Re: IMP start up part time?

[Guest guest]

I have after hour times, I have hours 5-8 on Wednesdays and only

1 Saturday a month. My evening hours are booked months ahead. Very

popular. It thing it would be very feasible. There is also a

surcharge, 99051, for hours outside of 9-5 M-F so you can actually get

reimbursed, I mean paid, a little more.

These hours are very popular among the working and school

aged. But then you are stuck with them. If you change back to 9-5

you will lose those patients more than likely.

Whether it will be enough, I guess depends on overhead. If

you share an office with someone working 9-5, it could cut costs for both by a

lot and decrease overhead. I think you can build up a patient load

quickly but you are only working 2 hours a day and possibly more on weekends so

will it be enough? Only 8 patients a day max if you work fast?

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of L. Gordon

Sent: Sunday, September 23, 2007 8:31 AM

To: -yahoogroups.com

Subject: IMP start up part time?

Some questions from an outside person that I

though you guys might be

able to answer:

Have any members of the listserve begun their practices (or continue

to practice) with after-hours appt times?

If so, do they believe that such a structure (say, patient hrs by

appt between 6-8pm most weekdays, and Saturdays) is feasible?

Pitfalls for continuing this arrangement for more than a few months?

My larger concern is the amt of time it might take to build up a pt

load that is sufficiently sizeable to allow me to meet practice

overhead (and mortgage, etc)

[Guest guest]

you mean ONLY after hrs?

Working somehwere else all day ?

seems hard i agree If you were a rare one who worked out of a home office

eg Sharon that might work Otherwise yikes work all day then all evening,

all the moms with sick kids cannot see you til 6 pm, but call you all day

at you r other job?

Bunch of challenges there depends on the setting and populatin to Dobn't

try itiin a dead zone.

Lynn HO does hrs til 9 pm two days aa week though, could ask her how much

of the eeveing is filled ,how often, to get some data.

IMP start up part time?

Some questions from an outside person that I though you guys might be

able to answer:

Have any members of the listserve begun their practices (or continue

to practice) with after-hours appt times?

If so, do they believe that such a structure (say, patient hrs by

appt between 6-8pm most weekdays, and Saturdays) is feasible?

Pitfalls for continuing this arrangement for more than a few months?

My larger concern is the amt of time it might take to build up a pt

load that is sufficiently sizeable to allow me to meet practice

overhead (and mortgage, etc)

[Guest guest]

1. the surcharge can only be collected if the patietn is seen outsdie of

regulalry posted hrs If you post that you see people wed until 8 you cannot

use that code for a 7 30 appointment

I ahad evening hrs once in a health center in a rural health center in MAine

Hardly anyone came which alwasy surprised me i though it was a great idea

Communities just vary How you scope thatout ahead of time is tough I guess.

IMP start up part time?

Some questions from an outside person that I though you guys might be

able to answer:

Have any members of the listserve begun their practices (or continue

to practice) with after-hours appt times?

If so, do they believe that such a structure (say, patient hrs by

appt between 6-8pm most weekdays, and Saturdays) is feasible?

Pitfalls for continuing this arrangement for more than a few months?

My larger concern is the amt of time it might take to build up a pt

load that is sufficiently sizeable to allow me to meet practice

overhead (and mortgage, etc)

[Guest guest]

Part time start-up:I started up this way sort of. I had some daytime hours, but I worked 3 sessions a week (usually days) at a college health center. Had (and still have) evening hours M and Th and Saturday mornings when I feel like it. Maybe it took a bit longer to build up volume? not really sure. I think if you can do it , it's better to have at least a few daytime hours tucked in somewhere.Working people love it. Actually now I find the most requested times are between 3 and 7 PM, times that I don't have a lot of because the other 3 days of the week I leave at 3PM to hang with the kids. Maybe that's just part of people always wanting what you don't have. Now - at the mostly filled practice point- I find that one evening a week is usually filled, the other is partly filled. People are not crazy about appointments after 8PM except for some diehards who always take the 8:30PM appointment. The biggest stumbling block would be mothers with kids with fevers. They mostly would not want to wait all day to be seen. Again, though, if you train them- and give them access and talk them through it they might be fine. Might help if you had on line appointments up and running and they could make their appointments and know that they were going to be seen. The most stressful part for me about the part time startup was not really being that phone accessible while I was working at the student health center and it was busy- the phone would ring and I would cringe, thinking there was some dire emergency that I couldn't get to immediately. Especially if they would call twice in row - you guys know the way people will do that- , that would really freak me out. Can you take calls during the day at all? If not, that will be more difficult.Lynn HoTo: gmoore@...; From: jantonucci@...Date: Sun, 23 Sep 2007 09:38:27 -0400Subject: RE: IMP start up part time?

you mean ONLY after hrs?

Working somehwere else all day ?

seems hard i agree If you were a rare one who worked out of a home office

eg Sharon that might work Otherwise yikes work all day then all evening,

all the moms with sick kids cannot see you til 6 pm, but call you all day

at you r other job?

Bunch of challenges there depends on the setting and populatin to Dobn't

try itiin a dead zone.

Lynn HO does hrs til 9 pm two days aa week though, could ask her how much

of the eeveing is filled ,how often, to get some data.

IMP start up part time?

Some questions from an outside person that I though you guys might be

able to answer:

Have any members of the listserve begun their practices (or continue

to practice) with after-hours appt times?

If so, do they believe that such a structure (say, patient hrs by

appt between 6-8pm most weekdays, and Saturdays) is feasible?

Pitfalls for continuing this arrangement for more than a few months?

My larger concern is the amt of time it might take to build up a pt

load that is sufficiently sizeable to allow me to meet practice

overhead (and mortgage, etc)

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[Guest guest]

Factors overhead and STEADY pt flow.

Depends on Malpractice coverage your state too and other expenses.

If there's a way to see 8 pts and day and stay "ultralite," probably could work??

My opinion

Matt in Western PA

IMP start up part time?

Some questions from an outside person that I though you guys might be able to answer:Have any members of the listserve begun their practices (or continue to practice) with after-hours appt times?If so, do they believe that such a structure (say, patient hrs by appt between 6-8pm most weekdays, and Saturdays) is feasible?Pitfalls for continuing this arrangement for more than a few months?My larger concern is the amt of time it might take to build up a pt load that is sufficiently sizeable to allow me to meet practice overhead (and mortgage, etc)

[Guest guest]

I refer to my Wednesday as my 'late night' ie, I'll stay as late as I need to get folks seen. Usually work until 8pm. I'll work on Sat if needed. These are usually urgent care type things that are quick. What my after hours policy has done is to create a loyal patient population. The ER asks my patients who show up there now 'Did you even try to get hold of her?' as if, since I'll see alot of folks after hours, their ER docs shouldn't have to be 'bothered' with them. Go figure.

Lynette I Iles MD 214 South Iowa Ste 3 Washington IA 52353 Flexible Family Care'Modern medicine the old-fashioned way' This e-mail and attachments may contain information which is confidential and is only for the named addressee. If you have received this email in error, please notify the sender immediately and delete it from your computer.

[Guest guest]

Hi Gordon,

I have had " after hours " since the beginning of my part time

practice 2.5 years now. My hours are 2-7 pm 3 days/week

though varies depending on need of my patients. Sometimes

I start at 4 and go till 8 or even 9 pm (I think that is the latest).

I love this set up and my patients think it is great. I am available

all hours to see folks but have only done it a few times on weekends

or other evenings over the last 2 years (outside of my usual pm

schedule).

PROS: Easy for same day appts. Most people realize when they

get up in the morning or early in the day that they need

to see a doc so they can easily get a same day appt with this set-up.

Oh, people are sooooo impressed when they come in at 7 or 8 pm

(even though they know I work just pm) - they have this " sense " that

I have been working ALL day and I am so committed to help them

that I am still there at this late hour. They are extremely grateful!!

I get to sleep in every day!

No pitfalls that I have found. Low overhead. Great salary. Great life.

Hope this helps,

Pamela

>

> Some questions from an outside person that I though you guys might be

> able to answer:

>

> Have any members of the listserve begun their practices (or continue

> to practice) with after-hours appt times?

>

> If so, do they believe that such a structure (say, patient hrs by

> appt between 6-8pm most weekdays, and Saturdays) is feasible?

>

> Pitfalls for continuing this arrangement for more than a few months?

>

> My larger concern is the amt of time it might take to build up a pt

> load that is sufficiently sizeable to allow me to meet practice

> overhead (and mortgage, etc)

>

[Guest guest]

Our hours are 6:30am to 2:30pm. Our early slots are very popular for those that don't want to miss school or work. Our voice mail states that calls received after 1pm may be answered the next business day, so our patients know they have same day access, just call early. We approach the 1year mark on Tuesday and have found it very sustainable. The fantastic benefit of these hours is taking our 3 kids in with us in the am for an hour, and being completely finished by 3pm to pick them up from school.

Mike

IMP start up part time?

Some questions from an outside person that I though you guys might be able to answer:Have any members of the listserve begun their practices (or continue to practice) with after-hours appt times?If so, do they believe that such a structure (say, patient hrs by appt between 6-8pm most weekdays, and Saturdays) is feasible?Pitfalls for continuing this arrangement for more than a few months?My larger concern is the amt of time it might take to build up a pt load that is sufficiently sizeable to allow me to meet practice overhead (and mortgage, etc)

[Guest guest]

I started my first practice while I was still a resident (March,

1983) by working from 3:00 to 8:00 PM on Tuesdays and Thursdays,

and 8:00 to noon on Saturdays. In June, I added 9:00 – 5:00 on

Mondays, Wednesdays, and Fridays, and moved my start time up to noon on

Tuesdays and Thursdays. I was seeing 30 patients a month by

the end of the second month, and the cash flow was covering (a traditional 1983

practice) expenses by November of the first year.

The evening hours were a big draw, because I was in a bedroom

community, and patients could see me without taking time off of work, or after

their spouses got home from work. Evening hours remain popular, and I now

work from 3:00 – 8:00 every Tuesday evening.

The biggest pitfall is the tendency to work all the time.

dts

From:

[mailto: ] On Behalf Of L. Gordon

Sent: Sunday, September 23, 2007 5:31 AM

To: -yahoogroups.com

Subject: IMP start up part time?

Some questions from an outside person that I

though you guys might be

able to answer:

Have any members of the listserve begun their practices (or continue

to practice) with after-hours appt times?

If so, do they believe that such a structure (say, patient hrs by

appt between 6-8pm most weekdays, and Saturdays) is feasible?

Pitfalls for continuing this arrangement for more than a few months?

My larger concern is the amt of time it might take to build up a pt

load that is sufficiently sizeable to allow me to meet practice

overhead (and mortgage, etc)