Double-book Time Slots
Problem:
When clients don’t show up for scheduled assessments, too
many time slots go unused.
Solution:
Schedule two clients for the same assessment time slot.
Featured Stories
Women’s Recovery Association in Burlingame, California
increased admissions from 2 to 8 per month by doublebooking
assessment appointments. They included
counselors in the decision to gain buy-in, then trained the
staff, role-played the procedure, and pilot-tested the
process. The staff feels that it helps make better use of their time.
Mid-Eastern Council on Chemical Abuse in Des Moines and Iowa City, Iowa reduced the
impact of no-shows and increased counselor productivity by scheduling 9 admission
appointments during 6 hours of available counselor time.
Sinnissippi Centers in Dixon, Illinois reduced the impact of no-shows for assessment
appointments by double-booking assessment appointments when the request for counselors
exceeded the available time slots. They tried a number of variations, including booking 2
appointments for a single counselor and booking 3 appointments for 2 counselors. The staff
resisted the idea at first, but became more supportive when it became clear that it was rare for
all of the clients to show up for a double-booked time slot.
Lessons Learned
- Analyze the most common times for no-shows so you can identify the best times to
double-book clients.
- If two clients booked for a single time slot show up, they can take turns seeing an
addiction counselor and a financial counselor.
- Instead of double-booking time slots, schedule multiple clients and offer an assessment
group for all of the clients that show up. Then meet briefly with each client individually
while the others are participating in group learning sessions.
- Double-booking is the first step toward offering walk-in service.
Tracking Measures
Cycle Measure
Number of days to the next available assessment appointment
Next Available Appointment Tracking Spreadsheet
ActionSteps
Plan
- 1. Determine which time slots to double-book.
- 2. Collect baseline data for the number of days until the next available
assessment appointment.
Do
- 3. Select two or three counselors and double-book a limited number of their
assessment time slots for the next two weeks.
- 4. Re-check the number of days until the next available appointment.
Study
- 5. Check the fidelity of the change. Was the change implemented as planned?
- 6. Evaluate the change:
- When double-booked, how often did clients show up for their
appointments?
- When both clients came for their appointments, were they both given
the appropriate attention and care?
- Did the number of days until the next available assessment
appointment decrease?
Act
- 7. Adjust the number of counselors or the number of double-booked time slots
per counselor and re-test this promising practice for an additional two weeks.