Showing posts with label Family Practice. Show all posts
Showing posts with label Family Practice. Show all posts

Saturday, February 25, 2012

Women Are Changing Family Practice

Women Are Changing Family Practice

Today more than ever women are helping to change the face of family practice. There have always been more men in family practice than there have been women. For many years, women were reluctant to enter family practice because there was gender stereotyping, sexism, and difficulties of mixing and balancing both family and work. Today, women are not only becoming doctors more and more they also fill some of the seats on the board of directors.

Women in family practice are rejecting the negative stereotypes and proving that they can not only balance both family and work, they can excel at it. There are many support groups, seminars, and literature available today that encourage women to pursue careers in family practice and how to come up with a harmonious balance between the two. These are only a small part of the changing attitudes that show that people are more accepting of women running family practices whereas years ago, it may not have been so acceptable. Further, there was no help available to women at all that assisted women and gave them a place to turn to.

Until recently women have been the minority especially in family practice but as more people have showed an interest in female doctors, the demands are being filled. Many women feel much more comfortable speaking with not only a female doctor but one who has positioned herself in a family practice because there is no greater comfort zone. However, many men want to see a female doctor too, which is another reason that women and family practice fit together and are a perfect match.

Many family practice doctors are actually offering partnerships that are geared towards women doctors because they have a tendency to attract new patients. It causes a lot of work for women when they attempt to manage a family practice, balance a family, and continue to work towards furthering their careers but are able to do it. Women are actually an asset to the world of family practice and with this constant growth; it is possible to reestablish the role of family medicine practice.

Since family practice embraces health care, mainly preventative, and treats babies to seniors, many people also like the idea of having a woman ran family practice because children are more likely to take to women than men doctors. Family practices are a place that families as a whole can go for medical treatment and see the same doctor each time and continue with an ongoing medical relationship.

Times have changed since back in the day and although women have not been able to bust the glass ceiling they surely have put a few cracks in it. If women keep going and not just in family practice in particular, the glass ceiling might just disappear altogether. There is no doubt that women are changing the way that people view family practice in general. They are an asset and are going to show that they can make changes, become leaders, and change the whole concept of what a family practice really is.

Monday, February 13, 2012

Family Practices and Medical Malpractice

So many people have filed medical malpractice lawsuits against their doctors that is has affected and had serious implications for family practice doctors in particular. Patients have sued their doctors mainly for lack of or a delay in proper diagnosis, maternity practices, negligence in trauma care, handling issues in a time conscious manner, providing care without consent, and failure to refer out patients who require specialized treatments.

Most of the malpractice cases stem from a failure to diagnosis a condition that is already existent. Sometimes this lack of diagnosis comes from the family practice doctors who are under extreme stress. The biggest problem that results from this is the lack of identifying it in the first place. Family practice doctors work chaotic schedules that are extremely conflicting and have been viewed as almost superhuman. Recently, the dust has settled and now researchers are seeing that super humans do not exist and it is possible that many medical malpractice lawsuits can be avoided by not expecting superhuman behavior.

Most of the time family practice physicians are treated by other doctors for stress related issues. Stress is said to have contributed greatly to the decline of the health and well being of all people and family practice doctors as well as doctors in general are not falling short of that assumption. Doctors can become depressed and exhausted which inadvertently will affect their profession. There have been several indications and accusations where doctors were sued because of negligence that resulted from stress related error.

Several programs are since rising to the forefront to assist family practice doctors but not limited to in reducing the amount of stress that they are facing hence, reducing the amount of error causing medical malpractice to soar. These programs are intended to improve a doctors physical and emotional well being, enhance job performance, and their personal satisfaction.

Family practice doctors that experience medical malpractice have a very difficult time obtaining further coverage, affording insurance, and the overall stress that the doctor suffers from the litigation itself can be traumatizing. Family practice doctors are sometimes holding a two sided sword. One side is the obligation to the patient to pursue their needs and the other is dealing with managed health care plans/ AKA insurance companies.

Even in cases where the family practice doctor may not be all at fault, many times they are still held accountable over the managed health care plans, unjustly. If a doctor prescribes a medication that he believes to be the best drug of choice for a particular condition and the insurance company will not cover that as their first choice drug, which is at fault? The doctor is the person who interacted with the patient and should be allowed to prescribe what he feels in his expert opinion would be the best choice. If you took your car to a mechanic and he diagnosed it with needing a new carburetor, you surely wouldn't go across the street and have them fix the brakes. It is just common sense.

Saturday, February 11, 2012

Goodwill in Family Practice Success

Goodwill is not just the name of a well known charity. Goodwill, in terms of valuing a medical facility or other business, is an important, intangible asset that can play a huge part in the success of a family practice.

We've all seen them. They're the person at the business that everyone enjoys seeing. The one person patients at a family practice may stop by to chat with even when they aren't ill. They are well liked, well respected and well known in the community. Sometimes they have enough personality and charisma to make up for the office crankpot or employees who tend to be rude. Often they are the principle force in the business as well as the driving force in the success of the business.

What is goodwill? Some professional appraisers define it as an overall talent, attitude or condition. It includes the ability to interact very well with people, to attract and hold clients and is usually part of the makeup of respected, well known members of a community.

Family practices can have practice goodwill attached to them. Practice goodwill is a term used to describe a professional entity that bears the same characteristics as someone with professional goodwill.

Practice goodwill is defined by several family practice characteristics including excellent location, a respected reputation, and often is applied to a business that has been operating for some time. Practice goodwill isn't created overnight. It takes time to build a relationship with the community, with patients and with other professionals. Once developed, practice goodwill is an excellent characteristic for a family practice to have and one that directly affects the bottom line.

If the family practice is one of goodwill, patients are more likely to tell others about the clinic in a good way, other physicians are more likely to refer patients and to speak well of the practice, as are general professionals. The location of the practice is good if not ideal.

Professional goodwill is a characteristic demonstrated by one or more family practice staff members. Many different talents and skills and circumstances can affect professional goodwill. Most staff members who possess goodwill in a way that actually increases the value of the family practice get along well with everyone inside and outside the clinic. They have a good reputation and are considered trustworthy and reliable in the practice and in the community.

Goodwill can rarely be measured in dollars and cents. It is measurable in that if it were to disappear, the family practice would suffer. Family practice clinics that do their best to hire the type of employees who generate goodwill will go farther and last longer in the community.

Practice goodwill can be developed as can professional goodwill. Smart clinic administrators recognize the value of goodwill both in the practice and professionally in staff members. Hiring staff members who appear to be able to develop goodwill characteristics or who have already demonstrated them can be good for office morale and for the bottom line.

Tax Entities and Family Practice

Tax entity choice can affect family practice in many ways. Making the right choice will help protect both practice and physician.

Family Practice Entity Types

Typical entity options for family practice include sole proprietorships, general partnerships, limited liability companies, limited liability partnerships and professional S or C corporations. The two biggest influences in choosing the right entity are protection against litigation and the financial issues associated with the entity. It's important to consult a legal professional before making this family practice financial decision because the implications can be tremendous.

Choosing to operate the family practice as a professional corporation, a limited liability corporation or a limited liability partnership usually provides protection against personal liability regarding the actions of any other physicians in the practice.

For financial reasons, most group family practices tend to choose professional corporations. The professional corporation, whether S type or C type, provides the practice with protection from financial creditors.

Sole Proprietorship & General Partnership

The sole proprietorship is the cheapest and easiest choice in choosing a tax designation for the family practice. Business income and expense are reported on a schedule C. The problem with a sole proprietorship is that the physician's assets can be taken if the business is sued. This is a lot like a sole proprietorship, except that there are multiple business owners involved. Again, there is no liability protection when using this entity.

Limited Liability

Limited Liability Partnerships are the only kind of unincorporated entity that provide some form of protection from personal liability (including protection from liability for the actions of staff or other physicians in the practice.) A physician could lose his practice with this form of entity, but personal assets would be safe.
Limited liability companies are much like a mix of the best available entity benefits. They are fast becoming the entity of choice for many family practices.

Incorporated Entities

Incorporating the family practice is more involved and more expensive but more protection is offered. The biggest reason physicians choose an incorporated entity is the protection from personal liability regarding the actions of colleagues. C corporations have several benefits. They also have a downside - it's possible to be doubly taxed. S corporation profits are not taxed twice.

Entities and Tax Issues for Family Practice

Tax liabilities are important to consider when choosing an entity. Professional C corporations will pay a flat 35% rate tax on net income but profits can be taxed twice. Professional S corporations don't result in double taxing of profit but it isn't possible to write off the cost of all benefits.

There are many implications when considering tax rates and entity. In order to avoid duplicate taxing and other negative consequences, consult a financial advisor and make sure all involved details are understood.

Cost of Entity Set Up for Family Practice

The cost to set up an entity and maintain it vary according to state rules and regulations. Professional corporations require more record keeping and paperwork than do limited liability partnerships or limited liability corporations.
When setting up the Family Practice, it's important to take the time and money necessary to investigate options regarding incorporation, tax and related issues. Once the best entity has been recognized, it's important to legally implement it and maintain it.

When it comes to tax related issues, careful consideration is important, especially regarding the setup of the family practice. Decisions made now affect the practice down the road. Consult with legal professionals before choosing the entity for the family practice.

Monday, February 6, 2012

Designing & Furnishing the Family Practice

Starting a family practice is a lot of work. When it comes to office layout and design, taking a little time in the beginning can save both time and work later.

When leasing a new building that is still under construction, it's possible to design the entire interior layout of the clinic. This will involve total design including plumbing, electrical, walls, flooring and everything involved in building and furnishing the interior.

While this is a good way to design the family practice clinic of your dreams, it's also a good way to empty your wallet and take on a large debt. Whether residential or commercial, building is costly. Depending upon the area and current prices, it could cost anywhere from $65 to $95 per square foot to complete the family practice building.

Many physicians starting a new family practice start by renting an already completed (and usually already used) building. Setting up the clinic in this case usually involves remodeling, a little or a lot. New paint, flooring and possible fixtures are typical remodeling expenses and much less costly than the building and furnishing process.

Maximize Efficiency in the Family Practice Floor plan

No matter what type of rental situation is in use, it is recommended that the interior be set up in a way that maximizes efficiency. Exam rooms should be huddled together. This makes it easy to go from room to room when seeing patients. A small workstation within the area will make it possible to review charts and manage telephone calls. Most experts suggest a minimum of three exam rooms per physician.

The best laid layouts move patients from waiting area to reception to exam rooms in a streamlined fashion. The receptionist should be able to see the entire waiting area. All hallways, doorways and pathways should be wide enough to accommodate wheelchairs.

Waiting areas should be comfortable and relaxing. An aquarium can be an excellent addition to the furnishings. The waiting area is the new patient's first impression of the family practice. Make it a good one.

Stocking the Family Practice

Furnishing and stocking a new family practice can get costly if attention isn't paid to details. The first step is to find out what discounts are available from professional organizations. Ask other physicians where they shop.

Consider buying used furniture and furnishings. Used furniture stores and office supply stores are good places to start looking. Often banks and hospitals redecorate and sell used furnishings at a good price.

When it comes to purchasing equipment and clinical supplies, many vendors have checklists. Consider creating a list and asking for bids from several vendors. Chart materials and office supplies can be found online and at local supply stores.
Setting up a new family practice is an involved process. If starting from scratch with a new building that must be designed, there's even more work (and money!) involved. No matter which method of renting or purchasing is being used, do make checklists of the tasks that need to be done and the supplies that must be acquired.

Carefully consider layout and use a floor plan that saves time and money. When your family practice becomes a successful, busy one, you'll be glad you did.

Choosing Family Practice For Replacement Therapy.

Some family practice doctors have advanced in being some of the very few doctors that are legally able to prescribe buprenorphine, which is also known as Suboxone. This drug is prescribed as an alternative in replacement therapy for opiate addiction. Family practice doctors must get certified in order to join the program and are, by law, only allowed to prescribe to a certain number of patients annually.

If a person with an opiate addiction chooses to select this method of treatment chances are that their family practice doctor will not be able to help him but may be able to refer him to another family practitioner. Because these offices are regular family practices, when the addict goes in for his initial visit, he will blend in as no one will know why he is there.

The family practice doctor will examine the patient and get a thorough history because he will need to know the opiate of choice and how much the addict uses in order to dispense the replacement drug. The family practice doctor will not be able to council the addict but can probably send him in the right direction. The family practice doctor's sole purpose is to dispense the correct dose of buprenorphine and monitor its effectiveness. Medical insurance will not pick up the cost of the visits to the family practice doctor but may cover the extreme expense of the prescription itself.

Some family practice doctors have chosen not to deal with the implications of offering replacement therapy but others have decided to enter this new facet of medicine in hopes of building up their practice with minimal insurance ramifications. The problem is that there are so many opiate addicts and so few doctors who have selected to become certified. That number needs to increase so that addicts can discreetly enter a family practice of their choosing and get the help that they need to address their problem.

The program is newer and is an alternative to methadone. But buprenorphine and methadone are the only two choices for replacement therapy in opiate addiction. Anti drug campaigns are gearing up in an attempt to recruit more family practice physicians to become certified and enter the programs because it has been so successful. The family practice doctor is the best setting for this type of program but the main objective so far is for the physician to evaluate the patient, disperse the medication is adequate intervals, monitor the progress, and provide maintenance throughout the program.

While family practice doctors create the perfect setting for this treatment and maintenance as an alternative to methadone treatment which requires those seeking treatment an alternative to overcrowded methadone clinics that require dosing on a daily basis. The replacement therapy is working and many addicts are seeking relief from this program. More family practice doctors should consider become certified and also offering this form of treatment especially because they are known for general health and overall well being and in some many cases of opiate abuse it may have been the family practice doctor who prescribed the prescription of opiates in the first place.

Choosing A Family Practice Facility

Preparation and planning aren't just for the boy scouts. Anyone who is reaching for success in a business will do well to plan and prepare. This can be especially important for the opening of a family practice.

Who's Doing the Choosing?

If the family practice is a new one featuring only one physician, it's pretty obvious who will be making the decision on where to locate the practice. If, however, the family practice is a large, complex one, the answer might not be so clear cut.

If multiple physicians will be part of the family practice, it's important to determine if each and every physician will be part of the process in finding and choosing a location. If multiple office managers will be part of the practice, members must decide if any or all of the managers will be involved in the hunt.

Some professionals suggest that the final decision be left up to a small representative segment of the family practice. Many suggest that staff members from all areas of the family practice be included in the decision making. The first decision in choosing a family practice location is deciding who will do the choosing.

What to Seek in a Family Practice Facility

Once the decision has been made regarding who will be doing the choosing, it's time to clearly define as much as possible what is expected of the facility. Consider patient base. If the family practice is geared toward treating retirees and older adults, a facility located near housing for younger families with children shouldn't be given much consideration unless there's no other facilities available.

It's also important to consider distance and location regarding hospitals and other medical services. If physicians in the family practice will be using the hospital facilities often or will be referring patients to the hospital on a frequent basis, locating the facility near the hospital and other medical services could save time.
Competition is a consideration in any business, even family practice. Are competitors located near the potential facility? Can the family practice offer something the competition does not? What reasons can the family practice give patients to choose the practice over the competition?

A little reputation goes a long way. When looking at potential family practice facilities, it's important to consider the reputation of neighboring businesses, especially if those businesses are medical facilities. Choose a facility near respected physicians with good reputations so that if the family practice is judged on the merits of the surrounding businesses, those merits are good.

Type of Family Practice Facility

Is the family practice location committee determined to find a professional building or can the practice be set up in whatever facilities are available, even if that means setting up business in a strip mall or remodeling a home?
Is the goal building or renting facilities for the family practice? If looking to build, the criteria are different than those for renting or leasing. Parking is an issue no matter where or how the family practice is located. Make sure there's plenty of parking in an area that's easy to enter and easy to exit. Handicap access is another issue that cannot be overlooked.

Searching for a Family Practice Facility

Once it's been determined what type and what size facility is needed, it's time to begin the hunt. Narrow down search areas as much as possible. Ruling out areas that are not adequate will help narrow the list. Choosing a family practice facility can be exhausting. It can also be rewarding. It doesn't have to be more difficult than necessary. Preparation and planning will go a long way in making the search a successful one.

Cash Only Family Practice Pros and Cons

In a world where plastic reigns, the idea of a cash only Family Practice sounds almost antiquated. The truth is that more physicians and health care providers are taking a serious look at the cash only business model.
Cash Payment Methods

The phrase "cash only" means that all services are paid for at the time of treatment. The Family Practice adopting this payment method usually accepts payments of cash, debit card, check or credit card. Why are some Family Practices giving serious thought to cancelling health care contracts and adopting cash policies?

With the cash only method, the Family Practice does not file insurance claims or other such paperwork. Avoiding insurance paperwork, filing, and billing means there is no need to pay a staff member to process insurance claims and forms. There's no need to invest in software to track collections and insurance claims. Overhead is greatly reduced.
Potential Problems with Cash Only

Some health care plans prohibit physicians from serving members of the health plan if that physician has recently terminated the contract between the insurance company and the physician.

State insurance regulations must be taken into consideration. Medicaid rules regarding the cash only Family Practice should be carefully reviewed. Most Family Practice physicians who choose to go "cash only" opt out of Medicare. Doing so involves completing several steps of Medicare rules and regulations.

Questions to Consider with Cash Only

Family Practice physicians and health care providers considering the cash only basis should first decide if doing so would put the practice at severe financial risk or even end it. If the practice is operating in an area with large numbers of patients who are uninsured, the cash only system may work quite well.

How do current patients feel about the switch to a cash only method? If too many of the current patients are not willing to stay with the Family Practice, more thought and consideration should be given to the idea.

Consider services and fees. What services will the Family Practice offer? What will be charged for each service? It's also important to take the hospital into consideration. Will patients in the hospital be seen by the Family Practice physician(s) or will in-hospital care be managed by the referred medical professional?

Meeting Financial Responsibilities and Setting Up Fees

How will switching to a cash only basis affect the Family Practice bottom line? How hard will it be to pay bills and maintain cash flow during the transition? Calculate all overhead and expenses. How many patients will the Family Practice need to see in order to cover current overhead?

How much money will be saved by switching to the cash only method? How much time and staff expense can be cut by making the change? It isn't unusual for a Family Practice to make the switch to cash only to find more patients can be seen, quality of patient care does not suffer, and the bottom line improves.

The cash only management method of Family Practice is worth considering. It isn't for every practice but when it does work, it tends to work very well.

Cash Only Family Practice Pros and Cons

In a world where plastic reigns, the idea of a cash only Family Practice sounds almost antiquated. The truth is that more physicians and health care providers are taking a serious look at the cash only business model.
Cash Payment Methods

The phrase "cash only" means that all services are paid for at the time of treatment. The Family Practice adopting this payment method usually accepts payments of cash, debit card, check or credit card. Why are some Family Practices giving serious thought to cancelling health care contracts and adopting cash policies?

With the cash only method, the Family Practice does not file insurance claims or other such paperwork. Avoiding insurance paperwork, filing, and billing means there is no need to pay a staff member to process insurance claims and forms. There's no need to invest in software to track collections and insurance claims. Overhead is greatly reduced.
Potential Problems with Cash Only

Some health care plans prohibit physicians from serving members of the health plan if that physician has recently terminated the contract between the insurance company and the physician.

State insurance regulations must be taken into consideration. Medicaid rules regarding the cash only Family Practice should be carefully reviewed. Most Family Practice physicians who choose to go "cash only" opt out of Medicare. Doing so involves completing several steps of Medicare rules and regulations.

Questions to Consider with Cash Only

Family Practice physicians and health care providers considering the cash only basis should first decide if doing so would put the practice at severe financial risk or even end it. If the practice is operating in an area with large numbers of patients who are uninsured, the cash only system may work quite well.

How do current patients feel about the switch to a cash only method? If too many of the current patients are not willing to stay with the Family Practice, more thought and consideration should be given to the idea.

Consider services and fees. What services will the Family Practice offer? What will be charged for each service? It's also important to take the hospital into consideration. Will patients in the hospital be seen by the Family Practice physician(s) or will in-hospital care be managed by the referred medical professional?

Meeting Financial Responsibilities and Setting Up Fees

How will switching to a cash only basis affect the Family Practice bottom line? How hard will it be to pay bills and maintain cash flow during the transition? Calculate all overhead and expenses. How many patients will the Family Practice need to see in order to cover current overhead?

How much money will be saved by switching to the cash only method? How much time and staff expense can be cut by making the change? It isn't unusual for a Family Practice to make the switch to cash only to find more patients can be seen, quality of patient care does not suffer, and the bottom line improves.

The cash only management method of Family Practice is worth considering. It isn't for every practice but when it does work, it tends to work very well.

Building a Patient Base in Family Practice

The whole point of a family practice is treating patients. Once the clinic is set up, staffed and all the necessary systems in place, it's time to cultivate a client base.

Referrals
The first step in getting referrals from other physicians is in letting those physicians know you are available. If you've applied for and been approved for hospital privileges, attend meetings and get to know other physicians. Make an effort to meet local surgeons and other professionals. Social workers, dentists, nurses, daycare owners, chiropractors, and pharmacists come into contact with large numbers of people.

Advertising
Run announcements in local newspapers and on radio. Consider using a professional mailing service to send out announcements. A professional mailing service will have targeted mailing lists making it possible to send the announcements to those people most likely to seek treatment at the family practice.

Some physicians swear by postcards. The postcards announcing the family practice are sent to both medical professionals and individuals. It costs less to send a postcard than it does a letter and people are usually more likely to read the postcard. The hospital marketing department may have a service in place for announcing new physicians in the area.
Ads aren't the only way to get the family practice noticed in the newspaper. Health information articles, notices of special prices for certain services, and frequently asked question columns in newspapers are good ways to advertise.
Create brochures advertising the family practice and give them to local Chamber of Commerce and Welcoming Services. The brochure should state general information including where the family practice is located, what services are provided. The physician's photo and personal information, including credentials, should also be in the brochure. It's generally recommended that staff photos not be included.

Website
Internet websites aren't considered productive advertising methods. They are a necessity, however. The Internet is becoming a household tool and people hearing about the family practice are likely to check it out online.
Do make sure the family practice has an Internet presence featuring a website that reflects the tone and general target audience of the practice. This is a good place to feature staff photos and information. It's much easier to update a web page if staffing changes than it is to change brochures and print information.

Newsletter
A family practice newsletter can be a good way to build and maintain the patient base. With the popularity, ease and low cost of email newsletters, the newsletter has become a cost effective means of family practice advertising. Some family practice newsletters are available in both print and electronic editions. Easy to use software makes it possible for clinics to do their own newsletters in house and save money.

When considering a family practice newsletter, it's important to decide how often the newsletter will be published and in what forms. The minimum frequency is four times a year. Monthly newsletters require more dedication as well as time. Delivery will have to be decided, whether print, electronic or both.

One advanced marketing method using the electronic newsletter is to create a series of health information emails. Put a signup box on the website and in the newsletter, giving readers the option of subscribing. By using an autoresponder, the health information emails can be delivered over a dedicated period of time. The more people hear or read the information, the more they remember the family practice. Even if they don't need healthcare, they may be asked by a friend or neighbor to recommend a health care facility.

Getting patients to a new family practice is all about getting the word out. Attend medical meetings, organizational meetings and community gatherings. Let pharmacists, social workers and others know the family practice is open and accepting new patients. Get in touch with surgeons and others who refer patients. Advertise online and in the community. When patients do arrive, let them know that you appreciate the opportunity to help them manage health issues.
Related Posts Plugin for WordPress, Blogger...