Patient access is typically the patient’s first experience with any healthcare organization. Ultimately, patients will demand real-time access to healthcare services on a 24/7 basis. The traditional, linear approach to patient scheduling and communication will no longer do. At a minimum, patients will be offered walk-in availability, same day appointments, extended hours, and 24 hour options. The day of the week will no longer have an impact on patient access. The winners will develop options that we believe have not even been fully contemplated. Access will include emergency services, appointment and walk-in availability to physicians and advanced care providers, mental health, outpatient testing, ease of paperwork, healthcare information and the patient medical record.