tag:blogger.com,1999:blog-5865768815327716731.post8078294430862134141..comments2008-02-26T08:49:12.303-05:00Ralph Bernsteinhttp://www.blogger.com/profile/14872065446489560244noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-5865768815327716731.post-39666763444213465662008-02-26T04:26:00.000-05:002008-02-26T04:26:00.000-05:002008-02-26T04:26:00.000-05:00Dear Ralph,<BR/>The computer model must be flawed. Every real world lean principal states that lower variation and lower over-production results in greater effiency. I've done a lot of real world work on this subject in our clinics and I can tell you that overbooking does lower satisfaction and increases cancellation rates (it also adds an abandon rate to deal with). Further, if you have a second appointment we've found that causing wait greater than 40-50min (from appt start time to check out) lowers follow through. If you're seeing consultations then surgeries it means you'll have to see twice as many consults for each surgery - not good for you or you're patients. I blog on this is at <A HREF="http://www.waittimes.blogspot.com/" REL="nofollow">www.waittimes.blogspot.com</A> -- if you'd consider adding it to you're links I'd be greatful. Ian.Ian Fursthttp://www.blogger.com/profile/11795888117578055704noreply@blogger.comtag:blogger.com,1999:blog-5865768815327716731.post-57495354145299732362008-01-28T17:03:00.000-05:002008-01-28T17:03:00.000-05:002008-01-28T17:03:00.000-05:00My local clinic opens at 9am. Unfortunately the doctor does not arrive until "around 10.30".<BR/>The receptionist fails to mention this until you have been waiting for 30 min with not sign of movement.Michaelhttp://www.blogger.com/profile/03416327705197505389noreply@blogger.com