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Welcome to our PhysicianTrends Blog.  We're here to talk about physicians and how they are changing in the midst of the most massive transformation in our healthcare system since Medicare.
Wednesday, 05 December 2012 13:18

Why Care About Patient Satisfaction

True or false: Patient satisfaction is determined by the skill level of the provider?  Unfortunately, the answer is false.  Research shows that overall patient satisfaction is mainly influenced by those infamous ‘soft skills’ that we in the corporate world consistently undervalue.

So which makes the top of the list in determining patient satisfaction?


•    Conversation/social skills of physicians and clinical staff
•    Demeanor of the front office staff
•    Office environment/appearance  

Take a hard look at your offices.  Are your patients waiting for considerable periods of time, only to encounter rushed and overworked staff?  Could your office décor, circa 1980, use a little refreshing?

Published in Practice Management

Every day we grow closer to the full implementation of the Patient Protection and Affordable Care Act (PPACA), which becomes fully enforcable by 2014. This is, conveniently, long after the general elections of 2012 and the politicians who brought this legislation on the American public are safely insulated from their votes on the bill by the short term memory of American voters.  However, the effects of the legislation are already taking its toll on the American public, their health care, and the economy in general.  I came across several articles recently, which highlight some of the concerns that the opponents of the PPACA have voiced over the past year, since its passage.

Published in Healthcare Reform
The Healthcare Reform Bill of 2010 may drastically alter the way that medicine is practiced in the future. For the new healthcare provider this uncertain future may seen daunting, but you should view this as a time for exploring new dimensions in healthcare. Now may the perfection time to incorporate complimentary and alternative healthcare techniques and providers into your practice.
Let’s start by defining terms, so everyone is clear on exactly what we are talking about.
Complimentary medicine are fields and techniques that add support to your primary practice of traditional medicine. These fields of healthcare include:
Osteopathic medicine – Utilizes manual joint manipulation to restore normal joint function to joints that have been injured, thus helping the healing process.
Physical Therapy – Is utilized to reduce swelling, increase blood flow to speed healing and teaching the patient exercises and stretches to regain strength to injured tissue.
Biofeedback therapy – A technique which uses EMG information that allows the patient to realize how they are responding to external stimuli. By teaching the patient techniques to control these responses, biofeedback attempts to minimize chronic physical and emotional conditions.
Therapeutic massage – Is aimed at increasing blood flow to promote healing, and the removal of scar tissue and other adhesions
Occupational therapy, Speech therapy, and other specialized therapies – All aimed at working with the patient to return them to their previous condition or to make adaptations to permanent conditions.
Alternative medicines are fields of healthcare that offer a completely different approach to that which is usually found in allopathic medicine.
Chiropractic – is a field of healthcare that operates under the theory that the body’s entire wellbeing is controlled by the nervous system. By removing neurological interference from the spinal column through manipulation, the body will heal itself.
Acupuncture – believes that diseases are caused by imbalances of energy (Chi or Qi) within the body. By restoring normal energy flows throughout the body will allow the patient to return to normal health.
Ayuvedic medicine – a system of medicine mainly practiced in India that believes that all healing comes from within. It uses herbs, massage, yoga, and prayer to assist the body in healing.
As a new healthcare provider, you may find it much easier to establish a rapport with complimentary medical practitioners because you will have much more common ground with these practitioners. Most complimentary medical providers are licensed as secondary providers, so they are used to working under the direction of you, the doctor, or your prescription guidelines. Incorporating these providers into your practice or alternatively, into a group practice where the patient can obtain all of these services in one building, will give you a tremendous advantage in attracting patients to your clinic.
In my practice we cut down on every practitioner’s overhead in several ways when we combined into one large space;
Reduced office staff – One receptionist scheduled patients for everyone, eliminating the need for each provider to have their own receptionist.
Reduced office space requirement – By sharing common areas, such as waiting rooms, lavatories, etc. the total amount of space required to operate each practice was reduced. We also shared rooms, by scheduling on opposite days or split day schedules. Depending on the total patient volume, your office space requirements may be as much as 50% less in a group practice, compared to separate offices for each provider.
Reduced support services required – Lower utilities, janitorial expenses, and maintenance requirements were all achieved by combing practices into one location.
One of the stated goals of the Healthcare Reform Bill is cut fraud and waste in the healthcare system. You can be way ahead of the government requirements by working with complimentary healthcare providers in one office setting. Not only will your office expenses be decreased; but by working closely with a number of complimentary providers you will able to closely monitor their treatment to ensure proper treatment for each patient, avoid duplicate treatment, and evaluate treatment being provided by each provider. You can be proactive in controlling costs, so that when the government reduces reimbursement to healthcare providers (And you can be sure that they will), you can withstand the impact of this reduction more readily.
Remember, we’re all in this together, and I’m pulling for you.
Submitted by Dr. DG Comfort, CO
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This entry was posted on Thursday, July 8th, 2010 and is filed under Healthcare Reform, Trends. You can follow any responses to this entry through RSS 2.0. You can leave a response, or trackback from your own site.
5 Comments
#1 by Linda Seim, DC on July 8th, 2010 
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I consider chiropractic to be complementary not alternative. We do not try to treat everything but commonly refer out conditions better treated allopathically. We have good rapport with many local MD’s who refer musculoskeletal problems to us and appreciate our referrals too. Unfortunately in Texas the TMA is trying to reduce us to alternative status and make it so that a patient will HAVE TO GET A REFFERAL in order to see a chiropractor. This is wrong! We have had portal of entry status for over one hundred years! The buzzword of “patient safety” is simply a smoke screen and an attempt (again) to eliminate the patient’s right to choose.
#2 by Donn T. Gurske, D.C. on July 10th, 2010 
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Your author’s bias is quite apparent. While he or she classifies osteopathy as complimentary medicine which the author states “is joint manipulation……..to help the healing process”. This definition is no different than what DD Palmer advocated in 1895. While AT Still felt manipulation would affect circulation and hense help in the healing process, DD Palmer felt the adjustment of spinal joints would affect CNS and PNS function to help aid in the normal healing process. The only difference here is the theory of the effects of movement of joints on the function of the body. Chiropractic is indeed complimentary to other forms of health care, not an alternative. In addition, despite what the author implies that complimentary providers would be “easier” to work with, the opposite is quite true with respect to chiropractors. With eight years of education and skills to differentiate disease conditions, the chiropractor can be a great ally of the medical practitioner. We see this all the time. Our successes many times have been based on missed diagnosis with inappropriate treatment by other practitioners. If indeed M.D.’s are truely interested in helping their patient population they would make a chiropractor an integral part of their referral base. And like any referral, you referr that patient based on the knowledge that the doctor or healthcare provider will do no harm.
#3 by Wayne Press, DC, DABCO on July 10th, 2010 
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The Chiropractic profession (Established 115 years ago) is federally regulated and individually regulated by state licensing boards for all Doctors of Chiropractic (DC). The American Chiropractic Association (ACA) is the largest member affiliated association of practicing DCs. Over 30,000,000 Americans each week visit their Chiropractor for varying conditions, injuries and ailments. Many Hospitals and Medical Groups have DCs on staff. A multitude of evidenced based outcome studies, research published in peer reviewed journals, double blind studies, and national surveys strongly suggest that Chiropractic health care procedures and modalities are safe, with high patient satisfaction rates and outcome effectiveness. Question: Is the profession of Chiropractic part of Health Care Reform? The answer: Yes. Chiropractic has continued and shall continue to reform the concept of health care for every American. 
Wayne Press, DC, DABCO
Diplomate, American Board of Chiropractic Orthopedists
#4 by Sherry L. Krueger on July 28th, 2010 
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This might be interesting for all the comment submitters to know: This blog was actually submitted to us by a doctor and the doctors specialty is actually Chiropractic. 
If you have a blog or article you would like us to post please email me directly at This e-mail address is being protected from spambots. You need JavaScript enabled to view it 
Sherry L. Krueger
http://www.hna-net.com
#5 by Grant Shapiro, DC on July 29th, 2010 
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In my opinion, it looks like the author separated us DCs into “alternative” to serve as a distinction to DOs and/or PTs. I too believe this is quite wrong, based on philosophy or “approach”. This DC did not do us any favors!
Published in Healthcare Reform

In these busy times, it’s no surprise that the patient-doctor relationship has eroded. Increased productivity requirements have shortened the amount of time you have to spend with each patient so many physicians are opting to communicate with patients via email.

Published in Business Trends

Last week, we talked about the gradual decline of the patient-physician relationship and how email is becoming increasingly popular in filling the communication gap.

The plethora of social networking options have also created new avenues for communication and marketing but you would be wise to weigh the pros and cons before diving in. Let’s focus on the largest and most well known social networking site: Facebook.

Published in Business Trends
Thursday, 05 August 2010 13:02

Ramping up Slow Time

Depending on your specialty, there are times during the year when you’ll inevitably experience a decrease in business. It’s normal to experience the annual ebb and flow of patients but you may be experiencing slower times than usual given the economy.

You can certainly augment your marketing efforts through emails or newsletters and you can send out reminder postcards to be sure that you’re capturing annual visits. These can both be effective for increasing your daily patient count but let’s talk about a way to be more proactive without investing any money and that’s through maximizing your current patients.

Published in Business Trends
Friday, 11 June 2010 00:00

Healthcare - Awash in Regulation

An HNA interview with Michael Manere, founder and VP of Total Compliance Solutions

To provide it’s members with the latest information on compliance in the medical practice, HNA interviewed known compliance expert, Michael Manere, VP and founder of Total Compliance Solutions, Inc. Mr. Manere has been at the forefront of the movement to outsource physician’s office regulatory compliance.

Published in Regulatory Compliance

I met with a physician last week who was describing his substantial loss of money in his practice and investments over the last two years. As any prudent person would say, he commented, “And, I have had to cut back my promotional budget significantly.” I replied, “That’s the exact opposite of what you should be doing.” Follow my logic. If promoting your practice is the primary way that you grow, how could you expect to grow if you don’t promote your practice?

Granted, things are very scary out there. It is not business as usual. There is a “new normal” but nobody knows what it is. Every time I watch an economic commentary I want to cash it in! What is the natural inclination of people when they get scared? Most hunker down, close ranks, close in, get conservative. In my opinion, just the opposite of what you should be doing.

Now is the time for you to get creative, to get focused and figure out where to target your dollars. Most practices get lazy when times are good. Figure out what made you successful to begin with and do more of it now. Perhaps times have changed in such a way that the old way doesn’t work anymore. Look to new models of exposure like online practice promotion. Whatever you do, don’t do less of the things that will grow your practice.

 

Published in Practice Management
Tuesday, 04 January 2011 00:00

What Is All This Talk About Laser Therapy?

The laser (Light Amplified Stimulated Emission of Radiation) recently had its 50th birthday. As an interesting historical twist, this technology was first called Light Oscillated Stimulated Emission of Radiation or “Loser”. This was never going to work, so the name was quickly changed to Laser. It’s a good thing, because Laser Therapy is a winner! I can tell you from personal clinical experience. Over two years I have had the opportunity to treat dozens of different conditions with Laser Therapy with remarkable success.

Published in Cash Medicine
Tuesday, 25 January 2011 00:00

Are You a Physician or a Doctor?

Semantics?  Or is there a tangible difference between the two words and professions?

The dictionary claims that there is difference between the two words, then later says that the two are interchangeable, at least in the US.  So which one are you?

A physician (technically speaking) is a person skilled or involved with ‘physic’.  Physic is an old French word for ‘art of healing’ or’ natural science’.  The suffix ‘ician also from the old French and refers to the person skilled in a profession, and now refers to an occupation.  Therefore a ‘Physician’ is a person skilled in the occupation of healing or natural science.  Does this describe you?

Published in Trends