I am totally with you Ben. As an administrator, I need to be able to run no show reports in order to trace operational problems that cause increases in DNKA occurrences. Can't do that right now.
The other thing that is quite bizarre is that apparently you are unable to technically "check in" a patient when the arrive >thus alerting the back office that patient has arrived. Presently in our clinic this happens with a stroll from front to back office and verbally telling the MA the pt. has arrived. From a time and motion study standpoint, this is inefficient.