Same- or next-day appointment access rate

Patient Experience & Access

How this indicator is defined

Methodology version v1.0

Percentage of appointment requests for which a same- or next-day slot was offered during the reporting window.

Proportion of eligible patients (percentage)

The percentage of eligible patients (the denominator) who have at least one Same / next-day access record within the 1-year window. Each patient is counted once.

Data inputs

Same / next-day access

Derived from

Ontario Health — MyPractice: Primary Care, Technical Appendix (June 2024)
CIHI — Pan-Canadian Primary Health Care Indicators + EMR Content Standard (Minimum Data Set) (2023)

What this indicator measures— Name, alignment, goal, rationale.

Indicator nameField 1 — Indicator name

Same- or next-day appointment access rate

AlignmentField 2 — Alignment

Advanced Access model (same/next-day availability)
Illustrative synthetic-demo definition pending clinical review

Strategic goalField 3 — Strategic goal

Improve timely access so patients can be seen by their own team when they need to be.

RationaleField 5 — Rationale

Same/next-day access is a core Advanced Access measure; higher rates reflect a panel size and scheduling model matched to demand, reducing avoidable ED use.

How it's computed— Scoring method, numerator, denominator, inclusions, exclusions.

NumeratorField 6 — Numerator

Requests offered a same/next-day slot.

DenominatorField 7 — Denominator

Active rostered patients age 18+ at reporting-period end.

Sex eligibility:
Age range: 18–120
Active as of reporting-period end: yes

ExclusionsField 9 — Exclusions

Routine periodic-health-exam bookings (not same-day demand).

How patients are attributed— Attribution rule and risk adjustment.

Attribution ruleField 10 — Attribution rule: Enrolment (rostered)
Risk-adjustment modelField 11 — Risk-adjustment model: None

How comparison works— Peer group, reliability threshold, peer comparator.

Reliability thresholdField 13 — Reliability threshold: 30

Data + reporting— Data source, reporting frequency, direction of improvement, limitations.

Reporting frequencyField 15 — Reporting frequency: quarterly
Direction of improvementField 16 — Direction of improvement: Higher is better

Targets + governance— Target, justification, owner, review, approval, version, notes.

TargetField 18 — Target: 60.0% — the clinic's target for this indicator, set by the product owner.
Methodology versionField 23 — Methodology version: v1.0