Coverage KPICoverage & demand

Average After-Hours Calls

Shows the call volume clinics should plan for once phone lines roll over to after-hours coverage.

This KPI is the backbone of staffing and concurrency planning for nights and weekends. It measures the average nightly call load, highlights spikes by specialty, and helps you decide whether AI, on-call staff, or answering services should cover the queue.

Expressed as calls per night (7p–7a) with weekend multipliers.

Primary care / multi-specialty

12–25 calls/night

Urgent care / ortho / OB

30–60 calls/night

Seasonal surges can hit 80+.

Cost breakdown

“Show your work” table

Line itemAnnual spendPer-unitNotes
Weeknights (Mon–Thu)15 calls avg15/nightVolume dips after 11p.
Weekends (Fri–Sun)28 calls avg28/nightPeaks between 7p–10p and 6a–8a.
Promo / flu season35–60 callsUp to 60/nightUse 1.5× multiplier for clinics with high acuity.

Segment the call logs

  • Pull 90 days of call data and tag anything outside staffed hours.
  • Bucket by specialty or location to capture mix shifts.
  • Exclude voicemails shorter than 10 seconds to remove spam.

Stress test concurrency

  • Plot hourly peaks to identify overlaps that require multiple attendants.
  • Map to AI concurrency tiers or on-call agents per hour block.
  • Layer in seasonality (flu, allergy, procedure cycles) with 20–30% buffers.

Assumptions

What this KPI assumes

Hours monitored

7:00 PM – 7:00 AM local time plus weekends/holidays.

Specialty mix

Blended data from primary care, pediatrics, OB/GYN, and urgent care.

Routing

AI handles Tier 1 intake; urgent intents escalate to on-call.

Supporting proofs

Share with finance + ops partners

Need help modeling your night volume?

Drop in your call logs—we’ll build a concurrency plan and show how AI or hybrid coverage handles the spikes.

Medreception AI — HIPAA-Compliant AI Medical Receptionist for Clinics & Surgeons