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Workflow example: Appointment-based clinics

Respond to new inquiries while the opportunity is fresh

Business profile

A business and workflow you can recognize.

A dental clinic with a front desk, office manager, and practitioner. Work arrives through phone and email and connects to the calendar and approved patient records.

The challenge

Where the work starts to slip.

Calls and messages wait while staff help patients. Missing intake details create repeated calls and delay booking. Recall follow-up stops when urgent front-desk work takes priority. The front desk carries too many separate follow-up queues.

Canadian context: Statistics Canada’s Survey of Oral Health Care Providers reports staffing or HR challenges at 82% of Canadian dentist offices and operational challenges at 76%, led by administrative, financial, or operational work (2023/2025).

The review

Measure the real workflow before changing it.

We observe two weeks of front-desk activity, recording each inquiry’s channel, received time, first acknowledgement, resolution time, owner, and next action. We review 100 consecutive intake submissions for required-field gaps and place 100 overdue recall patients into a controlled, approved reminder cohort. The baseline is measured locally, not assumed.

How the work moves

Routine steps move forward. Decisions stay with your team.

Inquiry check

Watches for unanswered inquiries and overdue recalls.

Patient context

Collects approved non-clinical context.

Routine response

Prepares routine responses and appointment options.

Reply handling

Sorts replies as booked, rescheduled, needing information, or escalated.

Outcome check

Checks the booking, receipt of details, or need for staff follow-up.

Clinical advice and treatment decisions stay with the clinic. The workflow only supports non-clinical work.

Interactive prototype

See how a recall reaches a verified booking.

Choose a patient response, review the prepared reminder, and see how the system adapts while clinical decisions stay with the clinic.

System support
Watch for overdue recalls, collect approved non-clinical context, prepare reminders, and classify replies.
Your team decides
Approve reminders, handle clinical questions, and manage sensitive exceptions.
Recall patientOverdue 9 months
Patient
JB (last visit Mar 2025)
Channel
Email + phone
Current state
Awaiting approval
  1. Recall detected
  2. Patient context assembled
  3. Reminder prepared
  4. 4Approval
  5. 5Reminder sent
  6. 6Reply classified
  7. 7Outcome verified
  8. 8Record updated
Simulate the response

Prepared reminder

A friendly recall reminder is ready for review.

The system used the last visit date, approved contact preferences, and the clinic's recall policy. It did not include clinical advice or make a diagnosis.

Activity record

Recall detected, patient context assembled, reminder prepared, and approval requested.

The rollout

Start controlled. Earn capability from evidence.

Week 1: Connect and baseline

Map inquiries, intake, and recall queues. Give every item an owner and next action.

Week 2: Observe and prepare

Draft acknowledgements, appointment options, and recall reminders for staff approval.

Weeks 3 to 4: Operate

Send approved reminders, classify replies, confirm bookings, and escalate exceptions.

Weeks 5 to 8: Earn responsibility

Send routine acknowledgements and reminders within agreed limits. Route clinical or sensitive content to staff.

The results

Make the scenario and the measures explicit.

This illustrative scenario is grounded in a randomized German dental field experiment by Altmann and Traxler from 2010 to 2011. It is not a Canadian or AdiAstra promise.

  • Per 100 due recall patients: about 9 book within 30 days without a reminder (8.9%) and about 19 book with a reminder (19.3%) in the experiment.
  • Experimental difference: about 10 additional bookings per 100 due patients. This is external evidence, not a promised outcome.
  • Pilot design target: 100% of inbound inquiries receive a timestamp, owner, and next action.
  • Pilot design target: 95% receive an automatic acknowledgement within 10 business minutes. Urgent or clinical content routes immediately to a person.
  • Pilot design target: 100% of submitted forms receive required-field validation before ready status.
  • No-show and administrative-time improvement appears only after a comparable local before/after pilot.

What stays with your team

The clinic keeps control of clinical and sensitive decisions.

  • Clinical advice and treatment decisions stay with practitioners.
  • Sensitive patient situations and policy exceptions go to staff.
  • When a patient relationship requires personal contact, a person makes the call.
  • Every draft cites approved records. Missing facts are surfaced, not guessed.

What comes next

Expand only when the evidence supports it.

Once intake and recall are running, the same operating model can support scheduling continuity and follow-up. The workflow can use the clinic’s established booking process to keep the next non-clinical action visible.