• Track patients who are clinically unstable and/or have a history of non-adherence, mental illness or active drug/alcohol use, and maintain updated lists of patients’ routine appointments.
• Routinely update the list of patients with missed appointments and provide direct feedback to medical providers and case managers to determine next steps.
• Send letters and/or make calls to no-shows to ensure that new appointments are made and barriers to accessing HIV primary care are addressed.
• Develop systems to accelerate identification of, and contact with, no-shows.
• Call patients to remind them about upcoming appointments; use a cross-functional approach to remind patients, including providers, case managers and peer educators.
• Implement follow-up calls by case managers to remind patients of appointments and to follow up on no-shows.
• Enhance outreach to patients with difficult circumstances.
• Develop a comprehensive no-show program that includes patient input into a plan for follow-up and checking in after each visit.
• Develop an automated system to easily track kept/missed appointments and follow-up appointments.
• Run frequent reports targeting those patients who are lost to follow-up (patients with no kept appointment in the last 6 months).

Promoting Adherence to HIV Antiretroviral Therapy