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1
Posted on 9/9/22 at 9:09 am to TDFreak
Scheduling is indeed very difficult to do efficiently. It is an absolute necessity of multiple bookings for a time slot if one expects to be able to see patients in a timely fashion, it just is and there is no way around that- if a provider doesn't book multiple on slots, they will run into unacceptable time to appointment figures.
An office needs a highly functioning EHR with people who know how to use it (these are absolutely few and far between) and an algorithm for putting appointments in based on complexity and time expectation (requires human expertise).
If you have good up front people who understand this and good back people who know when to bring an add on in, then outside of emergencies or hospital pulls, it can and generally will function very well, as long as the office prioritizes this. I would wager that most providers don't want to be there any longer than they have to as time is money to them just as it is to every patient. Being inefficient is not good for any parties involved, but the truth is that any provider is at the mercy of multiple obstacles to achieve patient acceptable throughput whilst still giving every patient the amount of time they need.
An office needs a highly functioning EHR with people who know how to use it (these are absolutely few and far between) and an algorithm for putting appointments in based on complexity and time expectation (requires human expertise).
If you have good up front people who understand this and good back people who know when to bring an add on in, then outside of emergencies or hospital pulls, it can and generally will function very well, as long as the office prioritizes this. I would wager that most providers don't want to be there any longer than they have to as time is money to them just as it is to every patient. Being inefficient is not good for any parties involved, but the truth is that any provider is at the mercy of multiple obstacles to achieve patient acceptable throughput whilst still giving every patient the amount of time they need.
Posted on 9/9/22 at 9:11 am to TDFreak
I've heard from some opthalmologist/optometry baws, they double book medicaid people. Because, they skip appointments so frequently.
Posted on 9/9/22 at 9:16 am to TDFreak
This use to piss me off so much that I went ahead and married the receptionist at the doctors office.
Now the longest I have ever had to wait is 10 min!
Now the longest I have ever had to wait is 10 min!
This post was edited on 9/9/22 at 9:17 am
Posted on 9/9/22 at 9:19 am to TDFreak
Mayim, I’ll tale First World Problems for $200, please.
Posted on 9/9/22 at 9:23 am to TDFreak
shite happens sometimes - my urologist books surgeries at 6am and starts appointments later in the day. When they cut me open to cut out the lymph nodes in my abdomen, it took him well over 8 hours to get the work done because my kidney was in terrible shape from cancer - he went ahead and did the work to remove all of it at once rather than rebooking surgeries and having to cut me open again.
shite happens, sometimes seeing specialists means having to wait.
shite happens, sometimes seeing specialists means having to wait.
Posted on 9/9/22 at 9:34 am to TDFreak
quote:
Why don’t these folks schedule more reasonably? If they have “surgery” then don’t book appointments. Better yet, they should give a discount on the bill. Sheesh.
/rant
Two things. Demand is high and they don't schedule emergencies.
Posted on 9/9/22 at 9:55 am to TDFreak
Went to Oschner (main campus) last week for an appt.
2pm scheduled appt, got there/checked in at 1:45.
Was called in at 2:35, nurse did the weigh in, bp, temperature check, etc, and left me in the room around 2:40.
Sat there and played on my phone til the doctor (and a resident she was training) arrived at 3:30. Actual time with doctor was 10 minutes.
She said they were overbooked and this was ‘normal’.
I guess this is the way things are.
2pm scheduled appt, got there/checked in at 1:45.
Was called in at 2:35, nurse did the weigh in, bp, temperature check, etc, and left me in the room around 2:40.
Sat there and played on my phone til the doctor (and a resident she was training) arrived at 3:30. Actual time with doctor was 10 minutes.
She said they were overbooked and this was ‘normal’.
I guess this is the way things are.
Posted on 9/9/22 at 9:57 am to TDFreak
Mrs. Bawthouse holds clinic on certain days and operative days on others. They do not overlap, but she sometimes does have to do emergency surgeries which can wreck a day’s schedule. In a given day, for clinic, she may see 20-30 patients(depending on how many no show). Of those she does see, she spends anywhere from 5-20 minutes with each(her nurse spends 5-10 with each prior). She has no idea how many patients in a given day will require closer to the 5 minutes or closer to the 20. Should she cut patients off after a certain number of minutes to ensure nobody has to wait, or should she give each patient the time needed to properly treat them? Should she schedule 25 minutes time blocks for each patient(she has to dictate notes after each patient visit and review files before the next patient) to make sure no patient ever waits beyond the scheduled appointment time? Is that good time management for someone of her position? Does that allow her to help the most people she can possibly help? She cares about patient experience far more than most physicians do, and her patients sometimes do have to wait(granted it’s not crazy long wait times like at some offices).
Try to understand that what you see through your singular lens is not all that is going on in the world around you. Everything doesn’t slide perfectly into the cookie cutter you believe it should to make your life easier. We live in a complex world.
Try to understand that what you see through your singular lens is not all that is going on in the world around you. Everything doesn’t slide perfectly into the cookie cutter you believe it should to make your life easier. We live in a complex world.
This post was edited on 9/9/22 at 10:08 am
Posted on 9/9/22 at 10:46 am to TDFreak
quote:
Then they blow past your appointment time as if you have zero value.
correct. Thats why they are the doctor and you are paying to see them. Don't like it? should have gone to med school and done something about it.
quote:
If they have “surgery” then don’t book appointments.
not even going to tell you how incompetent this makes you look.
Posted on 9/9/22 at 11:05 am to TDFreak
I paid $200.00 for our baby appt and they are over an hour late. What was the point in me showing up on time?
Posted on 9/9/22 at 11:26 am to TDFreak
This is because you aren't the customer, the insurance company is the customer.
The insurance company pays a flat rate for a given procedure. The doctors can't charge more for providing a better customer service. So, typically, they don't provide one.
The insurance company pays a flat rate for a given procedure. The doctors can't charge more for providing a better customer service. So, typically, they don't provide one.
Posted on 9/9/22 at 11:28 am to TDFreak
Technology is the only thing that can save us with Healthcare. Doctor's offices need an app we can use on our phones to track real time appointments. There is no reason with modern technology we should be waiting around so long for a doctor's appointment.
Posted on 9/9/22 at 11:41 am to TDFreak
I have found this has gotten much better in the last 5-10 years.
A long time ago (in the 80s) I used to use a doctor who did not take appointments, first come first served situation unless it was an emergency. He also charged $20 per visit and would make house calls to check on established patients when returning from rounds he made at local hospitals.
Those guys don't really exist anymore. He used the GI bill to pay for medical school, he had a chemical engineering degree but was a medic in Korea and that was when he decided to go back to school for medicine.
A long time ago (in the 80s) I used to use a doctor who did not take appointments, first come first served situation unless it was an emergency. He also charged $20 per visit and would make house calls to check on established patients when returning from rounds he made at local hospitals.
Those guys don't really exist anymore. He used the GI bill to pay for medical school, he had a chemical engineering degree but was a medic in Korea and that was when he decided to go back to school for medicine.
Posted on 9/9/22 at 11:50 am to TDFreak
Always book either the first appointment of the morning or the first one after their lunch break. Less chance of them running late at that time as opposed to the 11:20 appointment
Posted on 9/9/22 at 11:51 am to TDFreak
Because most "Doctors" think they are gods and you are at their mercy. I'm starting to believe anyone can get thru medical school, do absolutely no research after and take their prescription pad out and give out pills. A good Doctor is very hard to find. And to their credit, they have to deal with bullshite administrations and their "rules" making their job even harder. A Dr. I know recently mentioned that if they are with a trainee and say anything remotely against gender affirming care or try to disuade parents, they can be fired.
Posted on 9/9/22 at 12:41 pm to TDFreak
Interesting that dentists don't really seem to have this problem even though it seems the underlying dynamics would be the same.
Posted on 9/9/22 at 12:44 pm to TDFreak
quote:Because the insurance everyone has pays shite all and they have to overbook and schedule more to keep things going.
Why don’t these folks schedule more reasonably?
The age of your average doctor being very wealthy has long passed.
Posted on 9/9/22 at 12:49 pm to TDFreak
It is frustrating, there is no question about it, but a few weeks ago I had a video chat appointment scheduled and I was having trouble. My screen kept freezing up. 5 mins after my appointment was scheduled for the nurse called me and told me that the doctor went to visit with her in person patient and they would let me know when she can see me.
About 15 mins later, she called back and I was able to do my appointment. It was earlier in the morning so I already caused her to run behind. I don't think most doctors do it on purpose. They get behind. When you are planning in terms of work, you have to factor in that you will have to wait.
About 15 mins later, she called back and I was able to do my appointment. It was earlier in the morning so I already caused her to run behind. I don't think most doctors do it on purpose. They get behind. When you are planning in terms of work, you have to factor in that you will have to wait.
Posted on 9/9/22 at 12:55 pm to TDFreak
quote:
They overbook appointments and pile you in their waiting rooms. Then they blow past your appointment time as if you have zero value. They oughta be paying me for taking off of work just to sit here for over an hour.
Why don’t these folks schedule more reasonably? If they have “surgery” then don’t book appointments. Better yet, they should give a discount on the bill. Sheesh.
/rant
I get up and leave after 30 minutes past appointment time. Usually 1 time per department at an organization gets their attention as they do NOT want word of mouth spreading the idea and having zero patients waiting around. This is what needs to happen to cause change.
Everyone needs to stop waiting around and start walking away. When the bottom line begins to suffer from lack of billable patient visits due to walk outs they'll change the methodology of appointments.
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