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Doctor succeeds with "micropractice"

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For Dr. Gordon Moore, seeing 30 or more patients a day just wasn't satisfying. So Moore reinvented himself, establishing a "micropractice," a bare-bones set-up with just enough office space and just enough equipment to get the job done. Moore rented a tiny office, picked up some used furniture, and bought computer software to track patients and dispatch prescriptions electronically. Having stripped overhead costs to the minimum, Moore cut down to seeing 12 patients a day. He relies on a few pieces of software, including a simple disease management program, practice management and billing software and a Web-based wellness survey his patients take each year. By doing this, he managed to cut overhead to 35 percent of revenue, as opposed to the 60 percent most practices must spend. Moore has gotten so many requests for information that he's cut his practice down to part time, spending the rest of his time explaining how his model works.

To find out more about the micropractice model:
- read this piece in The Wall Street Journal (sub. req.)

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Dr. Moore is a smart man. He has realized correctly that it is not the quantity of patients but time and money management that matters. I see so many doctors work from 7 AM to 10 PM everyday. This is not good for their families or their own health.
For family practitioners and internists who want to have this level of control in their lives, they should really consider completely outsourcing their front and back office functions. VOIP phones need to be in place, to allow easy incorporation of virtual office. All rooms in the office should have internet enabled computers. The biggest mistake is to depend on so called "Key personnel" like billing people, Secretaries / office managers etc. Computers are dirt cheap and smart computing can obviate these roles or permit delegation of these jobs to less expensive better qualified labor outside the USA. Some one like Lou Dobbs of CNN may cry foul. But if you live in a state like South Carolina, it is nearly impossible to run a private practice with the local labor pool. The tech schools do a very poor job of churning out employable medical office managers or assistants. With modern management techniques, it should be possible to see 20-25 patients with two employees. However, it is undesirable for a doctor to avoid hard work or difficult cases, as someone else has to do their work!

If you want to hear Dr. Moore interviewed about his practice, listen to a podcast/streaming audio http://soundpractice.net/article.cfm?id=217

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