Create a laminated quick reference sheet/online reference sheet (e.g. available via agile MD) of commonly prescribed medications that have comparable efficacy in po/IV forms. For example, in the ER this could be po vs IV antibiotics, narcotics, antiemetics, electrolyte repleatment.

Keflex

costs $x  for IV dose (reference formulary)

po costs $y per dose

po has good bioavailability, concentrations similar to IV but onset is 4 hours rather than 30 minutes. 

In our clinic, there is no penalty to patients who do not show up for their appointments, and this costs our clinic in wasted clinician and staff time and energy.  Instituting a 24 hour cancellation policy with patients being responsible for a small sum of money in the event that they do not show up or cancel without adequate notice would encourage them to be responsible in communicating in advance when they will be unable to make a scheduled appointment.  Most private clinics keep a credit card on file for each patient just for this kind of situation.

Problem: High no show rates continue in outpatient clinics which create inefficiencies and high health care costs.

When people are happy and poistive it creates a more enjoyable workplace enviroment. When people are happy it can spread to others who otherwise may not be feeling well. One idea is a having a workshop of comedy. Laughter can release endorphins in the brain and it is also good for the soul.