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A firm called CareCloud is already offering a cloud-based EHR (electronic health records) solution that promises to simplify operations for any practice, by providing rapid chart, coding, and reporting, along with features for patient engagement that can allow patients to provide information and stay informed from their own devices. Services like this mean smoother workflow for busy healthcare staff and frustrated patients. This study evaluates patient classification for scheduling and sequencing appointments for patients differentiated by their mean and standard deviation of service times, no-show, and walk-in probabilities. Alternative appointment systems are tested through simulation using a universal Dome rule and some of the best traditional appointment rules in the literature. Our findings show that the universal Dome rule performs better in terms of reducing the total cost of patient's waiting time, doctor's idle time, and overtime, and its performance improves further with the right sequencing of patient groups. Although it is a challenge to find the best sequence, we propose a heuristic rule that successfully identifies the best sequence with an accuracy level of 98% for the universal Dome rule. Sensitivity analyses further confirm that our findings are valid even when assumptions on patient punctuality and service time distributions are relaxed. To facilitate the use of our proposed appointment system, an open source online tool is developed to support practitioners in designing their appointment schedules for real clinics. Even if you have access to a student health plan, you can apply for coverage through the Health Insurance Marketplace instead.
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