Well said Bert! I'll second that. It is the nature of the beast to be off schedule to some degree. Emergencies happen, people are sometimes sicker than anyone knew ahead of time. From being on both sides of this, the thing that really matters is that you are engaged when it is time for your visit. If the doc is too focused on his/her computer(or other distractions) and not on the patient, it won't matter whether the visit in on time or early or late. That being said, it is good to look for inefficiencies in your patient flow. Sitting down with all players(front office, nursing, providers) and walking thru patient check-in, etc can help.


David Russell, MD
Eastsound, WA (Orcas Island)