Practice Management

Goals and Objectives

  • Explore the business aspects of a medical practice

  • Understand the legal and regulatory climate impacting medical practice

  • Review the economic, political and global pressures on current medical practice

  • Develop the knowledge, attitudes and skills to transition successfully from residency to a leadership role in family medicine

AAFP Practice Management Objectives

Selecting a Practice

Cognitive Skills

  • List different types of practice configurations

  • Describe the advantages and disadvantages of each

  • Describe the major factors to consider when choosing a practice location

  • List the sources of information about available practices and desirable locations

  • Describe different types of employer contracts and list the important elements of each type

Procedural Skills

  • Write or revise a curriculum vitae (C.V.)

  • Successfully participate in one or more employment interviews

  • Develop a rating system to use in selecting a practice configuration and location

  • Use information on available practices to further investigate potential future practices

Human Resources

Cognitive Skills

  • Discuss approaches to manage staff problems

  • Determine the appropriate staff for a family practice office

  • Outline termination procedures

  • Describe how to find prospective staff and conduct a new employee interview

  • Determine the appropriate salary and benefit package for each employee

  • Describe how to conduct an employee performance appraisal

Practice Operations

Cognitive Skills

  • Describe how to develop a policies and procedure manual

  • List ways to manage phone calls, referrals, and vendors

  • Outline possible procedures for patient scheduling, appointment check-in and flow

Office Business Management

Cognitive Skills

  • Describe the government requirements and regulations for operating a medical practice

  • List various billing methods and the major advantages and disadvantages of each

  • Define accounts receivable, accounts payable, general ledger and the importance of each to practice operations

Procedural Skills

  • Outline the steps of the billing and collections processes

  • Determine practice performance based on reports from the billing systems

Medical Records

Cognitive Skills

  • List the major advantages and disadvantages of paper versus electronic based medical records

  • Define the purpose and importance of medical records

  • List the elements of the medical record

Medical Legal Issues

Cognitive Skills

  • Discuss personal and professional liability policies

  • Define Malpractice and the procedures to follow if sued

  • Discuss risk management for informed consent, treatment of minors, record documentation, dissatisfied patients, unexpected adverse patient outcomes

Hospital Issues

Cognitive Skills

  • Relate how and when to apply for hospital privileges

  • Discuss various levels of staff appointment

  • Diagram typical hospital organization

  • Outline major components of a hospitals medical staff bylaws, rules and regulations

Health Care Financing

Cognitive Skills

  • List the major types of health care financing: HMO, capital, fee for service, third party payer, government financed

  • Discuss the advantages and limitations of each type of financing

  • Discuss the current crisis in health care financing and possible solutions

Marketing

Cognitive Skills

  • Define the concepts of medical marketing and the ethical implications

Procedural Skills

  • Design a patient satisfaction survey and develop a marketing plan based on the results of the survey

Computer Systems

Cognitive Skills

  • Describe the process used to select an office computer system

  • Review the issues involved in implementing a computer system

  • Discuss computer applications in a family practice office

Personal Financial Planning

Cognitive Skills

  • Describe different types of retirement plans and the major advantages and the disadvantages of each

  • Define investment risk and lit the major investment vehicles categorized by level of risk

  • Describe the various types of life and disability insurance

Procedural Skills

  • Develop a plan for educational loan repayment

  • Prepare a personal statement of net financial worth

  • Prepare a monthly and annual budget