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Started By
Message
re: Doctors, specifically pediatricians, who can’t keep appointment times
Posted on 12/19/17 at 6:15 pm to lsunurse
Posted on 12/19/17 at 6:15 pm to lsunurse
quote:
you will likely see an NP
Speaking of, a friend of mine just became one and got a job in dermatology.
Works for an LSU alum who is making serious bank up here. She said he can bill the same rate as a doc so he hires lots of NP.
When she interviewed she wore a purple blouse
0
Posted on 12/19/17 at 6:15 pm to Hopeful Doc
quote:
Any chance you don't mind sharing your thoughts on that request (as it regards to this thread with it likely being part of his attempt to run right on schedule)?
Theyll see you for your scheduled complaint or request. Anything else, you'll see the desk for cancellations or future appointments, or go see Doc Perez at the walk in.
I cane in for blood work results and was told to reschedule or wait around for an opening for flue like issues that popped up. Went to the clinic instead.
Posted on 12/19/17 at 6:15 pm to lsunurse
I'll take my chances
Posted on 12/19/17 at 6:16 pm to TDcline
Posted on 12/19/17 at 6:17 pm to TH03
quote:
I've got quick care places out the arse by my place.
Not sure about AK, but that's not the case anywhere I've lived in the NW. If you want urgent care and don't want to wait you better show up 30 min before they open. Like the damn DMV.
Posted on 12/19/17 at 6:19 pm to RogerTheShrubber
In an ideal situation we would hand all new patients a form to fill out where they can indicate desire to be seen at their scheduled appointment time.
Any patient placing this as a high priority could have their chart marked with an indicator.
Specifically arrange your clinic schedule for 2 hours each day either first thing in the morning or first thing after lunch. These slots are reserved for those patients indicated above. The slots are scheduled for a 10-minute appointments at five appointments per hour.
No Labs x-ray, sample medications, office administered therapeutics or injections, or ancillary services are offered during these appointment slots unless specifically discussed and agreed upon in a previous such appointment. The patients are allowed a singular complaint which must be indicated when they check in for their appointment 20 minutes prior to their appointment time. The 20 minutes prior check in is mandated to assure insurance is properly checked and patient's vitals and paperwork are filled out prior to the appointment time. If the paperwork, Insurance verification and check-in process exceeds those 20 minutes the appointment is rescheduled for another day.
Patients with the above indication on their chart are not allowed to schedule walk in or same-day appointments unless one of those 10 slots is available 40 minutes prior to the slot opening. These patients are also given zero tolerance for tardiness exceeding 60 seconds beyond the above-mentioned times. A timer is brought in the room on all visits and an audible sound is admitted at 9 minutes and again at 10 minutes.
The Physician promptly exits the room upon the 10-minute notification.
All other patients are allowed walk-in visits and same-day appointments along with routine scheduling and the full complement of services provided in the office. These patients sign a form aknowledging that their appointment to seen by physician time goal is less than 15 min but may exceed 60 minutes.
Any patient placing this as a high priority could have their chart marked with an indicator.
Specifically arrange your clinic schedule for 2 hours each day either first thing in the morning or first thing after lunch. These slots are reserved for those patients indicated above. The slots are scheduled for a 10-minute appointments at five appointments per hour.
No Labs x-ray, sample medications, office administered therapeutics or injections, or ancillary services are offered during these appointment slots unless specifically discussed and agreed upon in a previous such appointment. The patients are allowed a singular complaint which must be indicated when they check in for their appointment 20 minutes prior to their appointment time. The 20 minutes prior check in is mandated to assure insurance is properly checked and patient's vitals and paperwork are filled out prior to the appointment time. If the paperwork, Insurance verification and check-in process exceeds those 20 minutes the appointment is rescheduled for another day.
Patients with the above indication on their chart are not allowed to schedule walk in or same-day appointments unless one of those 10 slots is available 40 minutes prior to the slot opening. These patients are also given zero tolerance for tardiness exceeding 60 seconds beyond the above-mentioned times. A timer is brought in the room on all visits and an audible sound is admitted at 9 minutes and again at 10 minutes.
The Physician promptly exits the room upon the 10-minute notification.
All other patients are allowed walk-in visits and same-day appointments along with routine scheduling and the full complement of services provided in the office. These patients sign a form aknowledging that their appointment to seen by physician time goal is less than 15 min but may exceed 60 minutes.
Posted on 12/19/17 at 6:21 pm to LSUintheNW
quote:
Whether you like it or not we weren't going to make another appt, pay another co-pay, and my ex take off just for 2 more min of your time about a concern.
We are talking in vague terms here. If your question is "is gluten really actually bad for you?" And it takes two minutes, I don't mind that at all and usually will answer.
If you have a concern unrelated to the concern that the patient came in with and start talking about it requiring a whole new line of questioning for me to get a grip on it (doesn't sound like it because you seem to have a decent grasp on efficient use of time), you (generic, not specific "you") either 1) contribute to pushing the next patient back or 2) are coming back to discuss the issue
But just for fun: an additional 2 minutes that "go over" time.
Office sees first patients at 8 and does conventional 15 minute slots until 1130. That's 14 morning "slots." If everyone takes the "extra 2 minutes," it's either 1) a 30 minute delay or 2) 2 slots that could have been used on sick kids with acute concerns that couldn't make a visit because the doc was booked (because he knows he has a lot of patients who like to go over with last minute concerns and books accordingly).
Efficiency is a great thing, but it can make the parents and patients feel pretty crummy when the doc "won't even spend an extra two minutes" with them. To them, it's just two minutes. To him/her, it's two patients that can't be seen or a last appointment that is pushed back 30 minutes in the morning, and about 45 in the afternoon.
Posted on 12/19/17 at 6:23 pm to TDcline
It’s a shame folks don’t get sick on schedule, right?
Posted on 12/19/17 at 6:23 pm to Bleeding purple
quote:
Bleeding purple
You're my hero
Posted on 12/19/17 at 6:24 pm to LSUintheNW
quote:
Not sure about AK, but that's not the case anywhere I've lived in the NW. If you want urgent care and don't want to wait you better show up 30 min before they open. Like the damn DMV.
Same here. The emergency room is 10x faster.
We just need more competition among providers.
Dmv is quicker
This post was edited on 12/19/17 at 6:30 pm
Posted on 12/19/17 at 6:27 pm to lsunurse
Also my neighbor is my kid's PCP so I just text her to come over when she gets home
Posted on 12/19/17 at 6:41 pm to TDcline
I always try to be the first appointment of the day. I don't care if I have to be there at 7am. My GP is the WORST. I've waited two hours before. No kidding.
Posted on 12/19/17 at 6:42 pm to RogerTheShrubber
quote:
We just need more competition among providers.
I am sure all medical professionals would be against competition. While my time is valuable to me, not giving a shite about my time is valuable to them
My point in my other posts is that if they get an hour behind every day, they should schedule so this doesn't happen. It gets a lot of downvotes when you question the cash cow that is their livelihood.
Downvote away.
Posted on 12/19/17 at 6:43 pm to TigersSEC2010
Bet you are a genius
Posted on 12/19/17 at 6:43 pm to Hopeful Doc
Obviously everyone's time is important, but there are simply some patients more complex than others. Things are constantly popping up during the day and that can't be helped.
Also, to the people saying about the doctor being late first thing in the morning...it's not because they were up late partying. Every morning I am either rounding on patients in the hospital or having to do surgery on someone before clinic. I still make it to clinic on time most days. However, some I'm late. My patients have never complained because they know I would take the extra time to see them in the hospital or do their surgery if it became necessary.
No doubt there's doctors that overbook and some that are just slow. However, unless they're only seeing a handful of patients a day there is almost no way to avoid getting behind at the end of the morning or afternoon clinic.
Also, to the people saying about the doctor being late first thing in the morning...it's not because they were up late partying. Every morning I am either rounding on patients in the hospital or having to do surgery on someone before clinic. I still make it to clinic on time most days. However, some I'm late. My patients have never complained because they know I would take the extra time to see them in the hospital or do their surgery if it became necessary.
No doubt there's doctors that overbook and some that are just slow. However, unless they're only seeing a handful of patients a day there is almost no way to avoid getting behind at the end of the morning or afternoon clinic.
Posted on 12/19/17 at 6:50 pm to Bleeding purple
quote:
You can choose to see a physician who is ALWAYS on time or you can choose to see a physician who is willing to see you the same day walk in when you or your child are sick. You can chose to a see a physician who is ALWAYS on time or choose to see one who has the experience, ability, facilities (EKG, XRAY, IVs, wound care supplies, lab, casting material, etc.), and willingness to handle multiple complaints and procedures (often unkown to the receptionists scheduling the appointments)in office at the same visit. You can see a physician who is ALWAYS on time or see one who is willing to sit down and spend twice the allotted office visit time with a patient grieving loss, twice the time with confused elderly patients, twice the time with the concerned and question heavy family members, twice the time with the scared child, three times the time with the suicidal teen, and four times the allotted time with the direct admission to the hospital so the management is correct. Yesterday I started the day with 25 patients on my clinic schedule @0800 and ended by seeing 43 and had 5 no shows. Today I started with 22 and ended seeing 38 with 3 no shows. Both days I rounded on my 5 hospital patients (2 of them my clinic patients) prior to clinic starting. At most I was 1 hr behind schedule yesterday and 35 min behind today. It all depends on what you value.
Ka-BOOOOOM!!!
My mother's cardiologist was chronically 45 to 60 minutes late. It drove me nuts at first. I'd check in on FB and make snarky comments to kill the time. Then, after getting to know the guy and seeing how well he treated my mother, I decided that's just the way it was and me being a passive aggressive a-hole on FB wasn't going to change anything.
It wasn't that he was disrespectful of my, my mother's or other patient's time. It was exactly the opposite. He would take as long as necessary to answer any of her questions. He always spoke to her, even if I could answer the questions quicker. He always asked how her family was doing and made an old lady smile. When she became increasingly infirm, he offered to adjust the frequency of her appointments so I wouldn't have to haul her to his office. We just kept coming as scheduled, if for no other reason than she liked seeing him.
By our last visits, we had a few where I don't think we waited more than 10 or 15 minutes.
So if you've got a cardiology problem and live on the Northshore, Pramod Menon is worth waiting a few extra minutes for. He's a well respected cardiologist, has a fantastic bedside manner, and never seems to wear the same pair of socks twice.
Posted on 12/19/17 at 7:18 pm to Bleeding purple
quote:
At most I was 1 hr behind schedule yesterday and 35 min behind today.
But two hours in the waiting room? I have waited my fair share but two hours in a waiting room is on the "too long" side.
OP did anyone come out and say perhaps the MD was at the hospital on an emergency call? Did they offer an apt the next day? Those small gestures could help.
I remember waiting for two hours and finally decided to get my baby re-dressed and was going to walk right on out. As I was dressing her, the pediatrician walked in and said "where are you going" and I told her I'd waited long enough. I said it very pleasantly and told her that I was guessing it was an ear infection and we were prepared to go elsewhere. She looked in the ears right away and yep, that's what it was. Got my script and hauled arse.
Key for me is COMMUNICATE ... someone let the patient/parent know that they hadn't forgotten about you.
This post was edited on 12/19/17 at 7:29 pm
Posted on 12/19/17 at 7:25 pm to Hangit
quote:
I am sure all medical professionals would be against competition
Meh. I'd love more providers. I work in an underserved area.
Posted on 12/19/17 at 7:31 pm to Hangit
quote:
I am sure all medical professionals would be against competition. While my time is valuable to me, not giving a shite about my time is valuable to them
My point in my other posts is that if they get an hour behind every day, they should schedule so this doesn't happen. It gets a lot of downvotes when you question the cash cow that is their livelihood.
Milton Friedman described the AMA as the largest and strongest trade union in the country.
quote:
Bottom Line: One reason we might have a “health care crisis” due to rising medical costs, and the world’s highest physician salaries is that we turn away 57.3% of the applicants to medical schools. What we have is a form of a “medical cartel,: which significantly restricts the supply of physicians, and thereby gives its members monopoly power to charge above-market prices for their services.
In his classic book Capitalism and Freedom, Milton Friedman describes the American Medical Association (AMA) as the “strongest trade union in the United States” and documents the ways in which the AMA vigorously restricts competition. The Council on Medical Education and Hospitals of the AMA approves both medical schools and hospitals. By restricting the number of approved medical schools and the number of applicants to those schools, the AMA limits the supply of physicians. In the same way that OPEC was able to quadruple the price of oil in the 1970s by restricting output, the AMA has increased their fees by restricting the supply of physicians.
The Medical Cartel
This post was edited on 12/19/17 at 7:32 pm
Posted on 12/19/17 at 7:39 pm to TDcline
Until everyone stops sending their kids for a runny nose in the winter, forget about it.
If your kid is running a fever and/or has been sick for a week, sure, take them into the office, but far too many peopoe go in for "upper respiratory infections."
If your kid is running a fever and/or has been sick for a week, sure, take them into the office, but far too many peopoe go in for "upper respiratory infections."
This post was edited on 12/19/17 at 8:12 pm
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