When Was the Last Time You Gave Your Practice a “Checkup”

July 19, 2012
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Is your business up and down!Is your practice destined to fail? Or on a roller-coaster ride of uncertainty, which can be just as bad.

I am here to offer some advice on how to pick yourself up and make some changes that can positively impact your business and your wallet.

5 common Medical / Dental practice challenges
I see firsthand, day after day, the major issues doctors face with trying to make patients happy while hoping to stay up-to-date with key technology changes that could make or break their practice in the long run.

Not only is technology a concern, but making sure your employees are taken care of, and given the best work environment possible can be a hard line to maintain.

1.      Slow antiquated computers

First off, don’t believe the infomercial “Speed up my PC” or similar variations. Those commercials prey on naive people and will waste your hard earned money and time.

Common since states if it takes an extra 5 to 10 minutes per morning for your staff to get set up, online, and be productive, the overall cost per year to you is far more than the cost of a new computer.   This does not even factor in the lost productivity and frustration that your staff endures.  I personally recommend upgrading PC’s every 3 to 4 years, they are very affordable and can be purchased for well under $800 for a quality PC and monitors. Your staff will thank you for this.

Some items to consider:
1.     Solid-state hard drives (SSD) To put it simply they are much faster than their magnetic hard drive brothers, and resemble the speed of the flash drives that you carry in your pocket. Newer computers using this technology can boot up almost instantly, reducing the long wait times in the morning and can run programs very fast.  Interested in the technology of SSD’s – Read more at Wiki.

2.     Upgrade with more RAM (Random Access Memory) – More RAM the better, recommend 4 to 8GB of ram for most new PC’s.  More RAM will help you multi-task and process information faster.

3.     Two monitors – I for one have 4 monitors in front of me, while most may think that is overboard, it actually helps a lot.  Researchers have said you can increase your productivity by 9 to 50 percent and make your work day easier. And you can begin using it right away just by adding a second monitor.  Just be sure that your video card can accept two when you buy your new PC.   Study if interested.

Donate your old PC
Recommendation: Donate your computer to a local school that is in need or other charity.

2.     Why most EHR’s will fail, is yours next?

Choosing the wrong EHR could be catastrophic for your practice and cause severe financial harm.  What would happen if your software went down for a month and you could not collect payments, files become corrupted, inaccessible patient data, or productivity grinds to a halt due to your vendor not updating in a timely manner.

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Tips for Small Businesses to Reduce Healthcare Costs

This very thing occurred with UCSF in California, Please note that I have no direct knowledge of what happened to UCSF during their implementation, which took place a few years ago. But according to blog Health Care Renewal , UCSF had to halt its $50 million roll-out midstream, doubtless at huge cost, despite hand-holding from GE itself.

Competition is fierce between EHR vendors seeking to capitalize on federal stimulus opportunities, but many experts and industry insiders agree that only a handful of the strongest vendors will survive.

Like other industries – banking, insurance, airlines – it’s not a matter of if the industry will consolidate, it’s when.  Development of a quality EHR product that meets increasingly stringent federal mandates – including enabling providers to achieve Meaningful Use stages 1, 2, and 3 and supporting ICD-10 code sets – requires substantial programming and development resources that small, under-capitalized vendors may struggle to pull off.

Some industry consolidation and product discontinuation has already occurred – just ask users of McKesson’s PracticePoint Manager™, MediNotes™, PeakPractice, and Allscripts Misys EMR, among others. Only the best EHR products will be acquired and supported by large vendors with deep pockets.  Many systems will simply be discontinued and users will be left to fend for themselves.

3.     Are you properly marketing your practice?

Increase patients We recently wrote a very detailed article about “8 Quick Steps You Can Do Today to Set Your Healthcare Practice Up for Gigantic Success” that outlines some great ideas on how you generate huge interest from both patients and other doctors online.

Marketing has changed dramatically in the last few years, there are so many ways to capture the attention of potential patients that it takes some strategic planning to properly design an plan of action to follow that gets results.

How much should I allocate to my marketing budget?
I get this question a lot, there is no simple answer.  When working with different types of practices that have different goals it’s important to realize what you want to gain from marketing, is it 10 more patients a month, or is it 50? You need to know the exact number and determine how much added revenue those additions will bring in.

Once you know how many new patients you wish to add/month and what the revenue is worth to you, allocate at least 20 percent of that profit to your new campaign.  This will ensure that you will meet your goals if you follow the above article we provided.

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4.    How to increase staff morale?

How to increase staff moraleNo one enjoys constantly hiring new staff, and finding a front office administrator that will stick with you through thick and thin is very hard.  These jobs are typically low paying with little to no benefits, so how do you make it better so your staff will stick around and help you grow your practice?

Recommendation: Just like a start-up incentive program, I would recommend creating an employee profit sharing pool of 5 to 15 percent, so as the practice grows and expands, so do the employee shares.  This will create a sense of ownership and you and your patients will reap the rewards of better performance and care.

Another option is to create a monthly bonus program and ask your staff to participate in writing great articles for your website blog.  If the goal is achieved, everyone that wrote a blog will share in the bonus.

Please refer to the previous section for how to properly create a blog on your website.

5.    Hedging your practice against the unknown

best doctor investment opportunities With the threat of future Medicare payment rates being slashed, and a real ever-growing issue of uncertainty looming on the horizon.  It has never been more important to hedge your practice against the unknown.

There are a few different ways for doctors reduce their financial risk; mind you this is just one idea, not including the stock market, real estate etc.

One potential investment opportunity that is readily overlooked is investing in healthcare start-ups that you believe in, and would readily use their product or service. By investing in a company that you would actually use, you can fuel its growth by being an evangelist and spearhead the movement by helping to promote it to all your colleagues.

Not only will could you benefit potentially from the investment (10x to 100x returns or more) but also get a sense of pride of being a part of a company by giving great feedback to the start-up founders.

There are a few ways of going about getting involved, many hospitals that we have spoken to have their own Angel meetup groups that get together monthly and discuss investment opportunities. You can either create your own group, or join an angel group such as HealthTech Capital, or others in your local area.


One place to start is to visit
Angel.co, an online investment forum for early stage start-ups, great resource to checkout.  There are criteria that will need to be met before investing, so please consult your tax and legal advisors.

What are some other ways to improve your practice?

Please leave us a comment below and let us know what you have recently done to improve your organization.