Oral Health Group

How to Fill Your Hygiene Schedule and Keep it Full – Five Simple Steps

April 20, 2014
by sandie

One of the biggest challenges that plagues most dental offices is downtime in the hygiene schedule. Even now when there is increased access to contact patients through email, text messages, holes may still remain in the hygiene schedule. This is a common problem that requires a common solution.

Dentistry is a relationship business and human contact remains the most important motivator that helps patients to keep their appointments. I have client who rarely experienced no shows in his restorative column, yet just two weeks after implementing an automatic email system, he had 3 no shows in one day. That was highly unusual and distressing to the doctor. The patients that didn’t attend the appointment were loyal patients who were used to receiving a call from the office. Although these are great systems and increase the efficiency of the practice, it’s not for everyone. It’s important to know your patients’ preferences and not become too reliant on emails and text messages.

After careful observation of the challenges that my clients’ offices face, it is my opinion that one of the biggest contributors to patients not showing up for appointments is email complacency. Contacting a patient by email certainly saves time for the receptionist or hygiene coordinator, but emails are easier to ignore, impersonal and much too easy to delete.

What works best is a combination of emails and telephone calls. I have several clients who have employed hygiene coordinators, even on a part time basis. One of my clients hired a hygiene coordinator 2 days per week and increased their hygiene production by as much as 30% within two months. The dramatic and proven results were achieved by having someone dedicated to making outgoing calls.

If you want to fill your hygiene schedule and reduce no shows and short notice cancellations, follow these five simple steps:

1. Use the telephone. Make outgoing calls for continuing care every day. If you don’t have the resources to employ someone to make these calls, then restructure the administrative activities to provide quiet uninterrupted time for the receptionist to make the calls. Provide her with specific scripting to make the calls effective. In two hours of focused time, she should be able to make a minimum of 25 calls per day.

2. Manage your patients’ expectations. How the appointment is scheduled in the first place will determine whether or not the patient will show up for the appointment. Use positive wording to help the patient see the value in the appointment and place the responsibility of keeping the appointment on the patient. If you would like examples of positive scripting for scheduling appointments, send an email to sandie@dentalofficeconsulting.com with the subject line, “appointment scheduling scripts”.

3. Do not refer to a dental hygiene appointment as a “cleaning.” A cleaning is something that can wait. It’s not an important appointment in the patient’s mind. How you speak to patients will help the patient to view the appointment as an important therapeutic appointment vs. a “cleaning” that can wait. Dental hygienists are regulated health care professionals who perform therapeutic services that affect your patients’ overall health. That is the main message that you want the patient to understand.

4. Implement a hygiene downtime policy. If a hygienist has a cancellation in the middle of the day, there is nothing that she can do to control that and it’s not fair that she shouldn’t be paid. Provide a guideline of what the hygienist is expected to do during the cancellation downtime. The receptionist could run off a list of any patients who are on a perio program or any of the hygienists patients who do not have a scheduled appointment. She can use the downtime effectively by calling her perio patients, or anyone who is due for a continuing care appointment. When patients hear directly from their dental hygienist, that is a strong message to the patient that this is an important therapeutic appointment. If you would like a sample hygiene downtime policy, send an email to sandie@dentalofficeconsutling.com with the subject line “hygiene downtime.”

5. Create the expectation that the patient has made the patient has made the appointment with the intention of keeping it. Ask them if they require a courtesy call instead of a confirmation call. When the patient makes the appointment, they are essentially making a confirmed appointment. When making the “confirmation” call, say to the patient, “This is your courtesy call. You have an appointment with Diane on Tuesday at 9:20 am. We are looking forward to seeing you then.” Don’t ask the patient to call you back to “confirm” that they received the call because this annoys the patient and it implies that there is an intention not to show up. This is very negative messaging and it really tells the patient that you don’t trust them. You expect your patients to trust you, you need to trust them and create the positive expectation that they will arrive for their appointment.

Control your hygiene schedule and don’t allow it to control you. Provide dedicated time for someone to focus entirely on the hygiene schedule and you will see dramatic results in a short period of time. Add value to the hygiene appointment. Patients are motivated to return by how they feel when they are at your office. Exceptional customer service means delivering a wow experience every time. Consistency is the key. Even if you are running behind and not having the best day, your patients should never feel your stress. Keep your hygiene schedules full by following simple tried and true methods. If you require further information, please don’t hesitate to contact sandie@dentalofficeconsulting.com.

Interested in contributing to Oral Health Group’s dental blog? Email marley@newcom.ca for more information!

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16 Comments » for How to Fill Your Hygiene Schedule and Keep it Full – Five Simple Steps
  1. Hello Sandie..

    could you send me your hygiene down time policy
    as well as your appointment scheduling scripts..

    we are a newer office making a go..

    thanks kindly Debra..
    co’owner and hygienist

    • Hello Debra
      I apologize for the delay, but I just checked the comments section now. I will send you the hygiene downtime policy and appointment scheduling scripts right away.

      • Edith says:

        Hello Sandie, may I also have your hygiene downtime policy and appointment scheduling scripts Please

  2. Insightful article, thank-you Sandie! A phone call to our patients is still a wonderful way to add that personal touch, although I understand the benefits and ease of emails and text as well. Dentistry and related industries seem to be paying closer attention to which generation each client falls under and then customizing the experience for them.

    • Thank you for your kind comments. You are correct, the communication methods seem to be generational. thank you for taking the time to read the article and offer your comments.

  3. Lana Lipinski says:

    Hi Sandi
    Just found this great information! Can you send me the scripts & policy as well I would be very great full. I maintain all the schedules for our office.


  4. Michaela says:

    Thank you for your article. I am looking forward to using your scripts for the “recall” – I mean “Continuing Care” phone calls. It was good to get your perspective.
    Thanks again!

  5. Joni Roe says:

    “appointment scheduling scripts”. “hygiene downtime.”

    Hey Sandie, I am a Dental Hygienist. I would love for you to send me this information . Thanks, Joni Roe

  6. Mary says:

    Hi Sandie,

    RDH here and interested in your information on appointment scheduling scripts & hygiene downtime.

  7. Beth Jordan says:

    Wow! I needed this today! We have had such a time with this lately!! Sandie, could you please send me a copy of your appointment scheduling scripts and Hygiene downtime policy? You don’t know what a life saver this is for me!

  8. Hi Sandi,

    I am looking forward to your scripts for my recall list as we have lots to deal with can you please send it to me

  9. Sha'Ron Elmore says:

    Hi Sandi,
    This was a refreshing article to read! I am a hygienist who wants to increase productivity at my office. Can you send me the down time policy and the appointment scheduling script?

  10. Vanessa says:

    Would love some info as well please to increase productivity for hygiene.

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