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Physician On-Call Scheduling and On-Call Management Blog
by Justin Wampach

10 Mistakes Doctors Have Made Buying On-call Software (part 2)

Posted by Justin Wampach on Fri, May 11, 2012 @ 09:48 AM

describe the imageDoctors who wish to enhance their practice and provide better care and service to their patients and themselves by using physician scheduling software are on the right track. Unfortunately, they don’t always go about it the right way.

Last week we posted three of the top ten mistakes that doctors have made when purchasing call scheduling software.  Here is a recap of the top 3, along with number four through ten.

  1. Wanting too many bells and whistles. 

  2. Trying to save a penny. 

  3. Thinking someone else understand your business.

  4. Losing sight of the basics – KISS:  Your primary aim is to improve your productivity, and you should always keep this in mind! Anything else should come later. For example, we have clients who request payroll integration in their on-call software. But delaying an order or cancelling an order based on just this one feature is unjustified. Nice to have is not the same as “essential” – and adding too many features just results in “bloatware”. It is a mistake to want your software to do too many things right from the start. Get what is essential, and build from there.

  5. Waiting for something better:  Doctors often keep on waiting for something better to come along. Unless you don’t jump in the water, you aren’t going to learn how to swim. Some of the best run private hospitals have been early adopters of technology. Today they might still be using legacy systems, but they are much better run than non IT friendly setups. It’s true that software will evolve over time, but you cannot wait for perfection. Software is always a work in progress, which gets improved and polished incrementally.

  6. Thinking your staff shares your vision:  Many good doctors buy the perfect software and then find that it does not help them at all. Often they blame the software for being unfriendly or useless. Most doctors fail to understand that their staff is one of the key stake holders in this process. Unless the staff uses the software, it is bound to fail. The software may be the best in the world, but if it is not used properly, it isn’t living up to its potential. Doctors need to be firm and to share their vision for the software with their staff. It is a mistake to assume that software will be easily adopted by support staff, nurses and fellow doctors. Provide lots of training – and if some members refuse to use this, you need to take them to task.

  7. Not nurturing innovation:  The biggest stake holders in this industry are the doctors. It is important for them to nurture innovation. Sometimes it is valuable to take a risk or allow a software company to go that extra mile in providing a feature which will change the process flow of your clinic. Doctors who refuse to try out products which provide extra features or new age ideas because they do not understand its utility are closing the door on innovation. A doctor who asks me to block some modules to save money because he feels he will not use them is basically closing his own mind to the potential of using new processes to improve his practice. Do not buy the module in the beginning, but keep an open mind.

  8. Underestimating the complexity of your needs:  Running a clinic is running a small business. It’s a complex enterprise, and often doctors over-estimate their ability to do a good job. Ideally, you should be focused on taking care of your patients, so your staff can run the clinic. If you find you are spending time on routine administrative tasks, this means you are wasting your time and money. There are only 24 hours is your day – learn to use them sensibly. A good doctor scheduling software program will help you to improve your productivity and that of your staff, if you use it to its fullest extent.  Don’t get stuck buying a cheap program which was designed for a small shop – you will end up being unhappy and dissatisfied.

  9. Delaying a decisions:  The single biggest mistake a doctor makes in buying call scheduling software is when he delays his decisions – whether it is thinking about his needs; talking to the vendor; spelling out his requirement; installing the program ; or getting training for his staff. As a result, the vendor is frustrated; the doctor is confused; the staff is anxious. Start small – but start today!

  10. Not providing enough time for training.  While doctors understand that learning a new medical procedure can take time, unfortunately, they are not willing to invest the same time in training their staff – and themselves – in learning how to use the software properly.  This can cause a lot of frustration and when this happens, many doctors just give up on the idea of using any software at all, because they feel their staff is either too busy or not willing to learn something new.  Give your team the benefit of the doubt, also lead by example.  Show your team how important this change is by being a part of it.

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Topics: call scheduling software, physician software, physician scheduling, on call, on-call software, physician scheduling software, doctor scheduling software, on call schedule, call scheduling

6 Sure Signs You're Ready for a Call Scheduling Change

Posted by Justin Wampach on Fri, Apr 27, 2012 @ 10:56 AM

change ahead

When a medical organization gets ready to make a change to their physician call scheduling system there are several early indicators to success that you should be on the look-out for.

  1. You're willing to make modifications to your current process.  This is a "biggie".  It is imperative that you come to the table with an open mind.  Unless you are creating custom software specifically tailored to your groups needs, you will need to be somewhat flexible regarding the old way versus the new way.  Have a discussion with your providers to gain a good understanding of the things that your group will and will not modify.

  2. You're willing to make some changes to your current rules.  Similar to number 1, you need to have some bit of flexibility here unless you are prepared to have the software built for you.  Remember this is very expensive.  Most companies like ours work hard to deliver 80% of what most medical groups needs when it comes to creating, maintaining and publishing call scheduling software.  It is not cost effective to develop the other 20%.  Instead of looking at this as a limitation, look at it as an opportunity to standardize your practice with other practices.  Also be aware that if you need to accommodate every rule that every doctor comes up with, you will be doing a lot of manual scheduling (not that there is anything wrong with that).

  3. You're willing to make some changes to your schedule length.  There is a mathematical equation that helps us determine what the optimum length of a call schedule should be to get the best tallies.  That equation is based on the number of providers you are scheduling, the number of jobs you are scheduling and the amount of vacations/days off that you allow.  Be open to this.  Most software will not be a good fit if you are trying to make weekly schedules and need fair tallies.  Most of the scheduling limitations today stem from the schedulers available time or the large number of changes from the providers after the schedule is "final".

    Click me

  4. You have identified your group’s top 3 needs.  This is another "biggie".  Take time to meet with your providers and understand what are the top 3 "deal breakers" or according the Urban Dictionary "an element in the making of a deal, essential to one of the parties. Without it, that very party would never consent".  Clearly understand what the group cannot live without.  I would caution you to limit your list to a few.  When and if your top 3 needs have been meet, then go back and see what the next needs should be.  The purpose of this is to understand what is important and focus your efforts there.

  5. You have established a budget or have funds available.  Although most people I talk to say that they don't have a budget, they do have discretionary funds available to accomplish certain strategic initiatives.  If you do not have this available you are probably not too serious about solving your problem.  That's ok, let’s just be clear about where you are in the buying process so that you are not bombarded with "are you ready to buy yet" from your sales person.  I would also encourage you to develop a budget to accomplish things that are important to the group’s success.  This will allow the group to move forward quicker regarding decision making.

  6. You have time set aside to configure and learn a new program.  If you are "up to your eyeballs in alligators", now may not be a good time to take on an additional project.  This should be taken into consideration.  Not having time or not making time can derail a new software project faster than anything else I have seen.  If a real problem exists that needs to be solved, people will make time.  If your boss is not giving you time to learn and implement, I would ask if this is really a priority project.  Also keep in mind the type of time we are referring to is "uninterrupted time".

Key Takeaway:  If you are not ready to change, don't.  Take a careful look at the list above and be realistic about your answers.  Not ready now does not mean not ready ever.  Plan your change and your outcomes will be worth it.

Topics: call scheduling software, oncall, on call, call scheduling

Everyone's a winner in a paid trial of call scheduling software

Posted by Justin Wampach on Fri, Apr 20, 2012 @ 10:00 AM

winnerWould you purchase a car without test driving it? Would you buy a pair of pants without trying them on? We follow the rule of "try before you buy" every day without even thinking about it. Of course, we should follow that same sound principal when we're purchasing an important business tool such as physician scheduling software.

Try before you buy, that seems to be a common theme now days.  I hear it suggested in everything from living together before you are married to purchasing physician scheduling software.  Why, because most people learn some very valuable "stuff" when they try something.

Here are some valuable reasons to try before you buy:

  1. Get a real look under the engine.  You will probably learn something new when you get "full access" to software.  Most product demos hide some of the real gems until after you become a customer.  A trial is a good way to see what's under the hood.
  2. Test results versus your results.  It’s an old marketing trick to display some amazing results or claims on a website or during a demo.  Where the rubber meets the road is when you put your data into a system and see what the results are.  Now will it still meet your needs?
  3. Tests drive the training and service department.  Did you ever notice how nice everyone is when you are buying something?  You tend to see true colors shine through after some of the "newness" has worn off.  If the team is still nice and helpful after 90 days you have probably picked a winner.  Most people can't fake it that long.
  4. Find the hidden gems.  Many times after you use something new you will find a few hidden benefits that you never realized you needed.  These are really fun because they were unexpected.  Some software customers tell us that the gems can sometimes outweigh the original headline features, meaning that they find savings and benefits in different ways.
  5. Limit your risk.  No one wants to look foolish in front of their professional partners.  As I have learned (the hard way) it makes sense when trying something new to limit your risk.  Most of the time when purchasing something like call scheduling software the largest risk is the term: of the agreement.  With a trial you can be sure that everything is a good fit before you make a commitment.

Is a paid trial of call scheduling software ever a waste?  In my opinion, no.  Everyone’s a winner.  You will learn some very valuable lessons and in the end you should know more than when you began.  Sounds like a win to me.



Topics: call scheduling software, physician scheduling, on call, on-call software, physician scheduling software, call scheduling

Purchasing on-call software: advise from the trenches

Posted by Justin Wampach on Fri, Apr 06, 2012 @ 10:12 AM

focusWhere should the focus be?

Here are the top 6 things that you should focus on when comparing on-call software.

1.  Almost everyone that I work with gets caught up in "how the software works" especially when you are talking about rules.  This is an area of endless analysis paralysis.  Why?  Because you have no idea what the results of scheduling software will be until you enter your data into the system and try to create a schedule.  Period.  Although we have a large amount of Cardiology groups, there are some that we are not a good fit for.  Why?  Because, when the customer (and our trainer) evaluated the first few schedules, the customer was not satisfied with the results.  Let me be clear, THIS DOES NOT MATTER. 

2.  Do not focus on features, instead focus on results.  Know what your desired results are and drive towards them.  Sit down with your stakeholders and have a realistic brainstorming meeting about what you are trying to accomplish.  Use a whiteboard to write them all down.  When you are finished, use the old SWAT consulting method, colored dots.  Give each person a few dots and have them pick their top 3 and place their dots next to them.  When you are finished  you should have a list of your top 3 needs. 

3.  Be realistic regarding your needs.  The top three areas where people are unrealistic when it comes to call scheduling software are (a) how many rules we can have that limit or exclude, and (b) how long to run the schedule to achieve fair tallies.  (c) how many people can be off at one time.  Our trainers hear this over and over and over.  Without sounding like a smart-aleck you need to understand simple math.  The smaller the number of providers that you have, the fewer rules that you can have if you want to have someone available.  The same is true regarding vacations.  It is very similar when it comes to fair tallies, the number of providers, the number of jobs and the number of days that you are scheduling all have to "play nice" or you will not achieve fairness.  

4.  Try before you buy.  If you agree with my first item, all of the individual features of the software are not relevant; you will agree that the results are.  If that is true, this is where most of your time should be spent, trying out the software.  I personally think a trial should be between 60-120 days.  This will give your group enough time to set-up, configure, create, publish, modify, evaluate and make a decision.  Oh and by the way,  there is a cost to try out good software.  Just like your business, a software company has to pay its trainers, sales people and usually has to pay to develop the software before they can get their first client.  What I mean by this is that they are running a business, they are professionals, and professionals get paid for their work. 

5.  How much risk are you willing to assume if this project is a bomb?  Considering the large amount of uncertainty when it comes to the results of scheduling software, and considering that the results are subjective, I would highly recommend limiting your risk as much as you can.  How do you limit your risk?  Well in the case of buying software, find a vendor who uses a monthly, pay-as-you-go model.  For many of our new clients who begin using our software their biggest financial risk is only one month of service.  You can't get any less risk than that. 

6.  The best businesses are the ones with the best people.  Make sure that when you are selecting your new call scheduling software partner that you choose one with great training and support.  I promise you that this will make all of the difference in the world.  Most of you know the old saying, "there's more than one way to skin a cat", the same is true with software, there are several ways to achieve your desired results.  Your biggest advocate will be the trainer.

To read the complete article "Where should the focus be" you can download our whitepaper on our website.

Topics: software for scheduling physicians, scheduling software, on call, physician scheduling software, call scheduling

Do you know your cost to create and maintain your on call schedule?

Posted by Justin Wampach on Fri, Mar 23, 2012 @ 10:19 AM

calculatorWe all know what a pain-in-the-butt it is to create, maintain and publish an on call schedule for the doctors in your specialty clinic.  (If you’re new, here is why it sucks)

  • The process is very time consuming to create a schedule
  • The results are perceived as unfair
  • It is difficult to publish to the internet 
  • The providers want access to their schedule on their phone
  • Constant swaps and changes throughout the month

Because of the items listed above we are seeing more and more specialty groups having an administrator or physician create, maintain and publish the physician on-call schedule.  Many of them are even asked to do it on their own time.

Let’s say for example that you are and administrator or physician who is tasked to do the call schedule.  Perhaps you are interested in exploring if there is some software available that can assist you, how do you know how much is too much to pay? Well, the first question you need to ask yourself is, "how much is it costing me today"?  Do you know what your costs are?  Many doctors and administrators do not know and in fact some of them will say that it is not costing anything because they have to do it on their own time at home. 

As a business manager or owner, the "cost" of something is a very important number.  How will you know if you can cut your cost if you don't know what it is to begin with?  Because I have heard this over-and-over we decided to build a cost calculator to help you.  This is very different from a traditional ROI calculator.  The differences are major because an ROI calculator is a sales tool, and a cost calculator is a management tool.

If you do not know what it costs you today to create, maintain and publish your physician on-call schedule I would encourage you to answer our brief 8 question form and learn your cost.  It will take you less than 5 minutes to learn your results.  If you use Call Scheduler's cost calculator, you can be assured that this is a management tool.  We will not be using it to "sell you" our software. 

We want knowledgeable prospects and we are willing to make investments to help the entire medical community understand the costs around creating, maintaining and publishing a call schedule for your doctors.

To give it a try, click hereto begin.

How much is it to outsourcemy call sched

Topics: physician software, physician scheduling, on call, on call schedule, call scheduling

Call scheduling done wrong: 10 things you can do to make it worse

Posted by Justin Wampach on Thu, Mar 15, 2012 @ 10:29 AM

call scheduling things not to doMost physicians agree that anything to do with on-call stinks.  But there are things that your practice can do to make it better or worse for your providers.  If you really want to make it as bad as it can be, do these 10 things and you will see it go from bad to worse quickly.

  1. Don't compensate one of your doctors for creating and maintaining the call schedule, make them do it for free. 
  2. Force your scheduler to do the work of creating, maintaining and publishing the call schedule on their own time at home.
  3. Allow each of the doctors the ability to have any rule or preference that they want.
  4. Negotiate next to impossible rules and scheduling accommodations for new providers that are joining the group.
  5. Allow all of your providers to decide when they are going to take days off and be on vacation after the oncall schedule is published.
  6. Try to balance your provider tallies monthly.
  7. Force your scheduler to "catch people up" when they take time off after the schedule has been created.
  8. Print out a paper copy of the schedule and give it to the providers.
  9. Allow your providers to make changes and swaps between themselves without any process or procedure.
  10. All of your providers to schedule themselves with or without software.

By following all 10 of the items listed above, you can create the worst-of-the-worst scenario for your providers.  You can be sure that this will help you accomplish the following:

  1. Longer wait times for your patients in the ER
  2. The wrong doctor getting called in the middle of the night
  3. Unfair tallies and workload for some doctors
  4. Higher turnover rate of person creating the schedule
  5. Unhappy physicians

There is another approach to call scheduling, doing it the right way.  In a recent blog post 3 Cost Effective Steps to a Modern Call Schedule you can learn about another approach.  This one may give you, your providers and patients a better outcome.

Topics: oncall, on-call software, doctor scheduling software, on call schedule, call scheduling

Are the New York Giants a better team than your management team?

Posted by Justin Wampach on Mon, Feb 06, 2012 @ 11:25 AM


What does Eli Manning and the New York Giants team have in common with you and your team at the clinic?  You're probably saying, not much, but there is a lot more similarities in the two teams than you might think.


Football Team

Medical Practice

Highly paid players Highly paid doctors
Large up-front investment Large up-front investment
Each player is a specialist Each doctor is a specialist
Paid staff to support team Paid staff to support doctors
Players want to be on a winning team  Doctors want to be in a winning practice
Highly paid coaching staff Highly paid management team
Players can be traded Doctors can leave

One of the major differences is that football players listen to their coaching staff.  Although the players make more money and have more status and influence, when they get together as a team, they listen to their leader and are all on the same page with the same goal in mind, WIN.  Let’s compare that to a physician owned clinic.  In that scenario, the Doctors run the show and although there is an administrator, I don't think that many groups look them as business experts.

In the game of Football, what is needed to win is points.  You get points by scoring touchdown and field goals.  You score touchdowns and field goals by working together as a team.  Out on the field, everyone is important.  In this past Super Bowl, if Eli Manning didn't have teammates defending him, he could not do his job.  The team wouldn't be ready to play if there wasn't staff and facilities for practices.  It also would not be possible without fans.  Who wants to play in an empty stadium?  Everyone is a star on the team.  Although some stars are better than others, everyone’s contribution is key to success.  A football team is a well oiled machine.  When the machine works it is in its best position to win games.

In the business of Medicine, what is needed to win is profit.  You earn profit by treating patients.  You treat patients by working together as a team.  In the clinic everyone is important.  Without certain members of your team, for example, maintenance, physician on-call scheduler, accounting, you cannot effectively compete.  When you compete without your staff, you are at a disadvantage and increase your chances of loosing.  There are no stars on the team, everyone is equally as important.  If you strive to provide the same level of quality and service each time, everyone’s contribution needs to count.

So when you ask yourself if the New York Giants are a better team than your management team, show me the rings. 

Although I am not a big sports fan, I am always fascinated at how teams work together for a common goal, winning.  I think that health care and independent clinics specifically can learn some valuable lessons from how these big-fancy teams win.

Topics: oncall, on-call software, doctor scheduling software, on call schedule, call scheduling

Top 7 Reasons to Outsource your on-call schedule

Posted by Justin Wampach on Fri, Feb 03, 2012 @ 02:16 PM

outsourcingMy company for years has been hymming and hawwing about offering an outsourced call schedule generation and publishing service to our customers.  I was finally able to convince our Board of Directors that this would be a great service to offer busy clinics and doctors who find this task to be one of the worst.  Here is some of the justification that I used when I was trying to sell the idea to my Board of Directors, perhaps you will find it useful if you need to talk with whoever makes these decisions in your practice.

Just so we are all on the same page, Outsourcing is the process of contracting a business function to someone else, according to website Wikipedia.  Typically the business function is something that is commonly performed in-house.  The concept of outsourcing helps firms perform well in their core competencies and reduces the rise of skills or expertise shortage in areas of the company. 

The top reasons for outsourcing call schedule creation and publishing;

  1. Cost savings, the lowering of the overall cost of the service to the clinic.  Our schedulers are faster and more experienced than yours.  Therefore it costs us less to produce similar results.
  2. Focus on core business, if your people are your most valuable resource, then free them up from tasks that do not generate revenue.  Let them focus on what is important.
  3. Knowledge and wider experience.  With all due respect, our schedulers are more experienced than yours; because we have worked with so many different specialty groups we have seen-it-all.  This experience allows us to bring something to the table that you may have not had before.
  4. Catalyst for change.  An organization can use an outsourcing agreement as a catalyst for a major change that could not be achieved before.  This is a perfect scenario for doctors who have been unwilling to change their rules and scheduling methods, making creation nearly impossible.  
  5. Process improvement.  Most organizations do not have the physician schedule creation process documented.  If something happened to the scheduler, most clinics would be left with a big mess.  Outsourcing can improve a process by creating a standard way to achieve the same results and then documenting the process.  If you choose to take the schedule creation back in-house, most likely it would come to you in better shape than when you originally handed it off.
  6. Take it back.  Outsourcing is not permanent; you can take back the work at any time.
  7. Scalability.  With the consolidation of practices happening at lightning speed, it’s not a bad idea to think about how you would handle an increase in workload in the creation of oncall information.  

Call Schedule creation and publishing can be done remotely and delivered digitally and our company can leverage the scale and economy of outsourcing to deliver high value services at a vastly reduced end customer prices.  As you can see the reasons for outsourcing are plentiful, considering the low level of risk associated with a service such as outsourced on-call schedule creation, I think it is definitely worth giving it a try if your practice is constantly struggling with the horrible job of creating, maintaining and publishing the oncall schedule.

How much is it to outsourcemy call sched

Topics: physician scheduling, outsourced scheduling, on call schedule, call scheduling

Who should manage on-call in the hospital medical or admin?

Posted by Justin Wampach on Thu, Jan 05, 2012 @ 03:43 PM

choiceWho should manage on-call in the hospital?  That’s a great question.  In a hospital on-call has many sides.  There is the creation of the individual specialty clinic call schedules, the creation and maintenance of the daily on-call roster, maintaining providers contact numbers and maintaining provider protocol information.

The purpose of on-call in the hospital first and foremost is to serve the emergency department physicians who need specialists to assist them in the admittance and treatment of presenting patients.  This is done via a daily on-call roster that is used to determine which physician is responsible by law to respond and help.  Secondarily it is used by many others within the organization, physicians, nurses, and administration to support patient care.

Although each hospital is very different, I have seen on-call management over and over in the following areas; Medical Staff Office, Emergency Department, Information Systems, Telecommunications and Nursing Support.  Med Staff, nursing support and the ED are all medical units.  IS and Telecom are administrative units.  They both have a different view point.

Who are the players involved in on-call at a hospital?

  1. The hospital Medical Staff Office dictates who and how on-call will be covered for each specialty. 
  2. Specialty clinic staff creates, maintain and publish a call schedule for their group of physicians.
  3. Physicians agree to the oncall assignments they are responsible for covering.
  4. Someone in the hospital receives and manages all of the on-call schedules from specialty clinics.
  5. Someone in the hospital creates a daily on-call roster.
  6. Someone in the hospital distributes the daily on-call roster throughout the organization.
  7. Someone in the hospital makes changes to the daily call roster as they come up, both day and night.
  8. The Emergency Department uses the daily call roster to determine which physician to call.
  9. The hospital operator often pages the requested doctor.
  10. The patient who is sitting in a bed waiting for all of this to happen so that they can be seen and admitted or discharged.

We have found that organizations may have better results if on-call is managed in the Medical Staff Office.  Here's why. 

  1. The Vice President of Medical Affairs has clout and a title that can get things done in an organization.  When they mandate that something is done a certain way, it is usually done that way.  For example, standing orders or credentialing.  Other physicians respect this person and will comply with their requests.
  2. The Medical Staff Office already deals with the physicians on a daily basis.
  3. If there is a issue with a specialty clinic not complying, the Medical Staff Office can deal with it from a physician management point of view.
  4. Policy and procedure will be created with the best interest of the patient in mind.  No politics or job protection going on.

When on-call is managed properly every player listed above is considered when making decisions regarding on-call.  On-call information is readily accessible by all the players listed above, and to the patient the process is seamless and they think that the specialist was already in the hospital when they presented to the ED.  It just works. 

When on-call is not managed properly, you can and will have a host of problems.  Be sure to check out my next Blog Post when I will highlight what those problems look like and provide some proposed solutions.

To answer my above question, I think it is better to manage on-call in a medical department; I have seen better results (regarding compliance and data accuracy) and faster implementation of on-call management. 

Remember, the right provider in the right place at the right time does not happen by accident.

Topics: daily call roster, medical staff office, call schedule management, physician scheduling software, on call schedule, call scheduling

5 Risks of allowing your Docs to change their own on-call schedule

Posted by Justin Wampach on Fri, Dec 09, 2011 @ 10:16 AM


There are risks that need to be considered if you are going to allow all of your physicians to have the ability to modify the on-call schedule without any oversight.  In my opinion the risks outweigh the benefits.

Risk #1. Fairness.  Most all schedulers create the schedule with fairness in mind.  All providers demand even tallies.  When you allow your providers to modify the schedule fairness needs to be taken into consideration.

Risk #2.  Skills and Privileges.  Does the provider that you are trading with have the proper skills and credentialing to work your assignment? 

Risk #3.  Personal Liability.  What happens if no one is oncall, when there is supposed to be?  Critical patient presents at ED.  ED physician evaluates and proceeds to find the on-call consulting physician.  No physician found.  Patient is transferred to another facility.  Patient takes a dive while in transport.  Patient dies.  EMTALA investigation regarding the transfer.  When the legal team at the hospital steps in and finds out that a doctor took himself off of the call schedule because he was tired after a surgery.   Guess what happens next?

Risk #4.  Too many cooks.  Most doctor scheduling software companies have designed their software for a special user called "scheduler", this user has certain privileges in the software that others do not.  Some would call this a super-user.  Super-users are usually highly trained in the software use.  Super-users have the ability to "screw up the program" because of what they can do.  The larger the number of super-users in any system, the greater likelihood that someone will accidently screw something up.  Real super-users know how to fix their mistakes without having to call tech-support.

Risk #5.  Bizarre results.  If you are using web-based software by nature you can work in collaboration with someone very easily.  At Adjuvant we take advantage of this when we train our Call Scheduler Classic and Lite customers.  Both customer and trainer logs into the same account and they can both see the same results.  If customer changes something, all the trainer has to do is hit the "refresh" button and the new change is updated.  This same principal is true for multiple people to be using the software at the same time, all trying to manually schedule and every time they refresh the screen they are seeing other days scheduled, notes made and so on.  The bizarre results were not "bugs in the system" they were caused by multiple users logged into the same schedule at the same time and both making changes.

There are many more risks associated with allowing all of your providers to have the ability to create and make changes to the on-call schedule. 

Topics: software for scheduling physicians, on-call software, physician scheduling software, on call schedule, call scheduling