No-Show Rates in Employed Otolaryngology Practice

Brett T. Comer, Lauren E. Harris, Caitlin E. Fiorillo, Thomas J. Gal, Allyson Hughes

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objective: To report baseline no-show rates in the hospital-employed otolaryngology practice setting and to identify factors that may affect clinic show rates that are targets for potential improvement. Study Design: Retrospective chart review. Methods: Electronic medical records from October 2012 through July 2014 of a hospital-employed otolaryngology practice were reviewed. Patients were classified by insurance type: commercial, Medicare, Medicaid, and self-pay. Clinic visits were classified as new patient, follow-up, or postoperative. No-show rates were tabulated for each type of clinic visit and compared. Factors to improve no-show rates are discussed. Results: There was an overall no-show rate of 8.3% for 5817 scheduled clinic visits. Among visit types, follow-up visits had the highest no-show rates. Among insurance types, Medicaid had the highest no-show rates. New patient Medicaid patients, follow-up Medicaid patients, and follow-up commercial insurance patients had the highest rate of no-shows among visit/insurance type combinations. Persistent reminders are a key factor in improving rate of clinic visit adherence. Conclusion: A previously unreported baseline no-show rate was established for hospital-employed otolaryngology clinics. The utilization of repeated, live-person reminders to mitigate the impact of clinic no-show rates needs to be further investigated.

Original languageEnglish
JournalEar, Nose and Throat Journal
StateAccepted/In press - 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2019.


  • compliance
  • employed practice
  • no-show
  • otolaryngology

ASJC Scopus subject areas

  • Otorhinolaryngology


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