Staying Independent...Together

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   RE: Work flow advice
 From: Michael Safran
 To: Member Forum
 Posted: 10-07-2017 10:48
 Message: Tracy,

I stopped drawing blood years ago.    Two main reasons:

Much more efficient for our office flow to have patients go to the two national labs in the community within 2 miles of my office.

More importantly - Patients have learned to do blood work prior to their visits and I have results available for discussion.   I think patients appreciate it also.   Much more efficient, less follow up phone calls, email discussions, etc.   I give them lab slip, if needed, for next visit visit when current visit is done.   It works very smoothly.

If they need acute labs to complete assessment during a visit, they just go down the street.

Of course, we do send out cultures, paps, etc.

Only labs done in office are those I get results myself - U/A, micro, Strep, INR, very rare glucose.

Michael S. MD
Original Message:
Sent: 10-06-2017 12:46
From: Jean Antonucci
Subject: Work flow advice

Hi Tracey
 not enough information to help you
-Lots of  people - mostly part time
- Why a biller if have a practice manager?
- a few ideas- patients can do their own bp and wt at a station  in hall or wait room

-You could take hx with instant medical histry
 for both of these you could have an i pad the receptionist gives out and they input it themselves

 Drawing bood yourself would seem to slow lots of things down- cross train the receptinsit

RNs are very expensive
 await more info

Jean Antonucci

Original Message:
Sent: 10-05-2017 14:02
From: Tracy Baum
Subject: Work flow advice

Looking for tips and advice on how you handle work flow in a small office. I have a small family practice clinic, my husband is the business manager, we have a FT receptionist, a PT book keeper (6 hrs per week) and a PT RN to help with CCM and a few other things (5-6 hrs per week). My issue is I see pts, draw blood, and take care of all the data input for each visit. I admit, I have this dislike of leaving people sitting waiting for me and thus will complete only the essential things from the previous visit before seeing the next pt. This leaves me a lot of charts to finish either at the end of the day, or worse yet, over the weekend. Any thoughts would be really appreciated. I'm 2 years into this adventure and the thought of working 7 days a week indefinitely is not very appealing. I know there must be some things to delegate some of this to the staff (the receptionist is just 2 weeks with us and learning very quickly, but certainly not seasoned.)

Tracy Baum
Mountain Sage Family Clinic
Dubois, WY

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