Surgical Patient No-Shows: Understanding It's Impact.

Surgical Patient No-Shows: Understanding It's Impact.

It's Tuesday morning and you are expecting 36 patients. To accommodate them, you schedule staff, prepped your facilities and reviewed files - only to realize that only 20 patients showed up!  Not only did you lose revenue, but you incurred additional costs and lost time.


Well, you are not alone. This happens to medical facilities throughout the country, as medical practices experience 19% surgical patient no-shows on average.  Whether you are a healthcare provider, practice manager or family caregiver, one fact remains true for everyone involved in a medical care scenario; we all want what is best for the patient. Hence when a patient misses an appointment, we tend to look more at the potential impact to the patient’s health. It’s so easy to overlook the impact it has to the practice, but as a healthcare professional, you’d be remiss to ignore these consequences. After all, whether or not you can continue providing this critical service depends on your ability to sustain and grow a profitable medical practice.


As noted above, on average 19% of patients miss appointments, but let’s do the math with some smaller numbers.  If you run an ambulatory surgical center Monday to Friday and expect 10 – 12 patients a day and assuming  just $100 in payroll, equipment, rent and utilities for each scheduled patient, one no-show a day will cost you $26,000 a year in idle resources!  In reality you will likely get 2 – 4 no-shows. And it gets worse…

We just mentioned the cost of idle resources, but what about the lost revenue? When a patient referred to you never makes it to his or her appointment, you lose the potential billing associated with that case. Assuming the average bill for a procedure is $1,500 and you lose one customer a week (you will likely lose more), that’s $75,000 in lost revenue!

You may have your own methods of calculating the cost of no-shows. No matter how you run the numbers, when you add up the extra money you could make by cutting your no-show rate by 50% to 70%, you will find it’s worth it to do something.

Keep in mind that you won’t likely cut your no-shows without some investment in:

Does Uber have wheelchair accessible? What are my options?

Does Uber have wheelchair accessible? What are my options?

Assuming the national statistics hold true in Houston, TX, there are over 25,000 wheelchair users in the city over the age of 15 there are 14,000 new wheelchair users added to that number every year.  Yet, getting around Houston for wheelchair users is more difficult then ever as very few neighborhoods have access to public accessible transit.  Furthermore, with many neighborhoods lacking sidewalks, even traveling less than a mile can be impossible.

So how do wheelchair users get around Houston?

  1. Metrolift: as noted earlier, many neighborhoods in Houston are not covered by this service
  2. UBER/Lyft: While both provide great on demand service for ambulatory passengers, they are not the best choice for wheelchair users or people requiring a bit more assistance. To better understand this, take a look at this forum where Lyft & UBER drivers discuss their views on serving older Americans.
  3. NEMT: While Non-Emergency Medical Transportation (NEMT) companies provide the right level of service, they are not the best when it comes to accommodating last minute requests for a wheelchair transportation. Furthermore, the quality of service varies greatly from one company to the next.  A great question to ask a provider when signing up for service is the average age of their vehicles and the amount of insurance coverage they have.

Houston, TX is already a pretty complex city to navigate with constructions everywhere and current road conditions.  Hence, folks with disabilities and their loved ones ought to consider early how they will get around the city and do their due diligence vs. trying to book a ride at the last minute.  For more information or if you have questions on your options, please call us: (713) 766-4447 or send us a message.