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On sharing space...For may reasons, I would love to share space with

other IMPs. I have considered sharing space with a local low-volume

FP. The thing that stopped us was the likelihood that patients would

stop by wanting to be seen and, when they find their own doc

unavailable, expect to be seen by the other as an established patient,

like they would in a group practice. But our plan was to keep our

practices and patient panels completely separate. It seemed that being

together would create some patient animosity in this way. Of course, I

don't have that problem while sharing space with a specialist.

Has anyone overcome this problem or have ideas on how to do so?

Perhaps create the space such that there is a separate outside

entrance for each practice? But that means multiple waiting rooms,

increased overhead...

Haresch

>

> My feeling is that if the doc has to ramp up, he/she needs to be very

> careful not to lose sight of what is important to the patient. That is

> balancing access, efficiency (no wasted time), continuity, and excellent

> patient education. Once the above issues are addressed, then the doc can

> ramp up a bit without too much difficulty. However, if the ramp becomes

> sustained, then the potential for loss of lifestyle and quality care

> increases.

> As for multiple IMPs working under one roof, I think that is cool as

> long as they work independently and split the overhead in an equitable

> fashion. In many ways, this could keep the overhead even lower and

> increase the professional camaraderie. As with most stuff, the devil is

> in the details.

>

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Thanks for the thoughts, Matt and Larry. I'm currently with a

specialist AND have a separate no-waiting room, and that works fine.

I'm just always on the lookout for cheaper options, and sharing with

another FP would have some benefits. I have open access and am

training my patients not to drop in, but the doc I was considering

sharing with was not in that situation. In that case, I think some of

the setup Larry was talking about would be necessary...

Haresch

>

> Pts look for their own doc -- separate phone/contact should make

this work fine.

>

> Also if you have " advanced open access " (same day/next day appts),

pts usually don't walk in, they call so they don't have to wait.

>

> My experience, sharing a parttime office with another doc, now

downsized that satellite to an exam room in a podiatrist's office. I'd

also consider checking with your local specialists with multiple exam

rooms, as they're less likely to be adversarial in " sharing pts. "

>

> Matt in Western PA

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We share space with 1 other provider.

Each practice is separate, but we share overhead in terms of rent and

employees. Both providers are on the same EMR program and have access to the

other provider’s charts for coverage reasons only. I work FT and we have

1 MA, shared between the 2 providers (I’m the wife of the FT provider).

We have very few walk-ins in our location, but patients really want to see

their own provider. We have not experienced any patent animosity at all. In

fact, the patients of the other provider are happy to be able to have access

during regular office hours to a full-time staff, and our patients are glad to

not have to use the Urgent Care when Steve is out of town, yet they see the

same familiar staff.

Pratt

Office Manager

Oak Tree Internal Medicine P.C.

From: [mailto: ] On Behalf Of Haresch

Sent: Saturday, April 12, 2008

9:37 AM

To:

Subject:

Sharing space

On sharing space...For may reasons, I would love to

share space with

other IMPs. I have considered sharing space with a local low-volume

FP. The thing that stopped us was the likelihood that patients would

stop by wanting to be seen and, when they find their own doc

unavailable, expect to be seen by the other as an established patient,

like they would in a group practice. But our plan was to keep our

practices and patient panels completely separate. It seemed that being

together would create some patient animosity in this way. Of course, I

don't have that problem while sharing space with a specialist.

Has anyone overcome this problem or have ideas on how to do so?

Perhaps create the space such that there is a separate outside

entrance for each practice? But that means multiple waiting rooms,

increased overhead...

Haresch

>

> My feeling is that if the doc has to ramp up, he/she needs to be very

> careful not to lose sight of what is important to the patient. That is

> balancing access, efficiency (no wasted time), continuity, and excellent

> patient education. Once the above issues are addressed, then the doc can

> ramp up a bit without too much difficulty. However, if the ramp becomes

> sustained, then the potential for loss of lifestyle and quality care

> increases.

> As for multiple IMPs working under one roof, I think that is cool as

> long as they work independently and split the overhead in an equitable

> fashion. In many ways, this could keep the overhead even lower and

> increase the professional camaraderie. As with most stuff, the devil is

> in the details.

>

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