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Re: same day appointments

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Same day appointments can and should work forever. Not having the capacity

to offer same day appointments REGARDLESS OF 'URGENCY' is very expensive

and will drag your practice down!

Same day access is one of the critical aspects of office efficiency that

allows you to run your practice on the cheap and still maintain a good life

while serving patients very well.

Even one second of your time discussing " is this urgent or routine? " is

waste. There is absolutely NO benefit to us or to our patients in this work.

The reason so many of our colleagues do this work is because they have

bought into the myth of insatiable demand. Demand is something that must

be managed. If you manage it, it is not insatiable. If you manage it, you

can maintain the ability to offer same day appointments to ALL of your

patients who call, and your work will be MUCH easier.

Don't think of same day appointments as merely a means to get patients into

the practice. While it will accomplish this admirably, you lose the

biggest benefit (getting rid of all the uncompensated work around " triage "

and " how sick are you, do you really need to come in today " ).

This is not a nice little treat for patients, this is one of the

cornerstones of your practice health.

Gordon

At 07:09 AM 10/30/2003, you wrote:

>Remember Gordon's comment about offering EVERYONE same day

>appointments...this will only work for awhile.

>

>EMR by itself may be 12,000, but with sceduling and billing (management

>software) the cheapest is 18,000, plus 1500 for istallation, 7000 for

>training, 3600/year for support, 3,000 to 9,000 for hardware...these costs

>add up to a lot more than you expect up front!

>

>Malpractice seems very high? For me, doing OB (5 deliveries a month) my

>rate is only 2000/year. Is this only because I'm freash out of residency

>with no claims?

> Rothe DO

>379 Piney Branch Way

>Burnsville, NC 28714

>(828)273-2889

>

>

>

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You got my vote Gordon. Here. Here.

Brent Hrabik, MD

>

> >Remember Gordon's comment about offering EVERYONE same day

> >appointments...this will only work for awhile.

> >

> >EMR by itself may be 12,000, but with sceduling and billing

(management

> >software) the cheapest is 18,000, plus 1500 for istallation, 7000

for

> >training, 3600/year for support, 3,000 to 9,000 for

hardware...these costs

> >add up to a lot more than you expect up front!

> >

> >Malpractice seems very high? For me, doing OB (5 deliveries a

month) my

> >rate is only 2000/year. Is this only because I'm freash out of

residency

> >with no claims?

> > Rothe DO

> >379 Piney Branch Way

> >Burnsville, NC 28714

> >(828)273-2889

> >

> >

> >

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