The document discusses appointment scheduling and control in a dental practice. It emphasizes that scheduling is essential to practice profitability, care quality, staff well-being, and patient convenience and health. The receptionist is responsible for appointment control including recalls, reminders, filling cancellations, and providing daily schedules. Scheduling should consider the dentist's preferences, production goals, patient needs and availability. Special considerations are given to scheduling different types of patients and procedures. Confirming appointments and reducing no-shows are also discussed.
2. Appointment Scheduling
Scheduling is an essential business function of every successful
dental practice. It will determine the profitability of the
practice, the quality of the care provided, the emotional and
well-being of the dentist and clinical staff and the convenience
and health of the patients.
3. Appointment Book
Can be manual or software
Receptionist is in charge of appointment control
a. Recalls pts on schedule
b. Reminds pts a day in advance of scheduled appts
c. Fills times in which appts have been cancelled
d. Provides staff with a daily schedule
4. Scheduling should be week-at-a-glance and feature one
column per operators chair.
Mon Tue Wed Thur Fri Sat
9.00
9.30
10.00
10.30
11.00
11.30
5. Scheduling will depend on:
(1) The dentists preference
(2) The production goal
(3) Needs of the patients
(4) Availability of the patient
6. Scheduling for the Dentists
Preference
The first consideration in appointment scheduling is the dentists
preference
Most practitioners prefer to perform demanding procedures, such as
impactions, implants, and crown and bridges cases early in the day where
they are rested and alert.
Oral surgery cases performed in the office under GA are scheduled early in
the morning because they require the patient have nothing by mouth for
8hrs preceding the surgery
7. Scheduling to Meet Production
Goal
A second consideration in appointment scheduling is the
practices requirement to meet production goals in the form
of cash flow.
Production-scheduling decisions must follow the practices
strategies to generate adequate daily revenues to cover the
overhead costs involved in running the practice, as well as to
optimize profitability
8. Schedule for higher production figures first, then schedule the
shorter or less productive visits in such a manner as not to
overburden the staff.
Often the less complicated procedures can be staggered in
between lengthier procedures to allow the patient several rest
breaks through the procedure.
9. Scheduling Special-Needs Patients
Special-needs patients include, but are not limited to, known
dental phobics, hyperactive children, patients with bleeding
disorders, physically or mentally handicapped individual,
elderly patients who require assistance, patients with heart
conditions, patients who require premedication for
management of anxiety or prevention of endocarditis and
patients who require general anesthesia or conscious sedation
10. Elderly patients, homemakers, and retired patients who are
available during daytime hours should be scheduled to fill times
during the day that are most difficult to fill.
Young children should be scheduled in the morning as they are
at a lowered activity level and generally more cooperative.
Diabetic patients should be scheduled early in the morning
when their insulin levels tend to be more stable.
11. Dental Emergency Patients
In most true dental emergency situations (jaw fracture, tooth
avulsion), patients are taken to the hospital emergency room for
treatment and/or referral to an oral surgeon or other specialist.
Occasionally, however, individuals call the office requiring treatment
related to pain, swelling, or a lost or broken prosthesis or
restoration.
Most practices are committed in treating all emergency patients
regardless of inconvenience to the dentist or the patients ability to
pay
12. Scheduling Dental Emergency
Patients
In most practices, emergency visits are palliative only, which
means the dentist treats only the immediate source of the
pain or nature of the problem (such as recementing the crown)
and reappoints the patient at another time for a complete
examination, diagnosis and treatment plan.
Some practices have a specific (buffer) time reserved in their
daily schedules to accommodate routine emergences. These
times are often just before or after lunch or at the end of the
day.
13. Scheduling for Patients
Availability
A significant key to practice building is providing availability of
convenient appointment time for patients.
Some practices ask patients on the New Patient Registration
Form for their preference of convenient appointment times.
Some practices pick two open times in the appointment
schedule and offer the patient a choice.
14. Series of Appointments
When a series or sequence of planned treatments is indicated,
some dentists prefer that the patient be scheduled for all
appointments at the outset of treatment.
When patients are scheduled for multiple appointments, some
offices also set up payment schedules to correspond to the
planned treatment visits for patient to pay-as-as-they-go
15. Late Patients
Occasionally, patients cannot help being detained and thus
arrive late for their appointments.
Unfortunately, this may require the necessity to either (1)
reschedule the patient, (2) provide less than the planned time
for the treatment that day to keep on schedule, and (3) to delay
subsequent patients treatment.
16. No-Show Patients
Patients who fail to keep confirmed appointments are
commonly referred to as no-shows. Failing to keep an
appointment is sometimes called a disappointment.
Cancellations and broken appointments result in lower
productivity and lost revenue
17. Scheduling Late and No-Show
Patients
Recognize patients who chronically arrive late for
appointments or no-show patients.
1. Schedule them later of the day
2. Inform them that their appointments are 10-15mins earlier
than the actual treatment.
3. Double-book chronically late patients
18. How to Reduce No Shows
1. Try not to book patients weeks in advance
2. Emphasize the need to notify the office of a cancellation
3. Convey a time is valuable attitude to patients
4. Confirm appointments 24 hours in advance
5. Keep a list of patients who prefer an earlier appt than the
one currently scheduled and can come to the clinic within
an hour. Use this to fill cancellation gaps
6. Charge for a failed appointment cancellation fee
19. Appointment Confirmation
Once an appointment or a series of appointments has been
established it becomes vital that the office contact patients to
confirm their scheduled appointments. This most often occurs
the day before the appointment via a telephone call.
Early mornings and later afternoon and evenings are the most
effective time to reach patients at home to confirm their
appointments.
20. Recall Appointments
Recall Appointments are a vital lifeline in sustaining the growth and
productivity of the practice.
Recall Program means once a patient has completed current
necessary treatment, he or she will be recalled to the practice in
the future for the next oral examination, prophylaxis or
subsequently required radiographs or treatment.
85% return rate of recall patients scheduled is successful.
21. Recall Appointments
In most practices, recall duration is six months. For some
patients with periodontal conditions, this period may be every
three to four months.
Two methods of recalling patients:
1. By prebooking
2. By notifying the patient thru mail or phone
22. By Prebooking
Patients recall notice is filed six months from the date of
completed treatment, using tabs
By Notification
The patient will be notified when the next recall
appointment is due by mail or phone.
23. MONDAY
March 3, 2008
TUESDAY
March 4, 2008
OP 1 OP 2 OP 1 OP 2
8.00 PINEDA, J.
Ortho
ALBA, A
OD. OP*
ALBA, A
CO Filling
VAILOCES, T
Bleaching
8.30
9.00 MANUEL, G
OS
ALBA, L
OD, OP*
9.30 SIA, S.
Suture
Removal
10.00 VAILOCES, T
OP, Filling
APO meeting
10.30 LUARCA, M
OP
ALBA, T
OD, OP*
LABAY, P
Recement