- Email: [email protected]
Establishing a cosmetic facial surgery practice: Hospital credentialing, office modification and marketing
Practice Management Clinics
and methods. There are financial and non-financial matterswhich mustbe broughttogether. AlI mattersandpointswill be presentedand discussed so that each participant will know and understand exactly ,what he or she requires and .needs to do in analyzingandappraisinganoral & maxillofacialsurgical practice.There will be a practicalcasestudy. References Pollock, S.L.: Determining the Value of Your Practice. AAOMS Practice Management Notes, March 1990
What can’t you ask? What are the consequencesof terminating this employee?What are the consequences of terminatistg the patient/doctor relationship? With today’s litigation explosion,the wrong decision or responsecanbe catastrophic. This PMC will focuson legal andmanagementconsiderations from three synergisticviewpoints: oral and maxillofacial surgeon,attorney,and o&x administrator. It will bring you up to dateon the law in many areas of your practice and will key in on preventivemanagement techniquesandprocedures.
AmericanDental Association,Councilon Den@ pactice: Successful Valuation of a Dental Practice,~012. Chicago, Ii ADA Publication, 1989 Miles, R.C.: Basic Business Appraisal. New York, NY, John Wiley & Sons, 1984
PMC 173 SW fbt a Mom Rewardingand Risk-Free PnrctiGe J. David Allen, DDS, Decatur,GA This PMC outlines how the private practitioner can providea better serviceto his patientsand improveboth his/hercompensationandpatient management. This eanall be accomplishedwhile at the sametime practicing in a defensiveand a relatively risk-free environment. Hopefully, many ideas that have proven successful over the presenter’slast fifteen yearswill benefit both the solo and the large grouppractice.Subjectsthat are covered include computerization, compensation and control of your practice. Unique adviceon partnership arrangements,marketing, hospital relations and common pitfalls that ean damageyour practiceare covered.
PIblC 174 Pmmative-Mgement in the Oral and suqeryF?wtice RcinaldG. Smith, DDS, Lubbock,TX StephenBarth, MA, JD, I&bock, TX Adele Brown, MS, Lubbock,TX Risingcostsof insuranceandlegal representationhas madeit imperativethat healthcarepractitionersremain up to date in oflice managementtechniqueswhich will help them avoid and prevent legal matters from occurring. By practicingpreventivemanagementwe not only avoid financial costs involved with litigation but also avoidthe invaluabletime lossaswell. The parametersof care, risk managementcriteria, andthe lawsareconstantlychanging.What canyou ask? MOMS
l
1991
References Manthem, R.E., Youpa, J.A.: AIDS in the Workplace. California Bus&ss Law hst Spurgin, II, J.H., Haasman, C.L.: The At Wiil Employment Doctrine and Employee Handbook, Texas Bar Journal. pg. 27 et seq., volume 53, No 1, January 1990 Schafler, N.L.: Medical Malpractice Handling Dental Claims. McGraw Hill, Inc., 1989, Cumulative Supplement
PMC 1751275 Q@ice LIesignand Comtructionfo7theOraland Madibfmial Surgeon Daniel J. Dugan,DDS, Hurst, TX Designand constructionof the oral and maxillofacial surgeryoffice is a demandingproject. A concise approachfrom beginning to occupancy is presented to help enlightenthosecontemplatingthis enormoustask. (No abstract provided)
PMC 1761276 Estublishinga CosmeticFd thugmy h&e: HospituiC&ntiaiing, Qj!keMBand Mwketing Louis S. Belinfante,DDS, Atlanta, GA JeffreyR. Prinsell,DMD, MD, Atlanta, GA Traditionallyoral andmaxi@ofacial surgeryhasconcentrated on the diagnosis and treatment
of dental and
skeletal deformities, while essentially‘abstainingfrom correcting deformities of the overlying soft tissues. There exitsin manyof our practicesa patient population with concerns,for both the functional and esthetic aspectsof both the hard andsaft tissuesof the face. Credentialing for hospital privileges, with specific guidelinesoutlinedin hospitalBy-Lawsin accordanceto JCAHO standards, is based on training, experience, and demonstratedcurrentcompetence.Many stateandFTC regulations prohibit peer competitors from denying clinical privileges based soley on degree and type of 49
PracticeManagement Clinics specialty.Although the updated“emergingscope”definition of oral and maxillofacial surgery has been acceptedby the AAOMS, ABOMS andthe ADA, individual statedentalpracticeactsmust be carefullyexamined to ensurecompliance. Most cosmeticfacial proceduresmay be performed safely,efficiently,andat a reducedcostto the patient in an outpatientsurgeryfacility. There are numerousrules andregulationsthat apply to office-basedsurgicalfacilities. Office designshould consideroperating,sterilization and recoveryareasof sufficient size with special ceilings, floors, adequatevenilation, and lighting with emergencyback-upsuctionandpower. It has been said that the most effective means of promoting a practice is staff enthusiasmand satisfied former patients. Other internal marketing techniques include computer-assistedfacial imagingand office display items. External marketing may include continuing educational presentationsand visitation of potential referral sources.
American public to its availability. Public seminars, healthclinics,mediapresentations,newspaperandmagazine articles and even televisionand radio advertising arenecessaryto spreadthe word. An aggressive,professionaland successfulprogram for developinga busyimplant practicewill bepresented.
PMC 178/278 Computersin Oil&S,Part I-Basic/ Part I&Advanced RobertB. Edesess,DDS, Indianapolis,IN
Office automationhasbeenoccurringat a rapid pace for many years. However the rate of increase has heighteneddramatically in the past ten years.We have seen the pegboard system replaced by the “batchprocessing”of information to a remotelocation.On-line computer terminals came on the sceneand seemedto servethe causeof automationwell. With the decreasein References size and the declinein costof in-officecomputers,they seemto bethe future instrumentfor professionaloffices. Accreditation Association for Ambulatory Health Care, Inc: AccredIt is hard to imagine that electronic submission of itation Handbook. Skokie, IL Beeson, W.H.: Aesthetic Surgery of the Aging Face. St Louis, MO, insuranceclaimsis alreadyoccurringin manyoffices. Mosby, 1986, pp 351-372 No other deviceallowsus to organize,sort, evaluate Penn, LG., et al: The office-based elective surgery center. Ann Plast and retain the huge amountsof information and data Surg 4:94-99,198O gatheredon a daily basis.In a surgerypractice,we see Symposium of office surgery. Clin Plast Surg l&2,1983 largenumbersof patientsoftenfor oneor twovisitsonly. Thesepatientsmay then return in a few yearsexpecting that we remember them and the procedureswe performed in the past. With office computerization(and sufhcient memory) this can easily be accomplished PMC 1771277 without havingto hunt for old charts. Marketing l%eImplant Practice The speaker’soffice hasbeencomputerizedfor eight years. The decision regardingwhether or not to purTerry W. Slaughter,DDS, MSD, Salinas,CA chasea systemandwhich wasthe right onefor our office After generations of searchingfor the successful wasthe most difficult sincebeginningin practice.For the dental implant, Prof. P.I. Branemark brought his re- first time we were dealingwith so manyunknownssuch ascomputersize,speed,operatingsystems,hardvs. soft searchand clinical successto the attention of North American dentistry at a conferencein Toronto in 1982. disks and how much memory. Even computer literate That conferenceliterally ushereda newera of prosthetic individuals familiar with Apples and PCs might have reconstructivesurgery into the practice of oral and trouble evaluating an office system. In the office the computeris not a hobbyitem but a businesstool. maxillofacialsurgeryin the U.S.A. The first computer purchasedin an office often is The technologyis detailedbut within the graspof any competentsurgeon.However,the surgeonsimply having chosenon the basis of price. Each one after that is the technical expertisewill not guaranteea successful usuallychosenon the basisof features,convenienceand capacity. A convenient handout with a glossaryand implant practice.The incorporationof endosseousimpIant reconstruction into your practice will require checklistfor the “first time buyer” will be presentedto developingtrained prosthetictreatmentpartners;pros- attendees. thetic partnerswho will sharein education,marketing and treatment. References Since this is a new treatment modality-a treatment with ready application to 75 million or more adult Combs, R.: Dental Office Computerization-The Next Generation. Americans-efforts must be made to introduce the Dental F!conomica, August, 1987 50
Maus
l
1991
and methods. There are financial and non-financial matterswhich mustbe broughttogether. AlI mattersandpointswill be presentedand discussed so that each participant will know and understand exactly ,what he or she requires and .needs to do in analyzingandappraisinganoral & maxillofacialsurgical practice.There will be a practicalcasestudy. References Pollock, S.L.: Determining the Value of Your Practice. AAOMS Practice Management Notes, March 1990
What can’t you ask? What are the consequencesof terminating this employee?What are the consequences of terminatistg the patient/doctor relationship? With today’s litigation explosion,the wrong decision or responsecanbe catastrophic. This PMC will focuson legal andmanagementconsiderations from three synergisticviewpoints: oral and maxillofacial surgeon,attorney,and o&x administrator. It will bring you up to dateon the law in many areas of your practice and will key in on preventivemanagement techniquesandprocedures.
AmericanDental Association,Councilon Den@ pactice: Successful Valuation of a Dental Practice,~012. Chicago, Ii ADA Publication, 1989 Miles, R.C.: Basic Business Appraisal. New York, NY, John Wiley & Sons, 1984
PMC 173 SW fbt a Mom Rewardingand Risk-Free PnrctiGe J. David Allen, DDS, Decatur,GA This PMC outlines how the private practitioner can providea better serviceto his patientsand improveboth his/hercompensationandpatient management. This eanall be accomplishedwhile at the sametime practicing in a defensiveand a relatively risk-free environment. Hopefully, many ideas that have proven successful over the presenter’slast fifteen yearswill benefit both the solo and the large grouppractice.Subjectsthat are covered include computerization, compensation and control of your practice. Unique adviceon partnership arrangements,marketing, hospital relations and common pitfalls that ean damageyour practiceare covered.
PIblC 174 Pmmative-Mgement in the Oral and suqeryF?wtice RcinaldG. Smith, DDS, Lubbock,TX StephenBarth, MA, JD, I&bock, TX Adele Brown, MS, Lubbock,TX Risingcostsof insuranceandlegal representationhas madeit imperativethat healthcarepractitionersremain up to date in oflice managementtechniqueswhich will help them avoid and prevent legal matters from occurring. By practicingpreventivemanagementwe not only avoid financial costs involved with litigation but also avoidthe invaluabletime lossaswell. The parametersof care, risk managementcriteria, andthe lawsareconstantlychanging.What canyou ask? MOMS
l
1991
References Manthem, R.E., Youpa, J.A.: AIDS in the Workplace. California Bus&ss Law hst Spurgin, II, J.H., Haasman, C.L.: The At Wiil Employment Doctrine and Employee Handbook, Texas Bar Journal. pg. 27 et seq., volume 53, No 1, January 1990 Schafler, N.L.: Medical Malpractice Handling Dental Claims. McGraw Hill, Inc., 1989, Cumulative Supplement
PMC 1751275 Q@ice LIesignand Comtructionfo7theOraland Madibfmial Surgeon Daniel J. Dugan,DDS, Hurst, TX Designand constructionof the oral and maxillofacial surgeryoffice is a demandingproject. A concise approachfrom beginning to occupancy is presented to help enlightenthosecontemplatingthis enormoustask. (No abstract provided)
PMC 1761276 Estublishinga CosmeticFd thugmy h&e: HospituiC&ntiaiing, Qj!keMBand Mwketing Louis S. Belinfante,DDS, Atlanta, GA JeffreyR. Prinsell,DMD, MD, Atlanta, GA Traditionallyoral andmaxi@ofacial surgeryhasconcentrated on the diagnosis and treatment
of dental and
skeletal deformities, while essentially‘abstainingfrom correcting deformities of the overlying soft tissues. There exitsin manyof our practicesa patient population with concerns,for both the functional and esthetic aspectsof both the hard andsaft tissuesof the face. Credentialing for hospital privileges, with specific guidelinesoutlinedin hospitalBy-Lawsin accordanceto JCAHO standards, is based on training, experience, and demonstratedcurrentcompetence.Many stateandFTC regulations prohibit peer competitors from denying clinical privileges based soley on degree and type of 49
PracticeManagement Clinics specialty.Although the updated“emergingscope”definition of oral and maxillofacial surgery has been acceptedby the AAOMS, ABOMS andthe ADA, individual statedentalpracticeactsmust be carefullyexamined to ensurecompliance. Most cosmeticfacial proceduresmay be performed safely,efficiently,andat a reducedcostto the patient in an outpatientsurgeryfacility. There are numerousrules andregulationsthat apply to office-basedsurgicalfacilities. Office designshould consideroperating,sterilization and recoveryareasof sufficient size with special ceilings, floors, adequatevenilation, and lighting with emergencyback-upsuctionandpower. It has been said that the most effective means of promoting a practice is staff enthusiasmand satisfied former patients. Other internal marketing techniques include computer-assistedfacial imagingand office display items. External marketing may include continuing educational presentationsand visitation of potential referral sources.
American public to its availability. Public seminars, healthclinics,mediapresentations,newspaperandmagazine articles and even televisionand radio advertising arenecessaryto spreadthe word. An aggressive,professionaland successfulprogram for developinga busyimplant practicewill bepresented.
PMC 178/278 Computersin Oil&S,Part I-Basic/ Part I&Advanced RobertB. Edesess,DDS, Indianapolis,IN
Office automationhasbeenoccurringat a rapid pace for many years. However the rate of increase has heighteneddramatically in the past ten years.We have seen the pegboard system replaced by the “batchprocessing”of information to a remotelocation.On-line computer terminals came on the sceneand seemedto servethe causeof automationwell. With the decreasein References size and the declinein costof in-officecomputers,they seemto bethe future instrumentfor professionaloffices. Accreditation Association for Ambulatory Health Care, Inc: AccredIt is hard to imagine that electronic submission of itation Handbook. Skokie, IL Beeson, W.H.: Aesthetic Surgery of the Aging Face. St Louis, MO, insuranceclaimsis alreadyoccurringin manyoffices. Mosby, 1986, pp 351-372 No other deviceallowsus to organize,sort, evaluate Penn, LG., et al: The office-based elective surgery center. Ann Plast and retain the huge amountsof information and data Surg 4:94-99,198O gatheredon a daily basis.In a surgerypractice,we see Symposium of office surgery. Clin Plast Surg l&2,1983 largenumbersof patientsoftenfor oneor twovisitsonly. Thesepatientsmay then return in a few yearsexpecting that we remember them and the procedureswe performed in the past. With office computerization(and sufhcient memory) this can easily be accomplished PMC 1771277 without havingto hunt for old charts. Marketing l%eImplant Practice The speaker’soffice hasbeencomputerizedfor eight years. The decision regardingwhether or not to purTerry W. Slaughter,DDS, MSD, Salinas,CA chasea systemandwhich wasthe right onefor our office After generations of searchingfor the successful wasthe most difficult sincebeginningin practice.For the dental implant, Prof. P.I. Branemark brought his re- first time we were dealingwith so manyunknownssuch ascomputersize,speed,operatingsystems,hardvs. soft searchand clinical successto the attention of North American dentistry at a conferencein Toronto in 1982. disks and how much memory. Even computer literate That conferenceliterally ushereda newera of prosthetic individuals familiar with Apples and PCs might have reconstructivesurgery into the practice of oral and trouble evaluating an office system. In the office the computeris not a hobbyitem but a businesstool. maxillofacialsurgeryin the U.S.A. The first computer purchasedin an office often is The technologyis detailedbut within the graspof any competentsurgeon.However,the surgeonsimply having chosenon the basis of price. Each one after that is the technical expertisewill not guaranteea successful usuallychosenon the basisof features,convenienceand capacity. A convenient handout with a glossaryand implant practice.The incorporationof endosseousimpIant reconstruction into your practice will require checklistfor the “first time buyer” will be presentedto developingtrained prosthetictreatmentpartners;pros- attendees. thetic partnerswho will sharein education,marketing and treatment. References Since this is a new treatment modality-a treatment with ready application to 75 million or more adult Combs, R.: Dental Office Computerization-The Next Generation. Americans-efforts must be made to introduce the Dental F!conomica, August, 1987 50
Maus
l
1991