Guest guest Posted August 3, 2008 Report Share Posted August 3, 2008 If you google " personal alarms " , or medical alert, you can find a braclet or necklace the base station of which connects to phone line and dials 911 or ANY number you program, and plays a pre-recorded message, giving your address etc. Designed for elderly pts living alone who might fall, but would suit your needs it seems. No monthly charge for those systems that just connect to your phone line. > > > > > > I had found them on the Internet. Turns out the security company supplies > it. > > > > > From: <jnantonucci@ gmail.com> > Subject: [Practiceimprovemen t1] three yr report > To: practiceimprovement 1yahoogroups (DOT) com > Date: Thursday, July 31, 2008, 8:54 AM > > > > I may do these yearly reports forever.... > > Have been open just over three years Have only recently signed on to my > second commercial insurance(or I think I have, it is complicated) > > broke even at 2-3 weeks > began to feed self around 6 months > Things were tight for a long time and while > I still sorta live from paycheck to paycheck I live BETTER from > paycheck to paycheck > Actually I have saved money a few times this year I do fear for my car at > 268,000 miles and the house should be painted and I need a new furnace but I > think I c an work all that out and there is some hope we can take a warm > winter vacation this year not having done so for a while > Last summer I did nothing all day it seemed Things were dead I was very > worried This summer much different so I conclude, given that I have to > monitor which insurers I take--I cannot just FILL like a hospital practice > becasue they take all comers and get subsidized by orhto etc, probably that > comment about 2-5 yrs to maturity is dead on. > I am not in a dead zone but I am in an ill zone. > Fortunately housing here is affordable and so is malpractice moslty. > > I still haven no employees and run exactly the same arrangement as when I > opened- outsource billing ,simple phone, all in one, cellphone ,answering > machine, lap top only that I take home on weekends > > Lessons learned /things changed-- I no longer order immunizations form the > state I get them transferred from t he pediatric practice which prevents > waste not much other didfference ,but I was wasting so many it was stupid > > > > had to move a year ago very hard to find space but otherwise no big deal > to move-- becasue uh I did not actually change addresses .Small town .I > moved to a different building in t he office park. I had been 105 mt blue > circle and shared the building so the post office said I could be suite 2 > there. When I moved to 115 mt blue circle also sharing a previously > unshared, building well I called up the post office and we made another > suite 2 , dissolving the first, using the same mailbox out on a post and > I put a differnt sticky number on it > > Had to get a new lap top last fall that was one of the most painful things > I have ever done BEcasue i did not know what I was doing and lost a few > notes So now I know alot more about wher e my data is and stuff THough I > would not wan tto do it again soon.... > > Still do some outside work for which I am very grateful.Teaching at the > resdiency precepting irregulalry is tres useful -I get socialization, CME , > lunch, contributions to a SEP IRA and they have had me back now for a > second year to teach part of practice management which lets me prosletyze > about iMPS and becasue of which two 3 rd yr res cam to see my office last yr > and both came to CAMp so I hope they go on to do well > > advice/ recommendations: > be cheap! > ask someone on t he l ist serv if you need help. the variety of > situations we encounter and the willingness to share is rich and varied > > > > Hospital colleagues have no idea what I do and have shown no interest. > When the hospital's PA teaches Tai chi locally and is in t he paper or > some xray tech gets certified in something it goes on the bulletin board > When I am in t he paper or publish or in medical economics-not. > > oh and vacations The most I have been away is a week. I just take the > cellphone and or call my machine twice a d ay-having left the message I will > . If someone need to be seen I scrounge around and find someone- so far ha > s been workable If I can afford three weeks in Paris I will let you know > what I come up with > > would I go back to a " job? " nope > > Do I do a good job? > Hope so HYH numbers pretty good -can improve. > LAst summer had a clot of people leave mostly the unhappy " Searchers " > always looking > Two have come back > one I still get the notes for form specialist and she is on no different > treatment that I had given. > One I see has her home up for sale so has left the area > I get new patient requests more now that a year ago and actually am probably > closed or closing > I admit I now cherry pick But not on the basis of money necessarily . I > saw a new 10 yr old two days ago on mediciad because I see her parents and > I want kids.( in the practice. Wouldn't want the noisy little things to > come home with me) > I turned down a guy with good insurance becasue it was back pain and I was > busy. > I turned down a family of 4 dual eligbles-all 4- because I thought I could > not stand it emotionally the day they called. > I took an insurance well woman because I see grandmother etc PIcking and > choosing case by case is likely how I will slow to a crawl > > How much do I make? > Less than Lou Spikol . > > > Hope any of this helps other wise how fun I got to type.My favorite thing. > > > overhead about 35% > malpractice about 8,000 > > space about 125 sq ft > rent about 537.00 a month > > registered patients ?who knows? the number is 758 but many were skilled > nursing home patients who rehab'd and went home that work is minimal now > due to difficult changes at the nursing home > > Like to see genreally up to 8-10 a day but not quite every day still yet > > business model is solid and has held up when like yesterday i saw 9 > people only 1 wiih medicaid, i do very well thank you. The model says if I > fill every day with the right mix I can make about 107,000 > > EMR-Have welford chart notes outsource billing 8% > Jean > > > > > > > > > > -- > If you are a patient please allow up to 12 hours for a reply by email/ > please note the new email address. > Remember that e-mail may not be entirely secure/ > MD > > > ph fax > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2008 Report Share Posted August 4, 2008 im wondering if phone systems need to be expanded as a the practice grows. what is required as one gets started? i feel more conifdent having at least a couple of landlines but is this necesary? any information on phone 'systems' and integration into AC is appreciated --thanks Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2008 Report Share Posted August 4, 2008 I started out with 4 lines: main line, second (rolls over to main), one for fax/credit card machine and a fourth (my own "doctor line"). Way too much, I found, and a waste of money. I dropped the fourth line after a few months and now I'm trying to get all my faxes coming in via onebox so I can drop the second and third lines. One would have been just fine starting out. We really only needed one incoming line, not two: when receptionist was on the first line, she couldn't get the second line anyway so why bother. Start minimal and you can add as you go. Only exception would be new construction: build in wiring for multiple lines and hook up later. Gretchen Reis MD Circleville, OH Re: three yr report im wondering if phone systems need to be expanded as a the practice grows. what is required as one gets started? i feel more conifdent having at least a couple of landlines but is this necesary? any information on phone 'systems' and integration into AC is appreciated --thanks Mike Quote Link to comment Share on other sites More sharing options...
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