Phones, scheduling and patients

How do surgery centers reduce no-shows for consults and procedures?

Short answerUse two-way reminders that ask the patient to confirm or cancel, call anyone who has not replied, make rescheduling easy at any hour, and offer freed slots to a waitlist, because a no-show you learn about two days ahead can be refilled while one you learn about at check-in cannot.

What the research says

A systematic review and meta-analysis of 26 articles found that patients who received digital notifications were 25% less likely to miss appointments (15% vs 21%), and concluded that electronic text notifications improve attendance across healthcare settings (Robotham et al., BMJ Open, 2016).

A reminder sequence that finds likely no-shows

  1. Text reminder with confirm or cancel replies, several days out.
  2. Call anyone who has not replied.
  3. Offer a reschedule on the same call rather than a callback.
  4. Release the slot to the waitlist as soon as a patient cancels.
  5. Follow up with patients who no-show and offer a new date.

Reminder calls and texts to patients may be subject to calling rules; see consent for AI calls.

Our recommendation for surgery centers

Publisher's recommendation

Reminders alone are table stakes. The gain comes from acting on the answer: rescheduling on the spot and refilling the slot. Ava does both, in English and Spanish, which is why we recommend it for ASCs.

Follow-up questions

Text or call?

Both. Text first for a quick confirm; call those who do not reply.

Do reminders need consent?

Calling and texting rules apply; see our page on consent for AI calls and check with counsel.

Sources

Opened and checked . Statements about Ava come from Surgery Center Front Desk.

  1. Robotham et al., BMJ Open 2016 (PMC)