Your Patients Aren’t Non-Compliant.
They’re Blocked.
Non-Clinical Barriers Are Where Health Systems Lose Patients
Social determinants of health — transportation, financial stress, housing instability, social isolation — account for up to 80% of health outcomes. Yet most hospital interactions are designed to address only the clinical 20%.
For health systems, unresolved barriers show up as readmissions, HCAHPS pressure, no-show rates, and patient leakage. A patient who “didn’t follow up” often couldn’t afford the copay. A readmission coded as clinical was actually caused by medication confusion and no transportation to the pharmacy.
Our Stressor Inventory process finds these barriers, names them, and removes them — before they become costly outcomes.
40%+
80%
The Six Categories of Patient Barriers
Transportation
- No reliable car to reach your facility
- Bus routes don’t serve yourcampus
- Can’t take time off work to drive
Financial Stress
- Can’t afford copay or deductible
- Worried about balance billing
- Insurance confusion delaying care
Fear & Anxiety
- Afraid of a bad diagnosis
- Negative past hospital experience
- Health anxiety about procedures
Confusion & Complexity
- Didn’t understand the referral
- Overwhelmed by multi-step care plans
- Language barrier with instructions
Scheduling & Logistics
- Couldn’t find an open slot with the right specialist
- No childcare during appointment window
- Competing appointments across departments
Belief & Motivation
- ‘It’ll go away on its own’
- Distrust of the health system
- Low health literacy about the condition
The Process
The Stressor Inventory for Health Systems
Open the Conversation
Rather than assuming compliance, our team asks: ‘Is there anything that might make it difficult to keep this appointment?’ This single question surfaces barriers that would otherwise remain invisible — and that drive your system’s no-shows, readmissions, and leakage.
Inventory the Stressors
Using our structured Stressor Inventory framework, we systematically explore known barrier categories — transportation, financial, logistical, emotional — without making the patient feel interrogated. For health systems, this process often surfaces barriers that span multiple departments.
Mobilize Resources
For every barrier surfaced, our team has access to your system’s resource library plus community-level programs: transportation assistance, financial counselors, interpreter services, pharmacy discount programs, and patient navigators.
Confirm Resolution
Barrier resolution isn’t complete until the patient confirms the blocker is removed. We follow up to confirm transportation was arranged, the financial question was answered, and the appointment is on track. All documented in your EMR.