Business Plan
Modern medicine delivered in an old fashioned
manner. New approaches to health care
delivery have proven to be beneficial to patients and physicians alike. Combining modern technology with the
simplicity of a small practice model, will allow me to create the medical
practice I have always envisioned.
Healthcare
today involves long delays before you can get an appointment, barriers between
the doctor and the patient, short one question…one answer visits, more time is
spent in the clinic than with the doctor, and shortcomings in handling chronic
diseases.
My
goal is to deliver better, in depth, timely, healthcare. Electronic medical records will help me
ensure all aspects are covered in dealing with chronic care issues. Using modern evidence based medical
information; I can help patients be healthier.
A computerized office system will allow me to be able to do the work of
the usual office personnel as well as the doctor, keeping my overhead low. Lower overhead will allow me to see fewer
patients per day, enabling me to spend more time with each individual. More time will result in a better
relationship between myself and my patients, better patient education, better
compliance, and better outcomes.
Patient
care will be delivered in a one to one environment. When a patient calls, they will talk with a
person, either myself or someone in close contact with me. If I am unavailable to talk with the patient
immediately, I will call them back in a reasonable amount of time. I will call the patient for follow up
contact, not a nurse.
What
can the patient expect?
·
Same day
appointments. The day you call is the
day you are seen.
·
30-minute office
visits to discuss all their needs will be standard.
·
Full time 5 days
a week office hours.
·
The ability to
reach me 24 hours a day, 7 days a week.
(respecting that I also have a family)
·
The opportunity
to be seen on Saturday if needed.
·
House calls when
needed.
·
Hospital care
when needed.
·
I will see their
entire family, from newborns to grandparents.
·
I will be
stringent with my use of tranquilizers and narcotics. I will spend the time to help the patient
without overmedicating you.
·
I will work with
the patient to choose appropriate cost effective treatment options, including
medications.
I
will offer full service Family Medicine, including but not limited to
·
Exceptional care
of chronic illnesses such as diabetes and high blood pressure.
·
Acute care for
infections, lacerations, and other immediate problems.
·
Yearly physical
exams if desired.
·
School, sports,
and scout physicals.
·
Well woman
exams. (will request a chaperone be provided)
·
Insurance
physicals.
·
Immunizations.
·
Skin surgery
including punch, shave, and excisional biopsies, and cryosurgery.
·
Joint injections
for arthritic joints.
·
Educational
classes on improving patient health and care of chronic illnesses.
With
all this will there be things I don’t do?
·
I will not have
a lab or x-ray machine in the office.
This work will be available at the local hospital of the patient’s
choice.
·
I will not do
workman’s compensation visits.
·
I will not treat
viral infections (colds) with antibiotics.
However, I will gladly discuss the proper care of such infections.
·
I will not
prescribe diet pills. Once again, I will
gladly discuss and help the patient treat their weight problem appropriately.
This will be a full time office open 9:00 AM – 5:00 PM, 5
days a week. Scheduling will be based on
2 patients per hour, more or less depending on the time needed by the
patient. Patients will be seen on the
day they call. The patient may schedule
a later appointment if desired.
Saturday
hours will not be a scheduled time but rather based upon patient need. I plan to have my practice location within 15
minutes of my home; therefore, I can open the office whenever needed. If warranted, I will do house calls. When supported by patient population monthly
group appointments will be scheduled to discuss and educate on health issues
and chronic illnesses.
Phone
calls will be received by myself or, if I am unavailable, by someone in close
contact with me. If I don’t answer the
call myself, I will call the patient back promptly. I will make the patient follow up calls
myself.
Electronic Medical Record keeping (EMR) will be used with all patient encounters. This allows me access to patient records at the office, at home and away. It will streamline office efficiency removing the need for clerical staff to upkeep and
transport charts throughout
the office. Using the computer and
evidence based medical information, I increase my ability to properly care for
patients with chronic illnesses, resulting in better patient outcomes.
Billing
will be handled electronically using the same system. I will do my own coding and billing. This will ensure that I remain in the billing
information loop, enabling me to correct any billing practice errors. The EMR will also help maintain proper
documentation to support my coding.
My goal is to maximize patient accessibility. However, there will be times when the office
will be closed, i.e. holidays, CME conferences, and vacation. Even during these times, I will still be
available for phone consultation to my patients and prearrangements will be
made with other local physicians for patients that need to be seen or
hospitalized.
Office
Layout
Excellent care will be provided in minimal space. The practice location and actual layout is
still to be determined. However, ideally
it will consist of a small waiting area, a physician’s office/exam room, or a
separate exam room, and restroom facilities.
I
grew up in rural communities across the south, from California to North
Carolina, but mostly in Texas. It was
here that my drive to become a rural physician and my ideals on what such a
rural physician should be, were born. I
achieved the rank of Eagle Scout and am looking forward to once again having
the time to devote to this wonderful organization.
I received my undergraduate degree in
Biochemistry from Texas A&M University. I earned my Medical Doctorate from the
University of Texas Medical Branch at Galveston. My residency was done at Scott & White
Memorial Hospital in central Texas.
Scott & White has been ranked consistently in the top 100 hospitals
in the country.
After
residency, I went into solo private practice for 5 years. I then moved to Spencer, Ohio to marry Char,
my wife and business partner. Initially,
I worked in Emergency Medicine, including the Lodi Hospital Emergency
Department. Missing the continuity of patient
care of Family Practice, I joined the Goodyear Family Medicine Center as an
employed physician. I now have the
opportunity and information needed to open my own solo practice once again. I am looking forward to opening a new
practice using modern techniques and information to deliver healthcare in an
old fashioned manner.
Financial
Projections
Assumptions
Open 9am-5pm, closed 1 hour
for Lunch
230 days per year
2,760 patient visits per
year
|
CPT 99203 |
$103.00 |
|
CPT 99204 |
$147.00 |
|
CPT 99205 |
$187.00 |
|
CPT 99212 |
$ 43.00 |
|
CPT 99213 |
$ 56.00 |
|
CPT 99214 |
$ 89.00 |
|
CPT 99215 |
$130.00 |
|
|
|
|
Average Charge |
$ 95.00 |
|
Collection % |
75.00% |
|
Average Receipt |
$ 71.25 |
|
|
Standard Care (12 patients/day) |
|
|
|
|
Net Collections |
196,650 |
|
|
|
|
Medical Assistant |
0 |
|
Staff Benefits |
0 |
|
Rent (1,200 SQ ft) |
5,400 |
|
Supplies |
2,400 |
|
EMR |
12,000 |
|
Telephone |
3,600 |
|
Malpractice |
24,000 |
|
Accounting |
600 |
|
|
|
|
Total Annual Expenses |
48,000 |
|
|
|
|
Net Practice Income |
148,650 |