Missed appointments and Government Cuts

2017 figures

Excluding cancellations

  • in January we had 28 patients fail to show. This cost our office $2500
  • In February we had 30 patients fail to show.

To be clear and unambiguous – if this continues we plan to close the office in 18 months as the Government cuts and the number of no shows means we are not sustainable . Yet we STILL SEE NEW INFLAMMATORY JOINT DISEASE (RA) WITHIN  2 WEEKS

We have up to 15 new referrals to this office per day -  at least half of these will become follow up patients in the long term – everybody wishes to be seen as soon as possible yet we cannot achieve this when patients fail to show, yet at the same time we get 20 calls per day asking us to see patients urgently…..

This is enormously difficult as it deprives other patients of an appointment and costs the office many thousands of dollars in lost revenue each year. Kingston suffers from long rheumatology wait times and we have employed extra professionals to address this despite Government cuts which aim to reduce the Healthcare budget predominantly by reducing the number of patients seen by physicians

  • 4 -10 patients per day fail to show,  or cancel within 24 hours.
  • Some of these patients when not offered a new appointment are abusive to our staff
  • 3 patients per day arrive more than 20 minutes late delaying the rest of our day
  • No patients like being seen more than 30 minutes after their appointment

 

This affects our ability to employ staff. The number of cancellations and no-shows last year was equivalent to one full time nurse salary. The office space, equipment, and staff are funded entirely by OHIP fees for service. If you fail to attend you have had a direct effect on our ability to see patients and to remain open.

 

The Government has imposed a 5% billing fee reduction (in a year where real office costs have risen significantly)

This decision will have a major effect on patient care as it means that we lose the equivalent of a week’s office income which again impacts our ability to employ the team whose only mission is patient care.

 

As such we now have a policy:

IF YOU FAIL TO ATTEND YOUR APPOINTMENT WITHOUT  GOOD REASON YOU WILL NOT BE OFFERED ANOTHER APPOINTMENT.

AGGRESSIVE HECTORING OF ANY OF OUR STAFF WILL NOT BE TOLERATED

IF YOU ARRIVE LATE YOU WILL BE RESCHEDULED

YOU WILL NEED TO EITHER SEE YOU DOCTOR TO BE RE-REFERRED ON A ROUTINE BASIS, OR REFERRED TO A DIFFERENT OFFICE

WITH MUCH REGRET WE ARE GOING TO IMPOSE A FEE FOR PATIENTS WHO FAIL TO ATTEND WITHOUT CONTACTING US