Improving the No-Show Rate of New Patients in Outpatient Psychiatric Practice: An Advance Practice Nurse-Initiated Telephone Engagement Protocol Quality Improvement Project

Perspect Psychiatr Care. 2017 Apr;53(2):127-134. doi: 10.1111/ppc.12146. Epub 2015 Dec 3.

Abstract

Purpose: The aim is to improve the uptake of psychiatric services for new patients being referred from primary care, counseling, and hospital discharge follow-up care.

Design and methods: A convenience sample of 18 new patients participated in a provider-initiated telephone protocol to increase knowledge related to psychiatric treatment and remind patients of appointments the day before the initial visit.

Findings: Fifteen patients attended the initial visit, resulting in a 26% reduction rate of no-show rates from 27% the previous year to 20% in a 3-month period.

Practice implications: Introduction and reminder calls by psychiatric providers improve no-show rates.

Keywords: Adult psychiatric-mental health; engagement; no-show.

MeSH terms

  • Adult
  • Advanced Practice Nursing*
  • Appointments and Schedules*
  • Female
  • Humans
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Quality Improvement / standards*
  • Referral and Consultation*
  • Telephone*