The role of a nurse telephone call to prevent no-shows in endoscopy

Ryan E. Childers, Amy Laird, Kian Keyashian

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background and Aims: Preventing missed appointments, or "no-shows," is an important target in improving efficient patient care and lowering costs in gastrointestinal endoscopy practices. We aimed to investigate whether a nurse telephone call would reduce no-show rates for endoscopic appointments, and to determine if hiring and maintaining a nurse dedicated to pre-endoscopy phone calls is economically advantageous. Our secondary aim was to identify predictors of no-shows to endoscopy appointments. Methods: We hired and trained a full-time licensed nurse to make a telephone call to patients 7 days before their scheduled upper endoscopy or colonoscopy. We compared this intervention with a previous reminder system involving mailed reminders. The effect of the intervention and impact of other predictors of no-shows were analyzed in 2 similar preintervention and postintervention patient cohorts. A mixed effects logistic regression model was used to estimate the association of the odds of being a no-show to the scheduled appointment and the characteristics of the patient and visit. An analysis of costs was performed that included the startup and maintenance costs of the intervention. Results: We found that a nurse phone call was associated with a 33% reduction in the odds of a no-show visit (odds ratio, 0.67; 95% confidence interval, 0.50-0.91), adjusting for gender, age, partnered status, insurer type, distance from the endoscopy center, and visit type. The recovered reimbursement during the study period was $48,765, with net savings of $16,190 when accounting for the maintenance costs of the intervention; this resulted in a net revenue per annum of $43,173. Conclusions: We found that endoscopy practices may increase revenue, improve scheduling efficiency, and maximize resource utilization by hiring a nurse to reduce no-shows. Predictors of no-shows to endoscopy included unpartnered or single patients, commercial or managed care, being scheduled for colonoscopy as opposed to upper endoscopy, and being scheduled for a screening or surveillance colonoscopy.

Original languageEnglish (US)
JournalGastrointestinal Endoscopy
DOIs
StateAccepted/In press - Jan 5 2016

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Nurse's Role
Telephone
Endoscopy
Nurses
Appointments and Schedules
Colonoscopy
Costs and Cost Analysis
Patient Care
Reminder Systems
Logistic Models
Maintenance
Insurance Carriers
Gastrointestinal Endoscopy
Managed Care Programs
Odds Ratio
Confidence Intervals

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

The role of a nurse telephone call to prevent no-shows in endoscopy. / Childers, Ryan E.; Laird, Amy; Keyashian, Kian.

In: Gastrointestinal Endoscopy, 05.01.2016.

Research output: Contribution to journalArticle

Childers, Ryan E. ; Laird, Amy ; Keyashian, Kian. / The role of a nurse telephone call to prevent no-shows in endoscopy. In: Gastrointestinal Endoscopy. 2016.
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