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Improving diabetes class attendance

By Audrey Johnson posted 03-07-2015 05:35

  

I am reposting one of the blogs from the MI AADE blogs.  As diabetes educators, we always make extra efforts to make sure referred patients attend our programs. Please share ideas with the problem of "no show".

Best practices from posts:

  1.  Schedule the first appointment as an “assessment appointment”.

    We used to schedule patients for their initial assessment. During the assessment we would tell them about our class. Many would say "I thought this was the class" and not return for the group sessions.  Now when someone calls for an appointment, we schedule them for class. Once that is on the books, we tell them "first you need to have an assessment appointment, Let's schedule that now". It has increased our class attendance rate.

     

  2. Our class is two sessions. To help them return for the second session, we leave a lot of the nutrition info for that session.

     

  3. If they do not come for class or do not complete class, we send a note to the physician. Occasionally a patient will call to say their physician received our note and insists they come to class.

  4. Our secretary makes reminder phone calls to all patients before they come for their initial assessment. Once they’ve come to their initial assessment, group classes are scheduled and patients are given a list of class dates and offerings. Some choose not to attend the whole program but many do attend all the sessions. When patients miss classes we call them to provide a make-up date. We give them three chances to make up sessions. If we don’t hear from them we send a letter to the physician letting them know that they didn’t finish the program.



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07-21-2015 10:33

A few more ideas...

At my previous organization, we had group classes with a very high no-show rate.  Because we had no on-site administrative staff and all the scheduling was done centralling with an automated reminder call, I think it was very easy for patients to just say, "I don't feel like going to that," particularly if their referring physician didn't really tell them much about what they were were being sent to (which was common).

When we had some extra time, we tried to call patients before their first class just to introduce ourselves and remind them of a few things to bring with them.  Just having that discussion with them seemed to help quite a bit, or at least gave them a chance to tell us they didn't plan to come.  Sometimes, they were questioning if they really had diabetes, so this also gave us an opportunity to clear up any misconceptions in that area.  We seemed to have quite a few MD's who would tell a patient their blood sugar was a little high and they wanted them to go to a class, leaving the patient not really aware of their diagnosis or how important it is for them. 

We had a 4-class series, so at each class we would give patients a list of dates to choose from for their next class, and have them choose before they left.  The week before that class, we sent out reminder letters including what to bring with them (class book, meter, etc.)

Honestly, I think one of the biggest barriers was simply a cost issue.  For those with Medicare covering it, our no-show rate was better, but for others, they might call their insurance and find out it wasn't fully covered or just not want to go through that whole process and decide not to come.  When we had community events with no cost or need to worry about coverage, turn-out was usually improved.  Also anything offering some sort of incentive, such as a catered meal, prizes, etc., drew in a few extra people.  Probably one of our most popular events was a support group before Thanksgiving where we featured samples of healthy versions of holiday dishes, so those little extras (and anything food-related) always pulled in some new faces.