fbpx

Monthly Archives: March 2015

Group visits: improve access, patient satisfaction, and practice revenue

Laurie and Judy have written two articles about group visits recently, for Kareo and Physicians Practice.  (Click here for Laurie's, here for Judy's.) If you're looking for a creative way to spend more time with chronically ill patients,  a group visit program might be a good fit for your practice.  Under the group visit (or "shared medical appointment") model, each patient has a brief individual visit (often just vitals and a quick interview with the provider), and then shares the rest of their visit with a group of other patients who are managing the same disease.  Each patient sits in on their fellow patients' visits -- and, of course, vice versa. Group visits aren't for every patient, but many people respond very positively to the opportunity to share their physician time with others facing the same challenges.  The best part: everyone ends up spending an hour or more with the doctor. (Even though most of the time is not focused on any single patient, everyone typically ends up feeling that they've had more access, and more opportunity to share and get their questions answered.) Group visits have been more commonly started by primary care practices for conditions like diabetes that require lots of patient engagement and many visits -- but any specialty with a population (or multiple populations) fitting that description can potentially benefit from starting a group visit program. To learn more about what's involved, visit our article links above.  

By |2015-03-10T09:46:02-08:00March 11th, 2015|

Eat your vegetables: make carrot cake! (Or, learn to love your EHR)

Photo of carrot cake (c) Fotolia.com Joe and I recently presented a webinar called "Finding the ROI in Your EHR" with Kareo. Joe remarked after that it might have been more appropriate to call it, "Learn to Love Your EHR." This is because one of the main points of our talk was that even though you might have initially purchased your EHR strictly to comply with government programs, you still can find benefit that are important to you beyond what those government programs. Based on our experiences working with medical practices, we believe that many administrators and physicians don't think about this at all.  They don't ever look beyond the avoidance of Medicare penalties or earning of Meaningful Use incentives when considering the value of their EHR.  They simply don't think of their EHRs the way they look at other significant purchases, because ROI didn't factor into the decision in the first place. But even though you bought the EHR because you felt that the government required it, that doesn't mean you can't derive benefits from it beyond what the government had in mind.  The government may have urged you to buy vegetables -- but that doesn't mean you can't turn carrots into carrot cake! Most EMR/EHR systems have many excellent features that can really only be maximized once you've got a fair bit of experience with them.  So if you've been using yours for a while -- even for several years -- it's not too late to think about how to get more value.  In fact, being really comfortable with the basics of the system is essential to digging deeper. One of the most valuable opportunities your EHR offers is the ability to create lists of different populations from your patient base.  (Remember that trick from Meaningful Use? It's a measure that is actually something you can use for other purposes, too.) For example, if you're a primary care practice, you can use the list feature to identify patients who are overdue for preventive visits.  This is a great thing to do whenever cash flow or physician

By |2022-01-01T22:52:01-08:00March 9th, 2015|

Persuading providers to be more productive

When we analyze practices that are not as profitable as they'd like to be, the physicians that hire us usually expect us to focus on expense cuts. But while we sometimes find over-staffing, outdated service contracts or other expenses that can be shaved, more often than not, the critical issue is on the revenue side: productivity and visit volume. Providers don't usually like hearing that they need to be more productive.  They may be nervous that they'll end up on a treadmill, running from patient to patient.  Or they may feel sure that they're already seeing as many patients as they can -- and even more than their peers.  If they're aware of workflow problems in the practice, they will also be concerned that the number of patients they can safely and efficiently see in a day is limited by the strain on their processes -- not by their own efforts. Changing providers' minds about productivity and workflow isn't always easy (and you can see why they'd be nervous).  But there are a few tools we rely on that physician partners and practice managers can use, too, if you find you need to book your providers more fully, including: Workflow analysis.  This is perhaps most important. A thorough analysis of your workflow can spotlight problems that are beyond providers' control but that impact their ability to see more patients in a day.  Are there bottlenecks that cause providers to wait as patients wend their way through the practice to the exam room?  Are providers wasting time looking for supplies and tracking down MAs?  Get a handle on these issues before asking providers to be busier -- and be sure to explain the issues you've identified, ask providers to share any issues they see, and implement solutions before hitting the gas on booking patients more aggressively. Productivity benchmarks.  Today there is great data available to help you understand how your providers' productivity compares against comparable practices -- and to illustrate to your providers where they rank.  For a quick review of productivity based on weekly visits, the Medscape survey can't be

By |2022-01-01T22:52:01-08:00March 1st, 2015|
Go to Top