Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 , Welcome and here are my thoughts: 1) Find a location near where you live (commutes waste time, gas, and increase frustrations) 2) Keep it small, you only need one exam room (which can double for an office), a waiting area, and a bathroom (handicapped accessible). This can either be subcontracted from a larger structure or be a small “hole in the wall” location. 3) Consider alternative physical structures to keep costs down (having the practice in your home, doing a home visit only practice) 4) Consider alternative corporate structures get off the insurance treadmill: Fee for service, Retainer fee, Robin Hood, etc 5) Consider contracting directly with an employer or with a group of employers to give great care to their employees for a monthly fee and a per use fee (as opposed to insurance based care) 6) Make the practice reflect who you guys are as it needs to be somewhere you enjoy going In a typical insurance reimbursement world, you can expect to make ends meet on <1000 patients (although some of us have more). I have a business plan that you can look at on my website if you desire: http://www.thevillagedr.com/practice/ .. It is a few years old, but it gives a starting point. Good luck. I’m sure others will have a bunch of suggestions as well. choosing a location Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Oh and duh…make a reservation to come to IMP Camp this June. You will find great mentoring, great inspiration, and great camaraderie! There is not a better conference around! choosing a location Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Stop by eMDs it is the EMR that allows me to be an IMP without staff. They are located in Austin, TX. raye11 wrote: Hi Everyone!After reading Dr. 's article on AAFP, we are very excited aboutthe whole micro practice model. Thank you Dr. for putting thisgroup together! My husband and I are also planning to set up a solo bound practicedown the road. For the past few years, we have been in militarymedicine. It's exhausting to be seeing so many patients with so littletime. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on alocation for the practice. We are currently in Austin, TX. There seemsto be quite a bit of family practices in the city, especially in theRound Rock area where Dell is. We are looking in the outer areas ofthe city, which tends to have less population and less competition.There are a lot of small communities outside of Austin which areconsidered rural. We thought about going rural but were not sure about the populationsize for a rural practice. How much of a population size should weconsider? Is employment a factor? And, also proximity to a hospital?What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Never miss a thing. Make Yahoo your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 FYI I am almost 2 years into an IMP in a town of 7,000 and a county of 13,000. Doing quite well. I think rural medicine is actually ideal for IMPs!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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Talk to EMD's, they are in Round Rock still, I believe. Best system for IMP, I think. Find a small place, I have 900 sq ft which is more than I need most of the time, but I do have x-ray. ________________________________ From: on behalf of raye11 Sent: Fri 3/21/2008 3:55 AM To: Subject: choosing a location Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Thanks, . Your input is very helpful - thanks for making your business plan available, we'll definitely check it out. And, yes the IMP camp sounds great! > > , > Welcome and here are my thoughts: > 1) Find a location near where you live (commutes waste time, gas, > and increase frustrations) > 2) Keep it small, you only need one exam room (which can double > for an office), a waiting area, and a bathroom (handicapped accessible). > This can either be subcontracted from a larger structure or be a small > " hole in the wall " location. > 3) Consider alternative physical structures to keep costs down > (having the practice in your home, doing a home visit only practice) > 4) Consider alternative corporate structures get off the insurance > treadmill: Fee for service, Retainer fee, Robin Hood, etc > 5) Consider contracting directly with an employer or with a group > of employers to give great care to their employees for a monthly fee and > a per use fee (as opposed to insurance based care) > 6) Make the practice reflect who you guys are as it needs to be > somewhere you enjoy going > > In a typical insurance reimbursement world, you can expect to make ends > meet on <1000 patients (although some of us have more). I have a > business plan that you can look at on my website if you desire: > http://www.thevillagedr.com/practice/ . It is a few years old, but it > gives a starting point. Good luck. I'm sure others will have a bunch of > suggestions as well. > > > choosing a location > > Hi Everyone! > > After reading Dr. 's article on AAFP, we are very excited about > the whole micro practice model. Thank you Dr. for putting this > group together! > > My husband and I are also planning to set up a solo bound practice > down the road. For the past few years, we have been in military > medicine. It's exhausting to be seeing so many patients with so little > time. So, we are looking at going solo and changing our lifestyle. > > I just wanted to get some input from the group on how to decide on a > location for the practice. We are currently in Austin, TX. There seems > to be quite a bit of family practices in the city, especially in the > Round Rock area where Dell is. We are looking in the outer areas of > the city, which tends to have less population and less competition. > There are a lot of small communities outside of Austin which are > considered rural. > > We thought about going rural but were not sure about the population > size for a rural practice. How much of a population size should we > consider? Is employment a factor? And, also proximity to a hospital? > What other factors should we consider when choosing a location? > > Any input in deciding on a location would really help. Thanks so much! > > Caragan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 We'll check it out. Thanks, ! > Hi Everyone! > > After reading Dr. 's article on AAFP, we are very excited about > the whole micro practice model. Thank you Dr. for putting this > group together! > > My husband and I are also planning to set up a solo bound practice > down the road. For the past few years, we have been in military > medicine. It's exhausting to be seeing so many patients with so little > time. So, we are looking at going solo and changing our lifestyle. > > I just wanted to get some input from the group on how to decide on a > location for the practice. We are currently in Austin, TX. There seems > to be quite a bit of family practices in the city, especially in the > Round Rock area where Dell is. We are looking in the outer areas of > the city, which tends to have less population and less competition. > There are a lot of small communities outside of Austin which are > considered rural. > > We thought about going rural but were not sure about the population > size for a rural practice. How much of a population size should we > consider? Is employment a factor? And, also proximity to a hospital? > What other factors should we consider when choosing a location? > > Any input in deciding on a location would really help. Thanks so much! > > Caragan > > > > > > > --------------------------------- > Never miss a thing. Make Yahoo your homepage. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Thanks for sharing, Lynette. The population size was something we weren't quite sure. Sounds like rural medicine is good for IMP's. Great to hear you're doing well! > > FYI I am almost 2 years into an IMP in a town of 7,000 and a county of > 13,000. Doing quite well. I think rural medicine is actually ideal for IMPs! > > 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. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Will do. Thanks for sharing, Jim! > > Talk to EMD's, they are in Round Rock still, I believe. Best system for IMP, I think. Find a small place, I have 900 sq ft which is more than I need most of the time, but I do have x- ray. > > ________________________________ > > From: on behalf of raye11 > Sent: Fri 3/21/2008 3:55 AM > To: > Subject: choosing a location > > > > Hi Everyone! > > After reading Dr. 's article on AAFP, we are very excited about > the whole micro practice model. Thank you Dr. for putting this > group together! > > My husband and I are also planning to set up a solo bound practice > down the road. For the past few years, we have been in military > medicine. It's exhausting to be seeing so many patients with so little > time. So, we are looking at going solo and changing our lifestyle. > > I just wanted to get some input from the group on how to decide on a > location for the practice. We are currently in Austin, TX. There seems > to be quite a bit of family practices in the city, especially in the > Round Rock area where Dell is. We are looking in the outer areas of > the city, which tends to have less population and less competition. > There are a lot of small communities outside of Austin which are > considered rural. > > We thought about going rural but were not sure about the population > size for a rural practice. How much of a population size should we > consider? Is employment a factor? And, also proximity to a hospital? > What other factors should we consider when choosing a location? > > Any input in deciding on a location would really help. Thanks so much! > > Caragan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 EMD's is a robust EMR but not the only one. Shop around. Practice Partner is also good and a lot of smaller practices use ECW too. Then you have your SOAPware and Amazing Charts but have to get the Practice Management separately. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing choosing a location Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 I ditto this. We have 1.5 providers, 1 MA, and me (spouse of one of the providers). We’ve been using e-MDs for 3 years and are very happy with it. We just added Surescripts electronic prescribing this week – I just wish we hadn’t waited so long to add it! Pratt San Ramon, CA From: [mailto: ] On Behalf Of Egly Sent: Friday, March 21, 2008 4:57 AM To: Subject: Re: choosing a location Stop by eMDs it is the EMR that allows me to be an IMP without staff. They are located in Austin, TX. raye11 <raye11hotmail> wrote: Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Never miss a thing. Make Yahoo your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Why do you like surescripts? Pratt wrote: I ditto this. We have 1.5 providers, 1 MA, and me (spouse of one of the providers). We’ve been using e-MDs for 3 years and are very happy with it. We just added Surescripts electronic prescribing this week – I just wish we hadn’t waited so long to add it! Pratt San Ramon, CA From: [mailto: ] On Behalf Of EglySent: Friday, March 21, 2008 4:57 AMTo: Subject: Re: choosing a location Stop by eMDs it is the EMR that allows me to be an IMP without staff. They are located in Austin, TX. raye11 <raye11hotmail> wrote: Hi Everyone!After reading Dr. 's article on AAFP, we are very excited aboutthe whole micro practice model. Thank you Dr. for putting thisgroup together! My husband and I are also planning to set up a solo bound practicedown the road. For the past few years, we have been in militarymedicine. It's exhausting to be seeing so many patients with so littletime. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on alocation for the practice. We are currently in Austin, TX. There seemsto be quite a bit of family practices in the city, especially in theRound Rock area where Dell is. We are looking in the outer areas ofthe city, which tends to have less population and less competition.There are a lot of small communities outside of Austin which areconsidered rural. We thought about going rural but were not sure about the populationsize for a rural practice. How much of a population size should weconsider? Is employment a factor? And, also proximity to a hospital?What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Never miss a thing. Make Yahoo your homepage. Never miss a thing. Make Yahoo your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 As opposed to the FAX server (and the fact that after 3 years the local pharmacies still don’t see that often there is more than one script per page), we get instant notification whether or not the script went through to the pharmacy. It was a relatively cheap module (I think it was a $250 one-time charge). Refill requests will come in electronically to the refill request module instead of onto the FAX server. We have yet to get refill requests electronically since we just started yesterday, but starting next week our office will be notifying the pharmacies that are on Surescripts that they need to be sent electronically for fastest turnaround. The patients like all of the “tech” stuff that we have in our office; this is just one more perceived added value – Steve can tell the patient, “Your rx is at the pharmacy” before he even leaves the exam room. From: [mailto: ] On Behalf Of Egly Sent: Friday, March 21, 2008 12:31 PM To: Subject: RE: choosing a location Why do you like surescripts? Pratt <karen.oaktreecomcast (DOT) net> wrote: I ditto this. We have 1.5 providers, 1 MA, and me (spouse of one of the providers). We’ve been using e-MDs for 3 years and are very happy with it. We just added Surescripts electronic prescribing this week – I just wish we hadn’t waited so long to add it! Pratt San Ramon, CA From: [mailto: ] On Behalf Of Egly Sent: Friday, March 21, 2008 4:57 AM To: Subject: Re: choosing a location Stop by eMDs it is the EMR that allows me to be an IMP without staff. They are located in Austin, TX. raye11 <raye11hotmail> wrote: Hi Everyone! After reading Dr. 's article on AAFP, we are very excited about the whole micro practice model. Thank you Dr. for putting this group together! My husband and I are also planning to set up a solo bound practice down the road. For the past few years, we have been in military medicine. It's exhausting to be seeing so many patients with so little time. So, we are looking at going solo and changing our lifestyle. I just wanted to get some input from the group on how to decide on a location for the practice. We are currently in Austin, TX. There seems to be quite a bit of family practices in the city, especially in the Round Rock area where Dell is. We are looking in the outer areas of the city, which tends to have less population and less competition. There are a lot of small communities outside of Austin which are considered rural. We thought about going rural but were not sure about the population size for a rural practice. How much of a population size should we consider? Is employment a factor? And, also proximity to a hospital? What other factors should we consider when choosing a location? Any input in deciding on a location would really help. Thanks so much! Caragan Never miss a thing. Make Yahoo your homepage. Never miss a thing. Make Yahoo your homepage. Quote Link to comment Share on other sites More sharing options...
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