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Practice Management

181 - Reducing Oral Conscious Sedation Appointment Cancellations at a Community Health Center

Friday, May 23, 2025
4:00 PM - 4:20 PM MDT
Has Audio

    Presenting Author(s)

  • Trang Pham, DMD, MMS

    Pediatric Dental Resident
    NYU Langone- San Diego, CA
    NYU Langone Hospitals - San Diego, CA
    San Diego, California, United States

    • Research Mentor(s)

  • RB

    Ruth Bol, DDS

    Program director
    NYU Langone- San Deigo
    San Diego, California, United States

    • Program Director(s)

  • DK

    Daniel J. Kane, DMD

    Program Director
    NYU Langone Health
    Brooklyn, New York, United States

Abstract:



Purpose:   The aim of the quality improvement research project was to reduce the number of cancellations of oral conscious sedation appointments at San Ysidro Health’s Children’s Dental Center. 



Methods: Data on oral conscious sedation (OCS) appointment cancellations at San Ysidro Children’s Dental Center were collected for six months, from March 2024 to August 2024, to identify the reasons for cancellations utilizing the Pareto chart. The top actionable reasons were chosen to target with telehealth call as an intervention plan, which were conducted at least two days prior to the OCS treatment. Run Chart was used to compare the cancellation rate between the pre and post intervention phase. 

Results: Three actionable reasons were chosen to target for implementation plan; illness (36.36%), no second adult (9.1%), and no transportation (5.45%). The average percentage of cancellation during the pre-intervention period was 46.3% as compared to the post-intervention’s cancellation rate of 22.17%. There was a 24.19% decrease in the cancellation rate after implementation of the intervention. 

Conclusions: Telehealth provides an opportunity to increase access to care and serves as a tool for reducing no-show rates. Other areas where telehealth can enhance access to care include new patient visits, pre-operative OR consultations, and emergency visits.

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