Healthcare organizations have traditionally relied on the no-show rate to understand missed appointments. Chris recognized that this measure overlooks much of the capacity actually lost through same-day cancellations and same-day rescheduling, when appointments cannot be filled in time.
To make the full problem visible, Chris created the Effective No-Show Rate, or ENSR.
ENSR gives healthcare leaders a more complete measure of unused appointment capacity. More importantly, it reframes the issue. An unfilled appointment is not only a scheduling problem. It affects patient access, provider productivity, revenue, continuity of care, and the overall cost of delivering healthcare.
Chris’s work around ENSR has helped healthcare organizations move beyond simply measuring missed appointments toward identifying high-risk patients, improving confirmation strategies, and recovering capacity before it is lost.