Suite Lessons: Pointers for Private Practitioners

2018 ◽  
Author(s):  
Robert D. Friedberg ◽  
Micaela A. Thordarson
Keyword(s):  
Health Care Providers ◽  
Private Practice ◽  
Professional Organizations ◽  
Marketing Plan ◽  
Small Business Owners ◽  
Care Providers ◽  
Private Practitioners ◽  
Child Psychologist ◽  
Evidence Based Care ◽  
Clear Objective

Electing to enter private practice as a clinical child psychologist poses a variety of unique challenges. Private practice clinicians (PPCs) are mental health care providers as well as small business owners and must thus cultivate success in both roles in order to remain relevant. In a saturated marketplace, PPCs must distinguish themselves. Clinically, PPCs who deliver evidence-based care and who monitor progress with clear, objective measures are able to gain a competitive marketplace edge. Membership in professional organizations provides easy connections to cutting edge research as well as a broad referral network. Diversification of revenue streams allows PPCs flexibility in practice and affords increased financial security. Establishing a marketing plan sets up PPCs for success and creates an explicit framework from which to launch business efforts. Although it stretches PPCs’ comfort zones, clinicians are compelled to become business savvy in order to thrive.

Developing a Business Plan

2017 ◽  
pp. 117-132
Author(s):  
Jesse Fairchild
Keyword(s):  
Real World ◽  
Private Practice ◽  
Mission Statement ◽  
Business Plan ◽  
Building Blocks ◽  
Marketing Plan ◽  
Private Practitioners ◽  
Financial Plan ◽  
Operational Plan ◽  
Valuable Role

To be successful, private practitioners must take a thoughtful approach to establishing and running their business. This chapter explains the valuable role that a well-thought-out business plan can play in a private practice. It outlines the elements of a business plan for a private practice and explains how thoughtful consideration of each can affect the viability and success of the business. The author discusses the importance of setting goals and using one’s guiding principles, vision statement, and mission statement when preparing all aspects of the business plan. This chapter reviews the basics of a business plan, including a marketing plan, an operational plan, and a financial plan, and provides real-world examples for developing each of these organizational building blocks.

scholarly journals Impact of Treatments on the Family of Breast, Prostate, Colon and Lung Cancer Patients

2017 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Philippe Groux ◽  
Sandro Anchisi ◽  
Thomas Szucs
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Cancer Treatment ◽  
Health Care Providers ◽  
Private Practice ◽  
Cancer Type ◽  
Care Providers ◽  
Cancer Treatments ◽  
Lung Cancer Patients ◽  
The Family

Objective: Many patients describe travel to cancer treatment as inconvenient and a practical hardship and it may be perceived or experienced as a barrier to treatment. We investigated which impact cancer treatments has on the family of the patients, especially for the most frequent cancer type prostate, breast, colon and lung cancer.The aim was to identify groups of patients with an increased burden for the family.Method: All patients coming in February 2012 for chemotherapy to one of the four centres of the hospital or to the unique private practice were asked to answer a survey. The questionnaire covered items as gender, date of birth, living place, kind of cancer, kind of treatment and questions covering different aspects of the travel: how the patient travelled to the centre, how long the travel lasted, which kind of support was necessary to travel and who provided this support, whether the accompanying person had to absent herself from her workplace, whether the patient lives alone or not and how many journeys to health care providers the patients had in the last month were included in the analysisResults: 298 patients answered to all required questions (73%). 186 came accompanied, a vast majority by a member of the family and one out of four of the accompanying person had to leave the workplace. Help at home is almost exclusively provided by family members. Patients have several journeys to health care providers per month.Conclusions: The type of cancer has an impact on the support needed and must added to the previously published factors as age, gender and distance. The journey to the cancer treatment is not the unique journey to health care providers the patients have and increase the burden for the patient and the family.

scholarly journals Evidence-based care in high- and low-risk groups following whiplash injury: a multi-centre inception cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexandra Griffin ◽  
Jagnoor Jagnoor ◽  
Mohit Arora ◽  
Ian D. Cameron ◽  
Annette Kifley ◽  
...  
Keyword(s):  
Therapeutic Relationship ◽  
Health Care Providers ◽  
Neck Disability Index ◽  
Risk Groups ◽  
Risk Identification ◽  
Baseline Risk ◽  
Evidence Based ◽  
Care Providers ◽  
Post Injury ◽  
Evidence Based Care

Abstract Background Studies aimed at improving the provision of evidence-based care (EBC) for the management of acute whiplash injuries have been largely successful. However, whether EBC is broadly provided and whether delivery of EBC varies based on risk of non-recovery, is uncertain. Receiving EBC should improve recovery, though this relationship has yet to be established. Further, mitigating the effect of EBC is the relationship with the practitioner, a phenomenon poorly understood in WAD. This study aimed to determine the proportion of individuals with whiplash, at differing baseline risk levels, receiving EBC. This study also aimed to determine whether receiving EBC and the therapeutic relationship were associated with recovery at 3 months post injury. Methods Participants with acute whiplash were recruited from public hospital emergency departments, private physiotherapy practices, and State Insurance Regulatory Authority (SIRA) databases. Participants completed questionnaires at baseline (demographics, risk of non-recovery) and 3-months (treatment received, risk identification, therapeutic relationship) post injury. Primary health care providers (HCPs) treating these participants also completed questionnaires at 3-months. Recovery was defined as neck disability index ≤4/50 and global perceived effect of ≥4/5. Results Two-hundred and twenty-eight people with acute whiplash, and 53 primary care practitioners were recruited. The majority of the cohort reported receiving EBC, with correct application of the Canadian C-spine rule (74%), and provision of active treatments (e.g. 89% receiving advice) high. Non-recommended (passive) treatments were also received by a large proportion of the cohort (e.g. 50% receiving massage). The therapeutic relationship was associated with higher odds of recovery, which was potentially clinically significant (OR 1.34, 95% CI 1.18–1.62). EBC was not significantly associated with recovery. Conclusions Guideline-based knowledge and practice has largely been retained from previous implementation strategies. However, recommendations for routine risk identification and tailored management, and reduction in the provision of passive treatment have not. The therapeutic relationship was identified as one of several important predictors of recovery, suggesting that clinicians must develop rapport and understanding with their patients to improve the likelihood of recovery.

Disaster Documentation for the Clinician

2013 ◽  
Vol 7 (4) ◽  
pp. 354-360 ◽  
Author(s):  
Richard M. Zoraster ◽  
Christopher M. Burkle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Professional Organizations ◽  
Medical Decision ◽  
Regulatory Agencies ◽  
Care Practice ◽  
Care Providers ◽  
Health Care Practice ◽  
Specific Patient ◽  
Resource Limitations

AbstractDocumentation of the patient encounter is a traditional component of health care practice, a requirement of various regulatory agencies and hospital oversight committees, and a necessity for reimbursement. A disaster may create unexpected challenges to documentation. If patient volume and acuity overwhelm health care providers, what is the acceptable appropriate documentation? If alterations in scope of practice and environmental or resource limitations occur, to what degree should this be documented? The conflicts arising from allocation of limited resources create unfamiliar situations in which patient competition becomes a component of the medical decision making; should that be documented, and, if so, how?In addition to these challenges, ever-present liability worries are compounded by controversies over the standards to which health care providers will be held. Little guidance is available on how or what to document. We conducted a search of the literature and found no appropriate references for disaster documentation, and no guidelines from professional organizations. We review here the challenges affecting documentation during disasters and provide a rationale for specific patient care documentation that avoids regulatory and legal pitfalls. (Disaster Med Public Health Preparedness. 2013;0:1–7)

scholarly journals Perceptions of Febrile Illness among Local People Living in Malaria Endemic villages in Central Hill Region of Nepal

2012 ◽  
Vol 5 ◽  
pp. 121-142
Author(s):  
C B Budhathoki
Keyword(s):  
Health Care Providers ◽  
Febrile Illness ◽  
Traditional Healers ◽  
Local People ◽  
Physical Work ◽  
Local Health ◽  
Care Providers ◽  
Private Practitioners ◽  
Hill Region ◽  
Heavy Physical Work

Objective of this paper is to explore the perceptions of febrile illness among people living in malaria endemic areas of hill region. Qualitative data were collected from malaria endemic villages in Mahadevesthan VDC of Kavrepalanchok district through in-depth interviews and focus group discussions. Local people perceive febrile illnesses as common health problem. They classified febrile illnesses into sardi ko jwaro, dokh, lagu/laganiko jwaro and aulo jwaro. Fever occurring after engaging in heavy physical work is described as dagdi. Severe and complicated form of fever is interpreted as dokh in cultural meaning and typhoid as biomedical concept. Febrile illness which does not respond to biomedicine, but it is relieved by traditional ritual healing is labeled as lagani ko jwaro. Malaria fever is locally known as aul or aulo jwaro. People often avoid certain food such as sour curd, meat, egg, oily and spicy food during fever to prevent it from resulting in dokh (complicated fever). Herbal home remedy is rarely used in febrile illness. Now a day, local people interpret dokh as typhoid and aulo as malaria fever and seek medical treatment from local health institutions and private practitioners. Local perceptions of febrile illnesses such as dokh and aulo overlap with the biomedical concepts of typhoid and malaria fever due to interaction with both traditional healers and health care providers. DOI: http://dx.doi.org/10.3126/dsaj.v5i0.6359 Dhaulagiri Journal of Sociology and Anthropology Vol. 5, 2011: 121-42 

Promoting Women’s Participation in Maternity Care in Lebanon

2015 ◽  
Vol 5 (3) ◽  
pp. 166-176 ◽  
Author(s):  
Tamar Kabakian-Khasholian ◽  
Rawan Shayboub ◽  
Mona Kanaan ◽  
Ziyad Mahfoud ◽  
Faysal El Kak
Keyword(s):  
Best Practices ◽  
Communication Skills ◽  
Health Care Providers ◽  
Maternity Care ◽  
Controlled Trial ◽  
Effective Communication ◽  
Evidence Based ◽  
Care Providers ◽  
Cluster Randomized ◽  
Evidence Based Care

This study examined the effect of providing evidence-based information to women and enabling them to use effective communication skills on requesting changes in maternity care. A cluster randomized controlled trial was conducted where pregnant women, from 65 private obstetric clinics, were recruited from 2 regions in Lebanon. The intervention consisted of 2 prenatal sessions on evidence-based care and effective communication skills. Women in the intervention arm were more likely to request not to have an enema (odds ratio [OR] = 5.57; confidence interval [CI] = 2.44–12.71), to request keeping their infants for prolonged time in their room (OR= 2.1; CI = 1.43–3.09), and to actually being able to keep their infants in their rooms for longer periods (OR= 2.39; CI = 1.13–5.04), compared to women in the control arm. Knowledge on best practices was significantly improved. Informing women about best practices and enhancing communication skills with providers of care can facilitate change in the provision of health services. More consideration needs to be given to the commitment of health care providers and senior staff within hospitals to ensure the scaling up of such interventions.

Standards for mobile health-related apps (Preprint)

2018 ◽  
Author(s):  
Jordi Miró ◽  
Pere Llorens-Vernet
Keyword(s):  
Systematic Review ◽  
Health Care Providers ◽  
Mobile Health ◽  
Medical Devices ◽  
Professional Organizations ◽  
Care Providers ◽  
Health Apps ◽  
Health Related ◽  
Mobile Health Apps ◽  
Specific Regulation

BACKGROUND In recent years, the considerable increase in the number of mobile health apps has made healthcare more accessible and affordable for all. However, the exponential growth in mHealth solutions has occurred with almost no control or regulation of any kind. Despite some recent initiatives, there is still no specific regulation procedure, accreditation system or standards to help the development of the apps, mitigate risks or guarantee quality. OBJECTIVE The main aim of this study is to provide a set of standards for mobile health-related apps on the basis of what is available from guidelines, frameworks, and standards in the field of health app development. METHODS To identify the most important criteria, we used three strategies. First, we conducted a systematic review of all the studies published on health-related apps. Second, we searched for health-app recommendations on the websites of professional organizations. Finally, we looked for standards governing the development of software for medical devices on the specialized webs of regulatory organizations. Then, we compiled the criteria we had identified and determined which of them could be regarded as essential, recommendable or desirable. RESULTS We identified a total of 168 criteria from the systematic review, 282 criteria from published guidelines, and 53 criteria from the standards of medical devices. These criteria were then grouped and subsumed under 8 categories, which included 36 important criteria for health apps. Of these 7 were considered to be essential, 18 recommendable, and 11 desirable. The more essential criteria an mHealth application has, the greater its quality. CONCLUSIONS This set of standards can be easily used by health care providers, developers, patients and other stakeholders, both to guide the development of mHealth related apps and to measure the quality of an mHealth app.

scholarly journals You Don't Have to Be Infected to Suffer: COVID-19 and Racial Disparities in Severe Maternal Morbidity and Mortality

2020 ◽  
Vol 37 (10) ◽  
pp. 1052-1054 ◽  
Author(s):  
Howard Minkoff
Keyword(s):  
Health Care Providers ◽  
Professional Organizations ◽  
Care Providers ◽  
Advocacy Groups ◽  
Minority Communities ◽  
Community Based ◽  
Legal Professionals ◽  
Community Based Organizations ◽  
Key Points ◽  
Maternal Morbidity And Mortality

Both coronavirus disease 2019 (COVID-19) and maternal mortality disproportionately affect minorities. However, direct viral infection is not the only way that the former can affect the latter. Most adverse maternal events that end in hospitals have their genesis upstream in communities. Hospitals often represent a last opportunity to reverse a process that begins at a remove in space and time. The COVID-19 pandemic did not create these upstream injuries, but it has brought them to national attention, exacerbated them, and highlighted the need for health care providers to move out of the footprint of their institutions. The breach between community events that seed morbidity and hospitals that attempt rescues has grown in recent years, as the gap between rich and poor has grown and as maternity services in minority communities have closed. COVID-19 has become yet another barrier. For example, professional organizations have recommended a reduced number of prenatal visits, and the platforms hospitals use to substitute for some of these visits are not helpful to people who either lack the technology or the safe space in which to have confidential conversations with providers. Despite these challenges, there are opportunities for departments of obstetrics and gynecology. Community-based organizations including legal professionals, health-home coordinators, and advocacy groups, surround almost every hospital, and can be willing partners with interested departments. COVID-19 has made it clearer than ever that it is time to step out of the footprint of our institutions, and to recognize that the need to find upstream opportunities to prevent downstream tragedies. Key Points

scholarly journals Current Procedural Terminology Coding for Surgical Pathology: A Review and One Academic Center's Experience With Pathologist-Verified Coding

2018 ◽  
Vol 142 (12) ◽  
pp. 1524-1532
Author(s):  
Audrey Deeken-Draisey ◽  
Allison Ritchie ◽  
Guang-Yu Yang ◽  
Margaret Quinn ◽  
Linda M. Ernst ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
English Language ◽  
Surgical Pathology ◽  
Third Party ◽  
Professional Organizations ◽  
Quality Data ◽  
Coding System ◽  
Care Providers ◽  
Current Procedural Terminology

Context.— The Current Procedural Terminology (CPT) system is a standardized numerical coding system for reporting medical procedures and services, and is the basis for reimbursement of health care providers by Medicare and other third-party payers. Accurate CPT coding is therefore crucial for appropriate compensation as well as for compliance with Medicare policies, and erroneous coding may result in loss of revenues and/or significant monetary penalties for a hospital or practice. Objective.— To provide a review of the history, current state, and basic principles of CPT coding, in particular as it applies to the practice of surgical pathology, and to present our experience with initiating a new system of pathologist involvement in the review and verification of CPT codes, including the most common codes that require modification in our practice at the time of sign-out or post–sign-out auditing. Data Sources.— Review of English language literature, published CPT resources from the American Medical Association and other professional organizations, and billing quality data from a single institution. Conclusions.— Although the appropriate extent of physician involvement in CPT coding is a matter of some debate, a multidisciplinary approach involving both health care providers and professional coders appears to be the best way to achieve accuracy.

Sustaining Self-Management in Diabetes Mellitus

2014 ◽  
Vol 20 (4) ◽  
pp. 234-241
Author(s):  
Fay Mitchell-Brown
Keyword(s):  
Behavior Change ◽  
Health Care Providers ◽  
Diabetes Management ◽  
Ecological Model ◽  
Quality Care ◽  
Self Management ◽  
Care Providers ◽  
Successful Management ◽  
Evidence Based Care ◽  
Management Behaviors

Successful management of diabetes depends on the individual’s ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients’ clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.

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