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I am a start up Imp in the midstream of planning, an idea came up that I'd like to get your thoughts on. Per diem continuity RN phone triage/follow up calls -on a minute-by-minute rate RN in her/his garden weeding, gets a call from man with a cough; she traiges that yes - needs to be seen, send him in. She knows the panel ~40% to start and so the added face to the solo practice has instant value and credibility...... List of labs issues - not normal ones per se - get routed to RN for follow up calls, she sets up repeat INR, potassium or UA as needed...... Troubled frail patient , needs weekly call.....short and brief advice - bingo! rate 1 dollar a minute ( settled up on cell phone bills monthly) and weekly lunch

meeting to review practice issues. Spin off for triage of on call - calls also is possible. thoughts? Adam

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min.

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