Guest guest Posted August 8, 2004 Report Share Posted August 8, 2004 To Marie and , I have added your info to my spreadsheet and will forward a copy to Gordon so he can post it to his website. It's always interesting for me to see who the other people are in this listserv and what their backgrounds are. I suspect there are others out there who are trying the solo/minimalist/low overhead/cutting edge model who are not known to this group, so we are just a subset of a larger group. Congrats to Marie for becoming so busy that you have to hire a employee. To everyone: As for a self-updating database, I don't know of an easy way to do it. As suggested by Egan, someone with programming knowledge might be able to design a webpage with dynamic updating that allows for people to enter and edit their own info. I certainly don't have this kind of knowledge. The Practice Improvement Website on Yahoo has a section for establishing a database which could be added to and edited by all members. But since it is not open to the public, it doesn't serve the purpose of publicizing our practices. One option is to have people post their info like Marie and I will manually add them to the public database. Another option is to set up a database on the Practice Improvement website that people can self-edit , and I (or whoever wants to maintain the database) can then add the info manually into the public database. The public database is currently posted at Gordon's website (http://www.idealhealthnetwork.com/OtherProviders.html). I am volunteering to maintain the public database because I seem to have (too much!) free time available, but if anyone else is interested that's fine with me. Last question to Marie (and everyone else): do you want the email address you posted your message with to be included in the public database? I have been collecting people's email addresses from their posts, but perhaps those email addresses are not the ones you prefer to give out to patients. Seto South Pasadena, CA > Hi , > > I don’t contribute much to this list-serv, but I have been monitoring > it for a while. If you would like to put my name on that list, I > wouldn’t mind. My name is Marie Chtistensen, M. D. , I am Family > Practice, and I started a solo practice based on Gordon’s model in > Oct. 03. My address is 315 N. Lakemont Ave., Suite A, Winter Park, FL > 32792. phone: . I finished residency in 1996 so I have > been practicing medicine for 8 years but I was working for other > doctors until last year. I was completely solo until about 3 weeks ago > when I hired a receptionist, I just couldn’t keep up with the phones > and everything and see enough patients! But I plan to stay with just > one employee as long as possible. It has been very educational doing > everything myself, I have learned a lot (I do all my own billing > also). I use Alteer, which I like a lot, hopefully I won’t have any > problems with it in the next few years. > > Well, just thought I would introduce myself. > > Thanks > > Marie > > > > Re: Hartford, CT > > > > Thanks, Dawn. I thought I remembered someone in this group was in > Connecticut. I will forward Bill's name and number to my patient. > > Perhaps it would be helpful to others if we could mention where we > each are practicing. On his practice website, Gordon has posted an > Excel spreadsheet I compiled listing some people's demographic > information. http://www.idealhealthnetwork.com/OtherProviders.html. > > If anyone who is listed there wants to get his/her name/information > removed/modified, please let me know also. > > Seto > South Pasadena > > > > Family Care in Enfield (20 mins north on I-91). My > husband, Bill , opened the practice in April according to > your model. He's part of this chat room, but rarely checks home > e-mail! If he can get to Enfield, let him know! > > Family Care > > Thanks, Dawn > -------------- Original message -------------- > Does anyone know of a good FP doctor they'd recommend in Hartford, CT? > I have a family whose oldest son is going to college there and is > looking for a doctor close to him. > > Seto > South Pasadena, CA > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 Go for it. G At 07:34 PM 8/7/2004, you wrote: I'm know Yahoo Groups expert, but I bet you could set this up through the group site... http://groups.yahoo.com/group// Possibly via a table or some other way. Locke, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 Hi! I would appreciate being added to the database. I have been in private practice for going on 5 years, after working for 2 large multispecialty groups and being miserable. I share an office with a pediatrician, and we both work part-time (I have a 9 y.o and a 3 y.o.). We share 1 receptionist and 1 fte MA. Use SOAPware for EMR and Lytec for billing (electronic through Proxymed). Belong to no IPA's and take no HMO's except for our local Medi-Cal HMO (don't take straight Medi-Cal). We have contracts with all the major insurers and offer 20% discounts for cash patients. We take credit cards through Quickbooks (I use Quickbooks online currently for my accounting - can't say enough about them!). Also do my payroll online through Paycycle. I have struggled with a lot of the issues I read about on this website, but have worked through most of them already since we've been practicing a while. We have used a variety of vendors for medical supplies - I like Henry Schein because they deliver next day for free, but had a lot of billing problems with them. Currently are using a local vendor who will match their rates. We don't autoclave - we do cold sterilization. We draw blood in our office and do CLIA-waived tests. I admit to the hospital and also see patients in the nursing home - a pretty traditional family practice except no OB. I cover my own practice 24/7 except when I am going out-of-town. I have been sharing call about 1 weekend a month with another F.P., but hope to share call more regularly with another F.P. who is moving to a Gordon model. We use our phone company's voice mail system for after-hours calls, which allows callers to have us paged with the message. I had already started my practice when I read Gordon's articles, but a lot of my thoughts were similar. After I heard him speak at the Scientific Assembly I was really impressed with his vision for changing how provision of health care can be changed. It can really be boiled down to providing service to our patients, which I think can only be done on a small scale. I know that I am practicing better medicine than I did when I worked for a large group. I have gotten much busier, which is a challenge, but I think is a testament to how people are responding to our practice. I am scheduling a maximum of 20 patient care hours/week and seeing about 40 pts/week. My info: R. , M.D., M.P.H. DBA Newark Familycare 6170 Thornton Ave., Suite A Newark, CA 94560 public email: Newarkfamilycare@... Thanks for maintaining the database. Kudos to all trying to do the right thing! Seto wrote: To Marie and ,I have added your info to my spreadsheet and will forward a copy to Gordon so he can post it to his website. It's always interesting for me to see who the other people are in this listserv and what their backgrounds are. I suspect there are others out there who are trying the solo/minimalist/low overhead/cutting edge model who are not known to this group, so we are just a subset of a larger group. Congrats to Marie for becoming so busy that you have to hire a employee.To everyone:As for a self-updating database, I don't know of an easy way to do it. As suggested by Egan, someone with programming knowledge might be able to design a webpage with dynamic updating that allows for people to enter and edit their own info. I certainly don't have this kind of knowledge. The Practice Improvement Website on Yahoo has a section for establishing a database which could be added to and edited by all members. But since it is not open to the public, it doesn't serve the purpose of publicizing our practices. One option is to have people post their info like Marie and I will manually add them to the public database. Another option is to set up a database on the Practice Improvement website that people can self-edit , and I (or whoever wants to maintain the database) can then add the info manually into the public database. The public database is currently posted at Gordon's website (http://www.idealhealthnetwork.com/OtherProviders.html). I am volunteering to maintain the public database because I seem to have (too much!) free time available, but if anyone else is interested that's fine with me.Last question to Marie (and everyone else): do you want the email address you posted your message with to be included in the public database? I have been collecting people's email addresses from their posts, but perhaps those email addresses are not the ones you prefer to give out to patients. SetoSouth Pasadena, CA> Hi ,>> I don’t contribute much to this list-serv, but I have been monitoring > it for a while. If you would like to put my name on that list, I > wouldn’t mind. My name is Marie Chtistensen, M. D. , I am Family > Practice, and I started a solo practice based on Gordon’s model in > Oct. 03. My address is 315 N. Lakemont Ave., Suite A, Winter Park, FL > 32792. phone: . I finished residency in 1996 so I have > been practicing medicine for 8 years but I was working for other > doctors until last year. I was completely solo until about 3 weeks ago > when I hired a receptionist, I just couldn’t keep up with the phones > and everything and see enough patients! But I plan to stay with just > one employee as long as possible. It has been very educational doing > everything myself, I have learned a lot (I do all my own billing > also). I use Alteer, which I like a lot, hopefully I won’t have any > problems with it in the next few years.>> Well, just thought I would introduce myself.>> Thanks>> Marie>> >> Re: Hartford, CT>> >> Thanks, Dawn. I thought I remembered someone in this group was in > Connecticut. I will forward Bill's name and number to my patient.>> Perhaps it would be helpful to others if we could mention where we > each are practicing. On his practice website, Gordon has posted an > Excel spreadsheet I compiled listing some people's demographic > information. http://www.idealhealthnetwork.com/OtherProviders.html.>> If anyone who is listed there wants to get his/her name/information > removed/modified, please let me know also.>> Seto> South Pasadena>> >> Family Care in Enfield (20 mins north on I-91). My > husband, Bill , opened the practice in April according to > your model. He's part of this chat room, but rarely checks home > e-mail! If he can get to Enfield, let him know!>> Family Care >> Thanks, Dawn > -------------- Original message --------------> Does anyone know of a good FP doctor they'd recommend in Hartford, CT?> I have a family whose oldest son is going to college there and is> looking for a doctor close to him.>> Seto> South Pasadena, CA>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 Who covers for you when you are on vacation? I am wondering how I am going to do that part. If I am not in a call group how can I ask other local providers to cover for me? What do they get in return? If I only do office practice & no hospital or nursing home is it ethical/legal to still take my own call even when on vacation at some distant place? Gordon just mentions in his articles that he either manages the issue by phone, sends them to the ED, or has them see another local doctor that has agreed to see his pts in those situations. I wonder how Gordon “recruits” these local doctors to cover for him PRN? It would seem sort of rude on my part to say I do not want to share call routinely with you but could you cover for me when I’m on vacation? I don’t know if I want to cover someone else’s huge (traditional) practice in return when they are then gone on vacation. How are most people handling the vacation issue? Re: Hartford, CT > > > > Thanks, Dawn. I thought I remembered someone in this group was in > Connecticut. I will forward Bill's name and number to my patient. > > Perhaps it would be helpful to others if we could mention where we > each are practicing. On his practice website, Gordon has posted an > Excel spreadsheet I compiled listing some people's demographic > information. http://www.idealhealthnetwork.com/OtherProviders.html. > > If anyone who is listed there wants to get his/her name/information > removed/modified, please let me know also. > > Seto > South Pasadena > > > > Family Care in Enfield (20 mins north on I-91). My > husband, Bill , opened the practice in April according to > your model. He's part of this chat room, but rarely checks home > e-mail! If he can get to Enfield, let him know! > > Family Care > > Thanks, Dawn > -------------- Original message -------------- > Does anyone know of a good FP doctor they'd recommend in Hartford, CT? > I have a family whose oldest son is going to college there and is > looking for a doctor close to him. > > Seto > South Pasadena, CA > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 Great question. This issue made me uncomfortable at first as well. On the other hand, when I was just starting out, at least I was only sending folks to colleagues after I had spoken with the patient, and my colleague would bill for the work they did. I still took care of all the non-visit work, covered my office for labs, refills, etc. When I just started out, I sent out a message on a local list serv to the effect of " I'm going solo and need some help. Would anyone be willing to back me up for office visits when I'm away? I'll screen calls and take care of all the rest. " A couple of local docs were kind enough to step forward, and I traded off sending patients. It only ever ended up as one or two a day, and they hardly noticed. Now it is easier. Lee is next door, practicing in the same model, so we back up each other. Gordon At 10:42 AM 8/9/2004, you wrote: Who covers for you when you are on vacation? I am wondering how I am going to do that part. If I am not in a call group how can I ask other local providers to cover for me? What do they get in return? If I only do office practice & no hospital or nursing home is it ethical/legal to still take my own call even when on vacation at some distant place? Gordon just mentions in his articles that he either manages the issue by phone, sends them to the ED, or has them see another local doctor that has agreed to see his pts in those situations. I wonder how Gordon “recruits” these local doctors to cover for him PRN? It would seem sort of rude on my part to say I do not want to share call routinely with you but could you cover for me when I’m on vacation? I don’t know if I want to cover someone else’s huge (traditional) practice in return when they are then gone on vacation. How are most people handling the vacation issue? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 What if you're about to leave on vacation and a patient gets admitted to the hospital? L. Gordon said: > Great question. > This issue made me uncomfortable at first as well. > On the other hand, when I was just starting out, at least I was only > sending folks to colleagues after I had spoken with the patient, and my > colleague would bill for the work they did. I still took care of all > the non-visit work, covered my office for labs, refills, etc. > > When I just started out, I sent out a message on a local list serv to > the effect of " I'm going solo and need some help. Would anyone be > willing to back me up for office visits when I'm away? I'll screen > calls and take care of all the rest. " A couple of local docs were kind > enough to step forward, and I traded off sending patients. It only > ever ended up as one or two a day, and they hardly noticed. > > Now it is easier. Lee is next door, practicing in the same model, > so we back up each other. > Gordon > > At 10:42 AM 8/9/2004, you wrote: > >>Who covers for you when you are on vacation? I am wondering how I am >> going to do that part. If I am not in a call group how can I ask other >> local providers to cover for me? What do they get in return? If I >> only do office practice & no hospital or nursing home is it >> ethical/legal to still take my own call even when on vacation at some >> distant >>place? Gordon just mentions in his articles that he either manages the >> issue by phone, sends them to the ED, or has them see another local >> doctor that has agreed to see his pts in those situations. I wonder >> how Gordon " recruits " these local doctors to cover for him PRN? It >> would seem sort of rude on my part to say I do not want to share call >> routinely with you but could you cover for me when I'm on vacation? I >> don't know if I want to cover someone else's huge (traditional) >> practice in return when they are then gone on vacation. How are most >> people handling the vacation issue? >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2004 Report Share Posted August 10, 2004 Hi , What I have done is found 2 other FPs who were starting their practices about the same time I was, and met with them to talk. I have asked them to cover for me when I am gone and they have asked me to do the same. They did not have huge traditional practices because they were just starting out also. Both of them are not necessarily doing the same model as I am, but they are both solo and small , so it worked out. Maybe you can find some similar people in your area? Marie Re: Hartford, CT > > > > Thanks, Dawn. I thought I remembered someone in this group was in > Connecticut. I will forward Bill's name and number to my patient. > > Perhaps it would be helpful to others if we could mention where we > each are practicing. On his practice website, Gordon has posted an > Excel spreadsheet I compiled listing some people's demographic > information. http://www.idealhealthnetwork.com/OtherProviders.html. > > If anyone who is listed there wants to get his/her name/information > removed/modified, please let me know also. > > Seto > South Pasadena > > > > Family Care in Enfield (20 mins north on I-91). My > husband, Bill , opened the practice in April according to > your model. He's part of this chat room, but rarely checks home > e-mail! If he can get to Enfield, let him know! > > Family Care > > Thanks, Dawn > -------------- Original message -------------- > Does anyone know of a good FP doctor they'd recommend in Hartford, CT? > I have a family whose oldest son is going to college there and is > looking for a doctor close to him. > > Seto > South Pasadena, CA > > > > > > Quote Link to comment Share on other sites More sharing options...
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