Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 241
“PI 101...Building It From Scratch”
This week I did something unusual for me. I accepted a consulting project for an office that has a large mental health component and a small medical component with a part-time physical therapist who works 2 days a week. The request was for me to create a chiropractic presence by putting in a DC and concomitantly build a personal injury practice for the entity. This is unusual for me as I have turned down countless consulting offers in the past because they are time intensive and don't allow me to work on all of your offices at once, rather 1 office for the day I am there...but...it is time to learn more and I need a test lab. This is the perfect scenario for me to learn and share. I am going to keep you abreast of all of the actions that I am taking so that you may both learn from them and duplicate them to add to the success of your clinic.
The first thing I did yesterday was to take inventory of the office's systems and paperwork. What did I find? No HIPPA manual, no staff office policy, no confidentiality agreement for the staff, no "macros fee slips" for the treating staff, and no controls to ensure repeat visits (45% "show-up rate"). There were also poorly designed diagnostic sheets, SOAP notes, evaluations and re-evaluations that would be the perfect samples for what "not to do" and causes for instant licensure infractions.
I spent the first 5 hours, yesterday, learning and the next 3 instituting HIPPA plans, confidentiality agreements and office policies. I started on the evaluations for the providers, which I will finish today, and had the front desk staff start to collect e-mail addresses from the entire patient population. Before I can even consider having a DC hired, the basic infrastructure needs to be set up to ensure compliance with the current providers. What good is adding more to crap? It would only be a short amount of time until the whole practice toppled by adding more to a dysfunctional environment.The next step is to put all of those systems in place and get to 100% compliance. Then we can start building.
We will be putting e-mails and then postcards to use for marketing the existing patients in this 10-year-old "mental health" focused practice. We will work both to build a personal injury practice from within and then reach out to the legal community. More to come in the next few days on this project as I will keep you posted regularly.