The medical care clinic was experiencing a problem common to emergency medical services. Patients would come in to see a doctor and, once stabilized, might not return for the required follow-up visit. The doctors knew that getting patients to return for a second evaluation was key to confirming the initial issue had been solved and the person was back in good health. But time and again, patients missed their second appointments and were never heard from again. Adding to the problem was that each appointment slot scheduled for a patient that didn’t show up meant time wasted that could have been used to treat another person in need of medical care. The clinic knew that to deliver the high-quality health services they promised something would have to change. Here is how they did it.
Each patient intake form included a mobile number. In the past, calls to remind patients of an upcoming appointment would often go unanswered because the patient didn’t recognize the phone number. Now, using text messages the clinic could send a text message a day before the scheduled appointment reminding patients of the appointment time and the purpose of the visit. Simply letting people know that the second visit was necessary to evaluate their well-being and would only take a few minutes decreased the number of no-shows overnight. Text messaging gave the doctors a way to communicate with patients that was unobtrusive but hard to overlook. As a result, long-term patient health improved and the clinic had fewer and fewer open appointment slots.