Creating a Strong Scheduling Architecture by Susan Fenwick

The Real Access to Care
by Susan Fenwick

Is Your Scheduling System Working For You?

Sometimes a practice can get into a rut with its scheduling architecture. You may not realize it, but scheduling inefficiencies can negatively affect staff morale, the patient experience and even the practice’s bottom line.

However, using proper scheduling architecture will always fundamentally lead to improved revenue and heightened team morale. The importance of a strong scheduling architecture is critical, because a correct setup has a long list of benefits.

Factors that result in a streamlined schedule architecture include:

  • Using a proven schedule template
  • Making sure the proper personnel are in place to complete the schedule flow
  • Identifying and removing unnecessary appointments
  • Preparing for unexpected appointments.
  • Getting scheduling architecture in place

The first step in preparing to implement and enforce a successful scheduling system is to honestly evaluate the practice. Room for improvement is inevitable, and improvement always leads to more satisfactory results for the practice and for the patients.

Look at the scheduling template as a whole—specifically, how it’s set up. If the proper template for the office isn’t utilized, often other things that are done correctly won’t operate at their full potential.

Begin with a simple observation: Does the time allotted for each appointment type accurately reflect the actual amount of time the average appointment takes?

If one appointment type is scheduled to be completed in 30 minutes, but consistently takes much longer, patients scheduled later in the day will be forced to wait.

The opposite case has its own ramifications: If a specific appointment type consistently takes less time than its scheduled slot, employee productivity won’t be at its maximum. That extra time will eventually add up—time that could have been used to fit more patients into the workflow.

Staffers aren’t the only ones who work from the daily schedule, of course. If clinicians aren’t completing certain appointments in a timely manner, it may be worth investing in extra training in those areas, or adjusting the schedule accordingly.

Tip: Set up the schedule using 10-minute increments, and adjust the length of time of each appointment type upward or downward as the practice’s averages become evident. If the team is precise with the schedule, patient flow will be maximized and additional work potentially could fit into a day.

If the team is precise with the schedule, patient flow will be maximized and additional work could potentially fit into a day.

How quantity can affect quality
It’s also important to consistently keep track of the demands that come with the overall number of patients being seen.

No good comes from being understaffed and trying to see more patients than the staff can realistically handle. Hiring additional clinicians is well worth the cost if it expands practice capacity, ensures employees aren’t overworked and keeps team chemistry intact.

Another key factor is choosing the right person to handle scheduling for the office, and ensuring that person is properly trained. He or she should easily and effectively communicate with patients, have an in-depth understanding of how the schedule has been set up, and know best practices regarding patient flow.

Once a robust schedule template is in place and the proper employee base trained to carry it out, the next step in building a solid scheduling architecture is removing unnecessary appointments. Often a previously decided-upon standard leads to appointments that are unnecessary or redundant. Here are three suggestions for removing such appointments:

Space out patient appointments to approximately eight weeks. This can seem unrealistic for some, but this time frame should be an end goal. If adjustments made to patients are optimized, it is definitely attainable.

Minimize the number of follow-up appointments after a patient has completed treatment. For cases such as retainer checks, if you inform patients of what to expect after the conclusion of treatment, multiple follow-up appointments won’t be necessary.

Properly inform patients of what is considered an “emergency.” If time is being spent taking care of patients who have made emergency appointments but could have taken steps to manage the issues on their own, it can cause undesirable setbacks in patient flow.

While it may not be ideal, those unexpected appointments happen. Leave a small amount of room in the schedule for such appointments, which can prevent the need for any after-hours appointments. This is important for team and workplace morale, as well as productivity. The amount of room made in the schedule for these occurrences varies depending on patient volume, but when patients are educated, the number of spaces for emergency appointments can be reduced.

Benefits of a powerful scheduling architecture
An effective scheduling architecture can help your practice progress toward the goals you have set. As a schedule template is reworked, it will become more evident that efficiency will lead to increased revenue. A streamlined schedule results in more patients being seen, and additional room for growth. Additionally, it can lead to a satisfied and productive team.

Correcting potential mistakes that are part of the current schedule means that overworked employees and trying to catch up throughout the day will be a thing of the past. Team morale will improve, and so will the patient experience.

It’s important to remember that scheduling architecture is a living, breathing thing: As the practice changes and grows, so will the need for an improved scheduling process. Continue to regularly evaluate this process and make sure the schedule template is meeting the needs of the practice. Don’t wait to begin the development of a schedule architecture suited for you!

The Real Access to Care

Trevor Lines, DDS

Susan Fenwick has worked in the orthodontic field for more than 20 years, specializing in finance and management. She currently is a part of the practice development team at OrthoSynetics. When working with clients, Fenwick emphasizes management, communication and organizational skills; assesses overall operational conditions; uses initiative to provide strong leadership and guidance and troubleshoots problems to provide solutions.

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