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Process Improvement Healthcare

Custom Call Center Reporting

5%
max abandonment rate to meet URAC standards
30 sec
average answer time required for URAC accreditation
Challenge

Their existing phone system had no way to break down call data by agent, queue, or time period at the level URAC requires.

Solution

Built custom reporting that pulls from their phone system and breaks down every key metric by hour, day, week, and month.

Outcome

They had the data to prove they met URAC standards across answer times, abandonment rates, and handle times, and earned their accreditation.

The Problem

URAC (Utilization Review Accreditation Commission) sets specific performance standards for healthcare call centers. To qualify, an organization has to demonstrate they are answering calls within 30 seconds on average, keeping their abandonment rate at 5% or below, and returning callbacks within 30 minutes. The standards exist to protect patients and set a baseline for quality of care. A 7% abandonment rate on a typical healthcare call center can translate to up to $45,000 in lost revenue per day, which is exactly why the 5% threshold matters.

The problem for this urgent care was not their performance. It was their visibility into it. Their phone system gave them basic call logs but nothing broken down in a way that could demonstrate URAC compliance. They could not show what their average answer time was by hour, which agents were handling the most volume, or when abandonment rates were spiking and why. Without that data, they could not pursue accreditation and they could not make informed staffing decisions.

What I Built

Custom reporting that pulls from their phone system and organizes call data in every dimension they needed. Breakdowns by agent and by queue, across four time views: hour, day, week, and month.

Every key metric is covered. How long callers waited in the queue before being answered. How long they waited before giving up. How long calls were taking from start to finish. Each of those numbers, sliced by time period and filterable by agent or queue.

The hourly view showed them exactly when volume peaked and when they were understaffed. The daily and weekly views showed which days consistently ran hot. The monthly view let them track whether changes they made were actually moving the numbers.

How It Works

  1. Call data is pulled from their phone system
  2. Reports are generated across four time views: hourly, daily, weekly, and monthly
  3. Each report breaks down metrics by agent and by queue
  4. Key metrics tracked include: queue wait time before answer, queue wait time before abandonment, and average handle time
  5. The data rolls up into a format that directly maps to URAC compliance benchmarks
The urgent care earned their URAC accreditation. The reporting gave them the documentation to prove compliance and the visibility to maintain it.

The Outcome

They went from having raw call logs to having a clear operational picture of their call center. When URAC needed to see that calls were being answered within 30 seconds on average and that abandonment rates were under 5%, they had the data to show it.

The reporting also changed how they managed day-to-day. Instead of guessing when to schedule more staff, they could look at the hourly breakdown and see exactly where the gaps were.

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