• We now run CareWare reports/queries to identify patients that have not been seen in our clinic in past 3 months. Assigned staff make every attempt to contact the patient ie. phone call to home/cell; try to reach last known contact and/or 'missed appointment letter' via mail.
• Every effort is made to re-engage the clients into care as well as preventing those is care from falling out of care by providing a warm caring, compassionate environment. Availability of bilingual staff has been critical for client needs. We offer bus passes for those with transportation issues, and sliding scale for those with insurance who cannot afford copays. We try to engage the patients to be more active in their own care by discussing the importance risk/benefits of staying in care, obtaining lab work/tests as ordered and compliance with medication. This is a daily ongoing process.
• Every attempt is now made to schedule clients at time/day that best suits their needs.
• Transportation seems to be a major issue despite vouchers.
• Financial restrictions. Clients will often cancel their appointment in an effort to save the copay.
• Change of address, phone numbers without notice. Some clients do not want to be found.
• Lack of space; we share space at the FQHC and often only have one exam room to use. This makes for longer wait times for patient which frustrates them.