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Block 7 PID Exam 5 > Private Practice > Flashcards

Private Practice Flashcards

1
Q

Keys to success

A

Environment
Structure
Personnel
Systems of operation

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2
Q

Keys to success - Environment

A

Open room design is preferred
No individual staff offices
Economical flexible space, unisex bathrooms, minimize private rooms
Front office might need dual monitors and head sets

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3
Q

Keys to success - Environment - typical clinic size

A

1200 - 2400 sq ft

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4
Q

Maximize PT clinic design

A

Determine # of production centers possible throughout clinic
How many hrs is the clinic open
How many pts are seen per hour
How many pt visits per wk can clinic see based on space

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5
Q

Maximize PT clinic design - How to figure out how many patient visits per week can clinic see based on space

A

of tx centers x total hrs x # of pt per hour

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6
Q

Other considerations for maximizing PT clinic design

A 
Line of sight to monitor pts
Appropriate privacy
Appropriate space for equipment
Airflow from outside
Lighting/Flooring
Must complete environment checklist to address Medicare and OSHA compliance
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7
Q

Start up metrics - # of parking spaces per 1000 sq ft

A

4

Need to consider handicap accessible too though

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8
Q

Start up metrics - ideal rent as % of yearly gross income

A

10%

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9
Q

Start up metrics - ideal % of pt population that is Medicare

A

25-35%

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10
Q

Keys to success - Structure

A

Legal business structure - LLC or sole propietorship or General partnership
Organizational chart - what is the leadership structure

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11
Q

Keys to success - Personnel

A 
KEY TO PRACTICE SUCCESS!
Consult state laws for hiring practices
Hire for the position, not the person
Update job description with each opening
Pre-determine salary range
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12
Q

Hiring staff

A

Determine what you are looking for in a new employee
Post job ad
Resume review

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13
Q

Hiring staff - job postings

A

Social media
APTA/IPTA, PTjobs.com, therapyjobs.com
Craigslist
Recruiters

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14
Q

Resume review includes - for new grad (0 to 3 years)

A

Professional appearance of it
Emphasize hands on experience with other learning opportunities (volunteer stuff - global health, senior health fair, marathon)
Focused areas of learning and work experiences that relate to position you are applying for
Longevity of one year min at any job
Will check social media for past positions/professionalism

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15
Q

Hiring staff - interviews

A

Phone interview to screen candidates
In interview - looking at communication skills, interest in learning new skills/goals, ability to problem solve, work style and fit with current staff, Strengths and weaknesses, scenarios from past employment

Check prof references background check and verification of license with state board

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16
Q

Benefits

A

Most will be salary - could be hourly though
Health, dental, vision benefits
Retirement savings plan - 401K
Vacation/holidays/sick or PTO
Continuing ed
Other insurance - malpractice, life, disability
Membership benefits

17
Q

Employee expectations

A 
Work hours
Scheduling
Efficiency goals
Billable units/patient
Bonus opportunities
Employee review standards (appraisal)
18
Q

On boarding millenials

A

Transparency is key
Culture needs to be open, honest, mission driven, with praise
Mutually set goals - have buy in with them
Work life balance is important
Mentorship program and incentive programs are needed

19
Q

Staff Training

A 
On boarding important for training
90 day and annual reviews 
Mandatory trainings (CPR, HIPPA, abuse, BB pathogens, compliance, security)
Ongoing training (communication style, professionalism, clinical practice)
20
Q

Keys to success - Systems of Operation

A 
Business strategic plan
Practice mngmnt system
EMR
Marketing plan
Policy and procedures
Communication plan
Facility management
21
Q

Communication plan -

A

Direct face to face or over the phone
Email
Text
Voicemail

22
Q

Communication plan - direct face to face or over the phone if what

A

Dialogue is required or emotion is involved

23
Q

Communication plan - Email is good when

A

Used to relay or gather data
Acknowledgement is expected/response in 48 hours
No joking with staff

Make sure you know what they expect for response time

24
Q

Communication plan - Text used when

A

Immediate form of communication
Never try to resolve an issue via text - best through one way communication
No joking

25
Q

Communication plan - Voicemail

A

Best used to explain something to paint a full picture

60 seconds or less (if over probably call or face to face)

26
Q

Meetings are vital

A 
Owner/office managers
Financial planning
Marketing
Staff
Frequency at least monthly
27
Q

Meetings - format

A

Focus on problems/solutions
Discussion
Review practice/operational stats

28
Q

Facility management - you might hire someone to be a manager of this, might be you, or you might be the sole owner doing these things

A 
Pt privacy, conisdering HIPPA guidelines
Pt bill of rights
Security
Telephone procedures
Pt scheduling
Payment policies
Cancellation and no-shows
Use of office equipment
Organization and appearance of facility 
Infection control
29
Q

Pt care best practices

A 
Documentation
Peer review process
Billing
Interprofessional communication
Risk mngmnt
Storage of meds
Equipment maitenance
Cleanliness and organzation
Quality improvement
30
Q

Operating metrics - Ideal clinician to admin ration

A

1:1 or better

31
Q

Operating metrics - collections ratio

A

45-55%

32
Q

Operating metrics - ideal clinical efficiency

A

85%

33
Q

Operating metrics - ideal % of arrivals

A

above 93%

34
Q

Operating metrics - outsource billing until

A

over 250 pt visits/month

so under 250 visits a month you will do it yourself

35
Q

Reimbursement considerations

A 
Private pay or insurance
What plans will you participate with
ACOs
DME provider
Attendance/no show policies
Collection policies
Negotiating paying contracts
36
Q

Marketing and relationships

A 
Internal
External
Advertising
Community involvement
Niche markets
37
Q

Benefits of Niche practice

A

Diversify your services
Become the expert
Defined target customer

38
Q

Types of Niche Practices

A

Aquatics, Balance program, Corporate wellness, Oncology, Orthotics, Pediatrics, Pelvic PT, Persistent pain conditions, Pregnancy/post partum, Running clinic, Sports performance, TMJ

Block 7 PID Exam 5 (4 decks)

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