcohol and brand-name

sneakers

4) When we value ourselves we will

be treated like we value by others.

5) If we take this kind of shit

then we will get more of it and will

attract more disrespectful patients.

My favorite slide from a keynote I gave to

hundreds of docs:

Patients fall to the level of dysfunction

within a clinic.

I, seriously, think we do this to ourselves by being

too nice and letting people get away with this type of stuff.

Tough love.

xoxox

~ Pamela

Pamela Wible, MD

3575 St. #220 

Eugene, OR 97405

www.idealmedicalcare.org

" (S)He is the best physician who is the most ingenious inspirer of hope. "

~ Coleridge

> >

> > So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating

> >

> > Ardiana M. Teran

> >

>

[Guest guest]

Maybe pap smears/STD  testing at a House of Ill Repute ? 

 

Maybe we are going about this the wrong way.  Saw an article on MSN.com the other day about the hottest personal care ideas in California.  First one was providing manicure & pedicures to people while they are getting a tattoo done.  The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done.  2nd was mobile nail technicians.  They called the business Taxi Mani and brought their services to the client in all sorts of settings  Charges paid for thee services were crazy.  Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo. 

 We just need to find a setting that people like to go to, and arrange to provide health services in these settings.  Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor.  And since rooms are private, HIPPA wouldn’t be a huge issue either.  Just because tanning imparts other health risks, doesn’t mean it couldn’t work.  We need to give this some thought…

 LOL!!!!!!!!!! 

Dr. Beth Sullivan, DO 

From: [mailto: ] On Behalf Of roxywible

Sent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments

   Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdo

before a date.Whaddaya think?Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.

Visual/cosmetic vs. non-visual, non-cosmeticHumans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405

www.idealmedicalcare.org " (S)He is the best physician who is the most ingenious inspirer of hope. " ~ Coleridge

>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

[Guest guest]

after 9 years on this listserve I have still never used the Wiki, can you email me off list, instructions?

Cote

To: Sent: Sunday, August 19, 2012 9:23:57 AMSubject: Re: Re: Missed appointments

adolfo you are new in practice You may have to wait After a while people will be loyal to you IN the begiinng there is lot of turnoverIf you do open access and do not book alot of them ahead the no show rate dropsNo show rates a re hgiher in first time only patietns HAng in If they no show do not rebook except as that day only and do them at the end of a session so ti does not hurt too much I hear Fla is insane... They are not used to you yetJean

this issue really bothers me, because I try to do my best to stay on time and may patients hardly wait.

I see them when I tell that I will see them. I refuse to double,triple book the time slots like other practices.

I will have to have a serious conversation with patients that do not come and do not call to let me know about.

This behavior hurts me double because every day I have people that want to come for the first time or f/u and I can not see them because of busy slots.

when a patient does not come not only I lose money on his/her appointment but others that really want to come.

I also refuse to pay for reminders system or personal to call people before the appointments.

I strongly believes in personal responsibility and accountability, We do not need to baby people.

Society in general complains about how much they have to wait at doctors appointments right? , they do not say when they never wait but they are rude not coming and not calling me about it.

they complain but when you produce something different and personal care they take it for granted.

I think those patients needs a touch or reallity and go back to their previous treadmill care, 5 minutes appointments.

adolfo

To: Sent: Sunday, August 19, 2012 6:11 AMSubject: RE: Re: Missed appointments

Maybe we are going about this the wrong way. Saw an article on MSN.com the other day about the hottest personal care ideas in California. First one was providing manicure & pedicures to people while they are getting a tattoo done. The tattoo parlor owners claimed it help to relax the person while getting the tattoo and women tattoo clients really liked being able to get the latest nail art done while getting their body art done. 2nd was mobile nail technicians. They called the business Taxi Mani and brought their services to the client in all sorts of settings Charges paid for thee services were crazy. Tattoo parlors were charging $150 – 200 for both services in addition to the charges for the tattoo.

We just need to find a setting that people like to go to, and arrange to provide health services in these settings. Just think how easy it would be to exam a patient if we saw them while they were at the tanning parlor. And since rooms are private, HIPPA wouldn’t be a huge issue either. Just because tanning imparts other health risks, doesn’t mean it couldn’t work. We need to give this some thought…

LOL!!!!!!!!!!

Dr. Beth Sullivan, DO

From: [mailto: ] On Behalf Of roxywibleSent: Sunday, August 19, 2012 12:04 AMTo: Subject: Re: Missed appointments

Follow-up visits for silent conditions like HTN, high cholesterol, just don't have the urgency of a good set of nails and a nice hairdobefore a date.Whaddaya think?Now, if patient was having unstable angina that would probably beat out the nail-salon visit.It's a competition between asymptomatic vs. symptomatic conditions.Visual/cosmetic vs. non-visual, non-cosmeticHumans - very simple and superficial animals at times.Pamela Wible, MD3575 St. #220 Eugene, OR 97405http://www.idealmedicalcare.org/"(S)He is the best physician who is the most ingenious inspirer of hope."~ Coleridge>> So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > Ardiana M. Teran>

-- MD ph fax

[Guest guest]

Agree 100% with all of above, and do all of above. 75$ no show fine, 3 strikes you are fired, and the letter says because I can't fill it, and have peole waiting to get in.

CCote

To: Sent: Sunday, August 19, 2012 12:27:09 PMSubject: Re: Missed appointments

Adolfo -1) Charge a 50-75 dollar no-show fee2) Fire repeat offenders of those who refuseto pay 3) Don't feel sorry for them because theywill pay big bucks for dumb stuff likecigarettes and alcohol and brand-namesneakers4) When we value ourselves we willbe treated like we value by others.5) If we take this kind of shit then we will get more of it and willattract more disrespectful patients.My favorite slide from a keynote I gave tohundreds of docs:Patients fall to the level of dysfunctionwithin a clinic.I, seriously, think we do this to ourselves by being too nice and letting people get away with this type of stuff.Tough love.xoxox~ PamelaPamela Wible, MD3575 St. #220 Eugene, OR 97405www.idealmedicalcare.org"(S)He is the best physician who is the most ingenious inspirer of hope."~ Coleridge> >> > So, I do not understand how people remember their hair and nail appointments but DO NOT remember their doctors appointment ???! Frustrating > > > > Ardiana M. Teran> >>