Appointment no-shows are a problem in healthcare organizations. It is important that appointment intake and scheduling processes are effective in both meeting client needs and efficient in meeting organizational business requirements. This study examined baseline levels of appointment keeping in a not-for-profit medical/behavioral pediatric services clinic, analyzed existing administrative processes, introduced additional appointment keeping reminders, and presented systematic, performance management tutorials for clinic employees. Results indicate an increase in percentage of appointments kept and a decrease in appointment lag time.