Build a no-show PDSA in five moves

First-intake kept rate is 61 percent, and missed intakes are concentrated among clients scheduled more than 10 days after referral. PDSA: Plan the test, Do it small, Study against prediction, Act on what you learned The common trap is launching a clinic-wide attendance policy before testing whether the main constraint is reminder timing, intake anxiety, or long wait time. Narrow the segment Focus on first-intake clients scheduled more than 10 days out, not every missed appointment in the clinic. A narrow segment makes the test interpretable. Established therapy no-shows and first-intake no-shows often have different causes and need different interventions.…

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