1. High Urgency
Personal or family illness or emergency.
Stuck due to flight cancellation.
Urgent or emergent situation that makes it impossible for you to get to clinic or requires you to leave clinic urgently (OB continuity delivery, Jeopardy coverage).
Medium Urgency
Meeting, opportunity or other obligation that has arisen unexpectedly and meets the following criteria:
1. Requires your presence 2. Cannot be rescheduled
Low Urgency
Vacation or personal day.
Trade for provider convenience.
Meeting, opportunity or other obligation that was set 30 days or more in advance.
Meeting, opportunity or other obligation that could be rescheduled, does not require your presence or a delegate could attend.
Is the clinic or partial cancellation time frame (e.g. late start, early departure) half-filled or greater**?
Cancellation approved*
Any patients scheduled during the clinic or partial cancellation time frame (e.g. late start, early departure)?
* Please review list of patients and communicate with clinic staff appropriate disposition (i.e. same day reschedule with another provider, reschedule to another clinic session with you, etc.).
Yes.
No.
With your cancellation will there still be:
>/= 9 Providers† scheduled during the clinic session AND >/= 3 Providers† assigned to your Pod?
With your cancellation will there still be:
>/= 6 Providers† scheduled during the clinic session AND >/= 1 Provider† assigned to your Pod?
Yes. Cancellation denied.
No.
** Defined “full clinic”:
With your cancellation will there still be:
>/= 9 Providers† scheduled during the clinic session AND >/= 3 Providers† assigned to your Pod?
Yes. Cancellation approved.*
No. Cancellation denied. If you are able to secure a covering provider, review by Program Director or Clinic Chief may be requested.***
Yes. Cancellation approved.*
No. Cancellation denied. If you are able to secure a covering provider, review by Program Director or Clinic Chief may be requested.***
*** Review requests must include:
Description of meeting, opportunity or obligation.
Clinic session or block requested.
Number of patients affected and percentage of clinic session or requested block already scheduled.
Number of clinic and Pod providers remaining if your cancellation is approved.
Coverage plan and covering provider.
Yes. Cancellation approved.*
No. Cancellation denied. If you are able to secure a covering provider, review by Program Director or Clinic Chief may be requested.***
† Providers are defined as faculty, attending providers and residents scheduled for primary care clinics.
UWNC Northgate Clinic
Clinic Cancellation or Partial Cancellation Decision Tree (< 30 days)
10/27/16