Quality ImprovementA Rapid Cycle Improvement Approach to Increase Patient Readiness at Their Scheduled Appointment TimeCowdell, Jed Colt MD, MBA; Smoot, Teresa B. MSN, RN, NE-BC; Murray, Loren P. MD; Stancampiano, Fernando F. MD; Hedges, Mary S. MDAuthor Information Division of Community Internal Medicine, Mayo Clinic, Jacksonville, Florida. Correspondence: Jed Colt Cowdell, MD, MBA, Division of Community Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224 ([email protected]). The authors thank Terrance Dawkins, LPN, Dorothy McDaniels, and Anna Walker.The authors declare no conflicts of interest. Quality Management in Health Care: January/March 2019 - Volume 28 - Issue 1 - p 45-50 doi: 10.1097/QMH.0000000000000194 Buy Metrics Abstract Background: Patient unpunctuality negatively affects quality care. We found that 39% of patients at an academic primary care center were not ready to be evaluated at their scheduled appointment time. Our aim was to reduce this to 20% in 3 months' time. Intervention: A multidisciplinary quality improvement team utilized quality improvement tools and methodology to determine that patient punctuality was a major modifiable factor contributing to the care gap. Reforming the scheduling process to include a built in 15-minute early arrival was implemented for acute visits for a 2-week trial period. Based on the successful results, this was then disseminated to all appointment types for a 3-month trial. Results: Of the 182 patients seen during the 2-week trial period, 34 (19%) were not ready to be seen at the time of their appointment, a 20% improvement (P value < .001) from baseline. A total of 2832 patients were followed up for all visits during the next 3 months and 590 (21%) were not ready on time (P value < .001). Physician and patient satisfaction results improved after the intervention. Conclusions: Utilizing quality improvement tools we were able to find a simple and inexpensive intervention to improve patient punctuality as well as patient and provider satisfaction. © 2019 Wolters Kluwer Health, Inc. All rights reserved.