TL:DR #

2xw < Patient Misses…Appointment gets rescheduled to the end of the plan and the doctor is alerted to walk them up at their next visit.

1xw > Patient Misses…Appointment gets moved to another time later the same week and the patient is asked to confirm. Adjustment is red if not confirmed or purple if it is confirmed. D.C. GETS NOTIFIED OF THE MUD EITHER WAY WITH AS MUCH DETAIL AS POSSIBLE.

Any Patient Misses MUD…Reschedule MUD to end of care plan with the “Adjustment-MUD” appointment purpose, this will cause it to show red. NOTIFY THE D.C. THAT THE PATIENT IS A NOT CONFIRMED MUD.

💡 These MUDs at the end of the plan can be used as an “extra” visit.

If the patient has a 3rd MUD added to the end of their care plan send the Three Strike Letter.

If the letter has been sent and the patient adds a 4th MUD, begin cancellation procedure.

1st Missed Appointment #

If patient has an appointment already scheduled before a MUD can be put in, proceed with Option 1. #

Option 1: Make an appointment note on the patient’s next scheduled appointment for D.C. that the patient has a MUD (Needs MUD) and that they should walk the patient up to reschedule previously missed appointment. Reschedule the missed appointment to the end of care plan and use the “Adjustment-MUD” purpose, the appointment should show RED on the schedule.

Schedule appointment and make it PURPLE again. This time the note should say that this is the patient’s MUD.

💡 We shouldn’t have to wait on the next appointment for EOW or Monthly patients. For these patients with less frequent visits, try Option 2 first.

Option 2: Move the missed appointment to a time before patient’s next pre-scheduled visit. Alert patient of scheduled MUD, if the patient confirms make the appointment PURPLE. If the patient does not confirm by end of day, change the appointment to the “Adjustment-MUD” purpose, the appointment should show RED on the schedule. Make an appointment note that this is the patient’s MUD.

Missed MUD #

If the patient misses their MUD, send the saved text to the patient informing them that you are moving their appointment (IF POSSIBLE, WITHIN THE SAME WEEK) and the Doctor will be contacting them to discuss their goals for care. Then alert the DC to reach out.

Make the new appointment with the “Adjustment-MUD” purpose, it should be RED on the schedule. Make an appointment note that this is the 2nd attempt to complete this MUD.

💡 The doctor should only be notified for EOW or 1xM patients if their MUD hasn’t been made up when their next scheduled appointment arrives. In this case, make the scheduled appointment RED and leave a not and alert for the D.C. to mention that they have a MUD to schedule.

🚩 FIRST MISSED MUD IS A RED FLAG! Part of the doctor’s communication should be about the concern of the patient losing their care rhythm and the momentum. “If we lose a visit, it can put you back 2 to 3 visits of progress. This can have an impact, not only on your results, but also financially. I would hate for that to be the case for you. So anytime that happens in the future I would encourage you to try and get the visit made up within 24 hours to keep that rhythm and momentum going.”

Patient didn’t reply or agree to reschedule or could not reschedule within the week. #

Option 1: Move the “Adjustment-MUD” appointment to the end of the patient’s care plan, the appointment should show RED on the schedule.

Make a note on the patient’s next appointment (Needs MUD, Won’t Schedule.) for the D.C. to walk the patient up to reschedule. Once the D.C. walks the patient up, move the appointment from the end of the care plan and make it PURPLE. (Since patient confirmed.) ****Make an appointment note that this is the 2nd attempt to complete this MUD. || The DC will delete the alert when they walk the patient up. If the patient misses the MUD or refuses to schedule a new alert should be created for the patient’s next visit. ||

💡 We shouldn’t have to wait on the next appointment for EOW or Monthly patients. For these patients with less frequent visits, try Option 2 first.

Option 2: Move the missed appointment to a time before patient’s next pre-scheduled visit. Alert patient of scheduled MUD, if the patient confirms make the appointment PURPLE. If the patient does not confirm by end of day, change the appointment to the “Adjustment-MUD” purpose, the appointment should show RED on the schedule. Make an appointment note that this is the patient’s MUD and create an alert for the D.C. to walk the patient up.

If the patient never confirms and misses the 2nd scheduled appointment, move the “Adjustment-MUD” appointment to the end of the patient’s care plan, the appointment should show RED on the schedule.

💡 This procedure continues until the patient has 4 MUDS that we have been unable to get made up. Then we send a MUD Alert Letter

MUD Alert Letter ← Link