practice inventory

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thank you, joanne and annie. i think it would be helpful to expand the specifications and put them in a matrix, as we clarify and add more items. i'm naming this information a practice inventory. here is my practice inventory: Medical School University of Vermont, 1997 Year graduated from Residency 2000 Specialty FP board certified? yes Types of Experience, private managed care, locum

tenens, urgent care, county communicable disease control officer Area(s) of Expertise/Interest Public Health, diabetes, hypertension, hyperlipidemia, obesity, smoking cessation Total Years in Practice 6 Total Years in Low Overhead Practice: almost 4 (9/2006) Work FT vs PT full-time, MonTuesThursFri 9-4 Avg # Patients/Day : 0-10 Usual CPT’s/Top Ten 99214, 99204, 99386, 99213-52, 99214-52 # Staff FTE: 1 (my part-time administrative employee quit for a ft job) Billing In-House? no, TBO (the business office), 7%; thinking about in-house Claims Submission Method: they do electronic Solo Practice Yes EMR Amazing Charts # Computers? five Networked? Yes Hard-wired? Yes Wireless?No Backup Method: emr over the internet, emr data and patient files to external hard drive nightly Special Purpose Software use dragon pro 8 with radio shack wireless microphone, adobe std 7 for scanning and document saving Age

49 Spouse S/O no # Children. none Outside Affiliations local Kiwanis club where i practice, trying to find another Toastmasters group (previous member), member local community group health care committee, trying to bring essentially universal care to underserved area. Professional Affiliations/Associations: practice improvement listserv, local disease clubs (gut club, hypertension club) Hobbies amateur machinist, cabinetmaker, welder,

swimming, bicycling (still looking for a decent inexpensive road bike) sushi, korean food, would like to learn to play the piano, build own house. Goals in life: invent a medical device and retire. Hail from: Chicago, lived, worked and traveled several states and overseas, used to speak also french and german fluently Living in Washington since november 2001, hate winters here, also never had allergies until coming here, thinking about moving Computer Experience In-House/Out-of-House i am IT, however occasionally hire local experts for

help. Billing Experience: getting more daily-- ditto, probably will increase now that AC can print hcfa's. # of Insurance Plans Accepted eight, all ppo, except for First Choice, which does have one managed care program. all the rest are ppo's. best payor is washington state labor and industries (worker's comp); documentation for them is easy with emr, and yes, they pay for phone calls. Types of Insurance Plans Accepted ppo and self pay, with discount for payment at time of service Medicare? No Medicaid? No HPSA? yes, it is a designated area HMO?No Special Examinations Performed comm'l driver's lic, merchant seaman's certificate, also i am an FAA certified Aviation Medical Examiner for classes 2 and 3. Other special equipment/services: EKG, microscope, allergy shots, nebulizer Type of Office Solo, in a converted two bedroom apartment with a handicapped ramp, above a local physical therapy office, locally owned Type of Location,

small rural unincorporated area, approx 5000 persons within approx 5 miles, approx 10,000 persons in the area, which is a designated underserved area. # of Exam Rooms one, with another area for lab Square Footage 1300 Draw Blood?yes Hazardous Waste Disposal-- will be contracting with Stericycle CLIA Waived Tests? strep, urine

dipstick, Pregnancy, also with microscope, almost never used. How Medications get to the Pharmacy? 97% Fax, 1 % phone, 2% tamperproof paper for C2's. # Printers 3 # Scanners 2 (one essentially unused since getting the fujitsu snapscan) Backup Software Stompsoft, waiting to get server software to test acronis Server Software currently using win2000pro on the server, will be switching to winsmallbusinessserver2003 Hospital Admits? no, use hospitalist group See Drug Reps? yes Go To Drug Co Sponsored events: yes Medical School Debt currently approx 140K Gross Monthly Income: since the beginning of 2006, 10-12K Monthly Overhead $3500-4000 Distance from home to office: 35 miles How Type of Practice Selected: my mentor suggested opening my own practice, did research, talked with regional experts (doctors) doing cash only, decided to do that, not very successful, then learned about gordon moore, talked with him, further developed practice from there, and with this listserve. How Location Selected: I looked for an area where i thought i might want to live, and where there was a need for a doctor. i also thought if my practice failed, that the failure would be relatively small financially. unfortunately, i didn't factor in that the area is

culturally and socially isolated, and that i would be commuting, still. hope that's helpful. LL

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