Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 241

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

“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.

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