EQUALITY FOR ALL

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The Latest in the Health Care Reform Bill

Over the last few months, those of us at Silkin Management Group who have been contributing articles for our blog sites have been watching the progress of the various health care legislation proposals that have travelled through the House of Representatives and Senate.  You can easily find earlier writings on this subject on the various Silkin Management Group blog sites.

As most everyone knows by now, the Senate passed its first major voting hurdle on December 20 by confirming the needed 60 votes to pass their version of the legislation. What I found especially fascinating, but not at all surprising, was the numerous “pay offs” made to various Senators to get their vote.  These “payoffs” benefited specific states and constituencies while leaving out the majority of the rest of the people of the country.   In my mind, this is politics as usual: if you need votes to pass a piece of legislation, give the elected official special perquisites that will make him look good with his constituents and assure him of re-election. Democracy in action.

Gosh, I thought the health care legislation was to help everyone in the country. That’s what we were told. Where did I go wrong?  OK, enough snide comments on the obvious politics as usual. It doesn’t seem to matter which party is in control, they both end up doing the same thing.

I read n article in the New York Times that got me thinking about this.  You can link to that article here:

http://www.nytimes.com/2009/12/21/health/policy/21healthcare.html?th&emc=th

Here are just a few of the special benefits given out:

  • Money for people exposed to asbestos from a vermiculite mine in Libby, Montana which secured the vote of Senator Max Baucus, Democrat of Montana (who happens to be the chairman of the Finance Committee.
  • Additional Medicaid money for the state of Nebraska in order to secure the vote of Nebraska Senator Ben Nelson.
  • $100 million to an unnamed “health care facility” affiliated with an academic health center at a public research university in a state where there is only one public medical and dental school.  Who is this for?

There are several others you can read about in the NY Times article.

As small business owners, Silkin Management Group clients must learn to live on their own production, management expertise and capabilities.  Our programs are designed to help them do so as we all know that we aren’t getting the government handouts.

For more information about Silkin Management Group contact us at: info@silkinmanagementgroup.com or call 800-695-0257.  You can also visit our website: www.silkinmanagementgroup.com

Jack Hennessy

Consultant, Silkin Management Group



SOME IDEAS ON WHAT TO DO WITH A PROBLEMATIC STAFF MEMBER (Part 2)

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In our December 11th blog, which you can access here, Some Ideas on What to do with a Problematic Staff Member Part 1 I presented the first part of my response to a doctor that had written to us through our “Ask A Consultant” feature of Silkin Management Group’s website. This doctor was asking for help with a problem staff member. The first part of my response had to do with having proper and adequate job descriptions and office policies in place. This is something we at Silkin work very diligently on with our clients. In fact we have a 400 plus page Office Policy and Job Description manual that we provide our clients with that can easily be adapted to their office.

Below is the second part of my response which had to do with hiring and training the right employees. I hope you find it informative and useful.

“The other underlying issue I see here is having the right people in the first place and having them properly trained. There are three key steps in this process.

  1. How to attract the right kind of employees
  2. How to determine who to hire
  3. How to train them to do their job properly after you’ve hired them

When you are looking to fill a new position, the wording of your ad/listing is key. Where to advertise is also key. Utilizing employment agencies that pre-screen applicants to YOUR qualifications can greatly increase the quality of candidates you see, weeding out the lower quality people ahead of time.

Determining who to hire is often a “shot in the dark” for most doctors. A doctor might just read a resume, conduct an interview and then take a shot on that person as they have no other means to evaluate the applicant. No one ever writes on their resume that they are chronically late, don’t take direction and can’t get along well with others. What you see on a resume is only what the applicant wants you to see. Similarly, all you hear in an interview is what they want you to hear. They say the right things or at the very least what they think YOU want to hear in order to get the job.

After a person is hired they usually stay on their best behavior until they get comfortable and then they become themselves. Only then do you know who you’ve hired.

We believe you need a more objective way to screen and hire people so that you have a better idea of who they are, what kind of personality they have, their responsibility level, their aptitude and their work ethic. Corporations have been hiring people this way for years. Small businesses suffer through much higher turnover rates due to their lack of successful hiring techniques.

We teach doctors to test applicants. Personality tests, IQ tests, Aptitude tests are all implemented to get a feel for who a person is and how they will fit in to your practice and interact with the staff and more importantly your patients. Doing all of this as part of your “weeding out” process during hiring greatly increases the odds of you bringing on a good staff member.

Once you have hired the right person, you then need to make sure you train them properly. This is where detailed and up to date job descriptions and office policies come into play. It is vital that you equip your new employee with the proper tools to do their job rather than throw them to the wolves and hope they pick up the proper way to do things as they go.”

As mentioned above, Silkin Management Group provides its clients, as part of our overall management training and consulting program, an Office Policy and Job Description Manual with detailed job descriptions for nearly every position in an office, including the often overlooked job description for the owner of the practice.

If you would like any help with any aspect of your practice, call us at 800-695-0257 or email us at info@silkinmanagementgroup.com. You can also visit our website at silkinmanagementgroup.com/offers/ask.html and ask questions via our “Ask a Consultant” feature on the website.

Ken DeRouchie
Silkin Management Group’s “Ask A Consultant”

Please see our other blog at: practicemanagementblog



DID I REALLY HEAR THIS?

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As the President of Silkin Management Group I have written many blogs, along with our Silkin consultants, about a variety of topics including practice management tips as well as issues concerning current events such as the health care legislation. Because I like to write timely blogs I keep an eye and ear out on current events.

Yesterday, while driving, I was listening to the news on NPR and didn’t believe my ears concerning a statement made by President Obama. Note: I am a registered independent and have no leaning toward any political party. If anything I am liberal on social issues and conservative fiscally – a viewpoint that doesn’t safely belong with either party. Thus my amazement/bewilderment with what I heard has nothing to do with any political leaning. When I heard this statement I was so stunned that I yelled “you’ve got to be kidding!” so loudly I was very happy nobody was in the car with me.

Here’s the statement I heard. The President proudly said that there was about $700 billion in TARP money (the money that our government so kindly came up with to bail out banks, car companies and other needy corporate conglomerates) that it looked like these corporations didn’t need. So, he said, instead of lending it to the corporations, it could be used for other things including reducing the deficit. That’s right, reducing the deficit. Realize that this money itself came from the government borrowing money from the Fed and/or through issuing bonds bought mostly by China.

That struck me as a ridiculous statement and the kind of economic “slight of hand” that is the standard economic policy of this country. As an analogy it’s like borrowing money from one bank to pay for a house, then deciding you weren’t going to buy the house and instead using the borrowed funds to pay off another loan and now saying you are reducing your indebtedness when you still owe the same amount of money!

I hope he handles his personal finances better than this.

Larry Silver
President, Silkin Management Group

For more information about Silkin Management Group, Silkin’s management programs or any questions about practice management contact us at: info@silkinmanagementgroup.com or visit our website at: www.silkinmanagementgroup.com

Visit our other blogs:
practicemanagementblog.com
silkinmanagementgroup.blogspot.com
blog.silkinmanagementgroup.com



YET MORE IDEAS ON PRODUCTIVITY MEASUREMENTS IN A HEALTH CARE OFFICE

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Several of the consultants here at Silkin Management Group have been writing about various ways to measure productivity in a health care office. You can see what has been written by visiting some of Silkin’s other blog sites including: How do you Measure the Productivity of all Areas of an Office?, More on Measuring Productivity, and Here’s More Ideas on Measuring Productivity. I was invited to put my “two cents” worth on this subject since it is such an important aspect of the management of any business.

As has been discussed, the first thing you need to do with any area or job position is to determine exactly what the product that area or job should be producing. This may take some figuring out by carefully inspecting the job or area in terms of what you really need coming out of the area. Previous blog articles discussed this concept in terms of a receptionist and treatment plan presentations. I’d like to present what Silkin Management Group has found very workable for the management of the collection area of a health care office.

What is the product we’d expect out of this area? How about:

Patient fees collected in a timely manner.

It seems like that would be an excellent product for the collection area to accomplish. If it accomplished this product regularly, the income of the office should be in good shape with very low receivables.

Now, how would one best measure that so one could actually manage the area by a metric? There are several stats that would give you a good measurement of how the area is doing:

  • Total collections received.
  • Total accounts receivables over thirty days. (Graphed as a reverse graph with zero at the top.)
  • Percent of collections to services.

Needless to say, one would have to use some “smarts” when looking at the second statistical graph as it would also to be compared to the production in an office. Obviously if the office’s production was rising, the total receivables would likely be rising too, so a comparative analysis would have to be made. The third statistic above helps with this.

The third statistic is based upon a formula that we’ve worked out that compares several month’s collections to several month’s worth of services, with a time factor built in depending upon the type of practice, how much insurance is used and some other factors.

There are a variety of stats we help our Silkin Management Group clients with so that they can easily and properly manage their practice. The information above gives you more data about one area. I hope it is helpful.

If you are interested in any management help with your practice or business, feel free to contact us at info@silkinmanagementgroup.com or visit our website: silkinmanagementgroup.com

Best regards,
Dave McKevitt
Consultant
Silkin Management Group