The Business of Dermatology

 

Description:

The ultimate guide to managing the multifaceted business aspects of a dermatology practice

Although board-certified dermatologists provide the best care for their patients, managing a practice and optimizing every facet of the business is a daunting endeavor. Business acumen is not taught in residency and is the most overlooked aspect of any given practice. The Business of Dermatology, written by esteemed dermatologists Jeffrey S. Dover, Kavita Mariwalla, and an impressive group of experts, provides a rare opportunity to learn about the operations side of practices across the country. Written in an informal tone, this unique book enables readers to be privy to a "40-way chat" with dermatologists whose practices are flourishing.

With a vast wealth of information relevant to the business side of a dermatology practice, this remarkable resource fills the gap between the training phase and acquisition of professional confidence. Fifty-five chapters offer insightful, highly practical pearls for everyone—from early-career dermatologists and those in solo-practice to employed physicians in large groups. Even the most seasoned practitioners will benefit from firsthand knowledge and real-world tips shared by physicians who have made their own mistakes trying to get practices off the ground and maintain them.

 

Key Features:

 

Written by top dermatologists from the perspective of "if we knew then what we know now…"

Organized in a format and style conducive to easy reading, with practical tips to implement immediately

Covers all practice-relevant topics, including office space and equipment, managing financials, diverse practice models, human resources, employment considerations, patient issues, pricing, essential surgical tools/supplies, marketing, and much more

Top ten lists in each chapter highlighting the key take-home points

The Business of Dermatology is an indispensable, one-stop source for all trainee and practicing dermatologists who need insightful guidance on setting up, organizing, managing, or optimizing their practice.

 

Section I Bricks and Mortar

1 To Rent or to Buy: That Is the Question

1.1 Twelve Years of Education and Yet

1.2 Location, Location, Location

1.3 Buying versus Leasing 101

1.4 Are You Ready for Commitment? The Pros and Cons of Purchasing Office Space

1.5 Constant Vigilance: The Pros and Cons of Leasing Office Space

1.6 City Mouse, Country Mouse

1.7 There’s a Perfect Match for Everyone

1.8 Office Configuration

2 Location

3 How Much Space Do I Need?

3.1 Introduction

3.2 Number of Providers and Workflow

3.3 Service Type

3.4 Spatial Configurations and Design Organizational Patterns

3.5 Clinical and Support Areas Needed

3.6 Program and Area Requirements Calculations

4 Creating a Business Plan

4.1 Introduction

4.2 Creating Your Business Plan

4.3 Obtaining Financing

4.4 Dos and Don’ts

4.5 Conclusion

5 Room Layout

5.1 Introduction

5.2 Where Do I Start?

5.3 Elements of the Room Layout

5.4 Other Important Considerations

5.5 Potential Pitfalls

5.6 Conclusion

6 Office Flow

6.1 Introduction

6.2 Check-in

6.3 Rooming

6.4 Check-out

6.5 Conclusion

7 Creating a Practice Ambience

7.1 Introduction

7.2 Creating a Welcome Area

8 Photography and Space Requirements for Everyday and Clinical Trials

8.1 Introduction

8.2 The Consent Process

8.3 The Office Setup

8.4 Positioning the Patient and Framing the Photograph

8.5 The Camera: Compression, Focus, and Resolution

8.6 Storage and Transmission

8.7 Conclusion

9 Corporate Structure: Limited Liability and Taxation

9.1 What Does Corporate Structure Mean?

9.2 Selecting a Corporate Structure

9.3 Corporations and Medicine: The Prohibition of Corporate Practice of Medicine

9.4 Conclusion

10 Academic versus Private Practice

10.1 Academic

10.2 Private Practice: Solo, Dermatology Group, Medical/Surgical Group

11 Managing the Telecom and IT of Your Business: The Central Nervous System of a Medical Practice

11.1 Introduction

11.2 Hire an IT Consultant

11.3 Reserve a Domain Name and Corporate Email Account

11.4 Establish a Physical Service Address

11.5 Reserve Phone and Fax

11.6 The Buildout

11.7 Establish Service Contracts

11.8 Business Associate Agreement

11.9 Hardware

11.10 Cyber Security

11.11 Conclusion

12 Choosing and Implementing an Electronic Medical Record System

12.1 Introduction

12.2 Step One: Set a Tone

12.3 Step Two: Create a Multidisciplinary Implementation Team

12.4 Step Three: Choose the Software

12.5 Step Four: Configure Your Software

12.6 Step Five: Identify Hardware and Personnel Needs

12.7 Step Six: Transfer Data

12.8 Step Seven: Decide on the Launch Approach

12.9 Step Eight: Develop Disaster Protocols

12.10 Step Nine: Initiate Your Training Plan

12.11 Step Ten: Enhance EMR-related Communication Skills

12.12 Conclusion

13 Private Equity and Venture Capital-Backed Practice Models

Editor’s Note

13.1 Part A: The Corporatization of Dermatology

13.2 Part B: Testimonials from Dermatologists Regarding PE-Backed Practices

13.3 Part C: Selling a Practice: The Viewpoint from Someone Who Sold

Section II Human Resources

14 Essential Components of an Employee Manual

14.1 Introduction

14.2 Step One: Why Are You Doing This?

14.3 Step Two: Who Are You?

14.4 Step Three: Gather Your Policies

14.5 Step Four: Choosing a Template

14.6 Step Five: Creating a Welcome Message

14.7 Step Six: Table of Contents

14.8 Step Seven: Handbook Topic Selection

14.9 Step Eight: You’re Done!

14.10 Step Nine: Updates

15 Vision and Mission Statement

15.1 Introduction

15.2 What Are Vision and Mission Statements?

15.3 Why Do You Need a Vision and/or Mission Statement?

15.4 How Do You Write a Vision Statement?

15.5 Examples of Vision Statements

15.6 How Do You Write a Mission Statement?

15.7 Examples of Mission Statements

15.8 Should a Mission Statement Change with Time?

15.9 Conclusion

16 Employees versus Independent Contractors

16.1 Introduction

16.2 Step One: What Exactly Is an Independent Contractor?

16.3 Step Two: Deciding If Becoming an Independent Contractor Is the Right Step for You

16.4 Step Three: Once You Have Decided on Your Preferred Employment Model, What Are the Next Steps?

16.5 Conclusion

17 Salaried versus Hourly Wage: Which Is Better and for What Positions?

17.1 Introduction

17.2 The Hourly Worker

17.3 The Salaried Worker

17.4 When Hourly Is Better

17.5 When Salaried Is Better

17.6 Incentives, Emotions, and Unintended Consequences

18 The Practice Administrator

18.1 What to Consider When Assessing the Need for a Practice Administrator

18.2 Conclusion

19 A Primer on Employment Law for Dermatology Practices

19.1 Introduction

19.2 The Hiring Process

19.3 The Day-to-Day of Employment

19.4 Termination

19.5 Conclusion

20 Essential Policies

20.1 Introduction

20.2 Essential Staff/Employee Policies

20.3 Dress Code, Grooming, and Appearance

20.4 Safety

20.5 Computers, Electronic Mail, Electronic Record, and Voice Mail Usage Policy

20.6 Gifts

20.7 Visitors

20.8 Arbitration Policy and Agreement

20.9 Safety, Security, and Avoiding Theft

20.10 Account Security

20.11 Policy on Handling Cash

21 Questions to Ask When Bringing on a Physician

21.1 Introduction

21.2 Where Should You Start When Expanding Your Practice?

21.3 Step One: Plan Requirements for Onboarding a Physician

21.4 Step Two: Searching for a Physician

21.5 Step Three: Getting to Know Potential Physicians

21.6 Step Four: Bringing on the Successful Physician

21.7 Interview To-Do List

21.8 Questions to Ask and Questions to Avoid

21.9 Breaking Down the Benefits

21.10 Do You Feel a Connection?

21.11 Conclusion

22 Designing Your Cosmetic Dermatology Practice for Maximum Efficiency: A Case Study

22.1 Your Vision, Your Mission

22.2 Building Your Dream Team

22.3 Office Design

22.4 Who Do You Serve?

22.5 Day-to-Day Strategies

22.6 The Treatment Plan

22.7 Scheduling

22.8 Efficient Marketing

22.9 Efficient Ordering and Inventory

22.10 Improving Systems

Section III Patient Relations

23 “It Depends”: No-show Fees, Cancellation Policies, and Deposits for Procedures

23.1 Introduction

23.2 Why Do Patients No-show for Appointments?

23.3 The Anatomy of a No-Show Fee

23.4 Prepayments and Deposits on Procedures

23.5 Reducing No-Shows

23.6 Conclusion

24 Reminder Calls/Texts: Implementing an Effective Appointment Reminder System

24.1 The Cost of Missed Appointments

24.2 Increasing Attendance with Appointment Reminders

24.3 Not All Reminders Are Created Equal

24.4 Conclusion

25 Is There a Better Way to Answer Calls?

25.1 Introduction

25.2 Minimizing Calls

25.3 Conclusion

26 Critical Components of Consents and Documentation

26.1 The Legal Landscape in Dermatology

26.2 Informed Consent

26.3 Negligence and the Standard of Care

26.4 Habit Evidence and the Importance of Written Documentation

26.5 Patient Factors

27 Patient Portals and Communication in the Age of EMR

27.1 Introduction

27.2 Portals and Communication

27.3 Conclusion

28 Teledermatology Ground Rules

28.1 Introduction

28.2 Rule One: Add Teledermatology to Add Value

28.3 Rule Two: Pick the Right Platform(s) to Use

28.4 Rule Three: You Gotta Get Paid

28.5 Rule Four: Teledermatology Can Work Well

28.6 Rule Five: ..But Not Always

28.7 Conclusion

29 Risk Management

29.1 Introduction

29.2 Techniques for Risk Management

29.3 Measures for Mitigating Consequences of an Adverse Event

29.4 Consent and Arbitration

29.5 Conclusion

Section IV The Daily Grind

30 The Ideal Schedule

30.1 Introduction

30.2 The Schedule Pundits

30.3 Closing Thoughts

31 Delegating: Physician Extenders and Integration into a Practice

31.1 Introduction

31.2 What Is an “Extender”?

31.3 Question One: Wait Time

31.4 Question Two: Your Personality

31.5 Interview Red Flags

31.6 Question Three: New Grad versus Experienced Extender

31.7 Question Four: Supervision

31.8 Question Five: Changing Your Office Flow

31.9 Delegating to Your Extender

31.10 Pay

31.11 Conclusion

32 Managing Expectations of Staff

32.1 Introduction

32.2 Section One Objectives

32.3 Section Two Objectives

32.4 A Note on Managing Burnout

33 Pricing Cosmetic Procedures

33.1 Introduction

33.2 Commodity versus Luxury

33.3 Recognize Your Worth and Make It Known

33.4 Pricing Your Procedures

33.5 How Expensive Should I Be? Price Matching and Discounting

33.6 Conclusion

34 Integrating Cosmeceuticals into Daily Practice

34.1 Introduction

34.2 Our Skin Care Consultant and Project Leader

34.3 Choosing Products and Making Goals

34.4 Educating and Indoctrinating Staff

34.5 Devote Space

34.6 Regimen Cards for Common Diagnoses

34.7 Internet and Social Media

34.8 Aestheticians

34.9 Loyalty Programs and Skin Care

34.10 Our Future Goals

34.11 Specific Financial Considerations and Benchmarks

34.12 Common Pitfalls When Starting a Skin Care Business

34.13 Conclusion

35 Building a Budget/Calculating Overhead

35.1 Introduction

35.2 Methods for Identifying Revenue

35.3 Methods for Calculating Expenses

35.4 Methods for Creating a Budget

36 Evaluating Pharmacies and Patient Coupons

36.1 Introduction

36.2 Specialty Pharmacies

36.3 Coupons and Rebates

36.4 Conclusion

37 Deciding What Services to Provide

37.1 Introduction

37.2 General Service Categories

37.3 Your Brand

37.4 Equipment

37.5 Training and Experience

37.6 Customer Demand

37.7 Insurance Considerations and Profit Margin

37.8 Adding New Services

37.9 Conclusion

38 Evaluating a Laser for Purchase and Calculating a Return on Investment for a Device

38.1 Introduction

38.2 ROI formula

38.3 Repairs

38.4 Conclusion

39 Evaluating Costs of Fillers and Toxins: Brand Loyalty versus Offering Everything

39.1 Introduction

39.2 Tracking Inventory, Pricing, and Promotions

39.3 Patient Participation in Brand Loyalty

39.4 Conclusion

Section V The Nitty-Gritty

40 Essential Instruments

40.1 Introduction

40.2 Disposable versus Nondisposable Surgical Instruments

40.3 Curettes

40.4 Scalpel Handles and Blades

40.5 Needle Holders

40.6 Scissors

40.7 Forceps

40.8 Hemostats

40.9 Skin Hooks

40.10 Sterilization Methods

40.11 Conclusion

41 Essential Stock to Start a Practice

41.1 Introduction

41.2 Step One: Your Budget

41.3 Step Two: Examination Rooms

41.4 Step Three: Tables

41.5 Step Four: Incorporating Your Electronic Medical Record (EMR)

41.6 Step Five: Prepare Your Rooms to Best Handle Your Most Important Services

41.7 Step Six: Determine How Many Instruments and Supplies You Need

41.8 Step Seven: Establish Your Method of Sterilization

41.9 Step Eight: Have an Inviting Waiting Room

41.10 Step Nine: Be Prepared to Send Patients Home with Appropriate Supplies

41.11 Step Ten: Sell and Stock Products If It Fits Your Personal Model for Patient Care

41.12 Building a Cosmetic Component to Your Practice

41.13 Conclusion

42 Essential Stock for Cosmetic Procedures: How to Determine What to Carry, and Control Inventory and Costs

42.1 Introduction

42.2 Benign Lesion Removal

42.3 Injectables

42.4 Chemical Peels

42.5 Microneedling

42.6 Cosmetic Devices

42.7 Skin Care

43 What Devices Does Your Practice Need?

43.1 Introduction

43.2 Market Analysis

43.3 Purchasing Timeline

43.4 Financial Considerations

44 Loyalty and VIP Programs

44.1 Introduction

44.2 Outside Loyalty Programs and How They Relate to You and Your Patients

44.3 VIP Programs

44.4 Ethics and Legality of Loyalty and VIP Programs

44.5 Conclusion

Section VI Your Image

45 The Most Important Components of a Successful Website

45.1 Introduction

45.2 Who Are You?

45.3 Find a Host

45.4 Create the Website

45.5 The Essential Components

45.6 About Us

45.7 Access to the Patient Portal

45.8 Access to Patient Forms

45.9 Access to Privacy and Policies

45.10 Access to Online Patient Appointments

45.11 “Message Us”

45.12 Services Offered

45.13 Mobile Accessibility

45.14 Online Bill Pay

45.15 Bells and Whistles

45.16 An Online Retail Store

45.17 Join a Mailing List

45.18 Start a Blog

45.19 Videos

45.20 Publications

45.21 Clinical Trials

45.22 Conclusion

46 Social Media

46.1 Introduction

46.2 Step One: Who Is This For?

46.3 Step Two: Name It

46.4 Step Three: Which Platform to Choose

46.5 Step Four: How Do I Do It?

46.6 Step Five: Gaining a Following

46.7 Great, but I Am Already Overwhelmed

46.8 Pitfalls

46.9 Conclusion

47 Creating and Nurturing a Brand/Logo

47.1 Introduction

47.2 Step One: Identify the Goals of Your Brand

47.3 Step Two: Identify the Pillars of your Practice

47.4 Step Three: Create a Mission Statement for Your Brand

47.5 Step Four: Create a Slogan

47.6 Step Five: Pick a Name

47.7 Step Six: Pick Your Web Address and Social Media Handles

47.8 Step Seven: Design Elements of Your Branding

47.9 Step Eight: Design a Website

47.10 Step Nine: Protect Your Brand

47.11 Step Ten: Design Your Dream Office

48 Managing Your Online Reputation

48.1 Introduction

48.2 Online Reputation Management Pearls

48.3 Track Mentions of Your Name and Brand

48.4 Claim Your Brand on Key Social Media Platforms

48.5 Proactively Track Your Online Reviews

48.6 Addressing Negative Reviews

48.7 Develop a Robust Plan to Generate Positive Reviews

48.8 Create a Consistent Voice Online

48.9 Beware of Negative Search Engine Optimization (SEO) and Other Online Attacks

48.10 Build Your Influence through Great Content

48.11 Enlist in Social Media Monitoring

48.12 How NOT to Sue or Get Sued

48.13 SEO Tricks

48.14 Review Removal

48.15 Conclusion

49 Tips for the Media

49.1 Introduction

49.2 How to Increase Your Chances of Being on a Show

49.3 Talking Points

49.4 Preparing for the Event

49.5 The Interview

49.6 General Points to Consider during the Interview

49.7 Examples of Dos and Don’ts for Neuromodulators

49.8 Case Study

49.9 Challenges

50 Marketing and Advertising Your Dermatology Practice

50.1 Introduction

50.2 Creating and Establishing a Brand

50.3 Website

50.4 Digital Media

50.5 Search Engine Optimization

50.6 Content

50.7 Social Media

50.8 Newsletter, Blog

50.9 Reviews

50.10 Offers and Discounts

50.11 Online Shop

50.12 Conclusion

Section VII Miscellaneous

51 Growing Your Practice

51.1 Starting Out

51.2 Creating the Foundation for Growth

51.3 Define Your Practice Purpose and Ideals

51.4 Know Your Practice Type and Competitors

51.5 Ways to Grow Your Practice

51.6 Physician Extenders

51.7 Know Your Numbers

51.8 Service, Service, Service

51.9 It’s All about the Results

51.10 Show Patients that You Care

51.11 Appointment Scheduling

51.12 The Consultation

51.13 Marketing and Public Relations

51.14 Online Reviews

51.15 Conclusion

52 Mohs: Outsource or Keep In-House

52.1 Introduction

52.2 Clinical Volume

52.3 Clinical Space

52.4 Staffing

52.5 Certification

52.6 Conclusion

53 The Ground Rules of Teaching in a Private Practice

53.1 Introduction

53.2 Methodology for Establishing a Teaching Program

54 Staying Active Nationally in the Years after Residency

54.1 Introduction

54.2 Why Be Active Nationally?

54.3 Leadership

54.4 Teaching

54.5 Clinical Research

54.6 Consulting and Advisory Boards

54.7 Volunteer Faculty

54.8 Publishing and Media

54.9 Advocacy

54.10 Charity

54.11 Mentoring

54.12 International Involvement

54.13 Keep Growing and Enjoying Practice

55 Getting Involved in Advocacy

55.1 Introduction

55.2 Why Advocate?

55.3 Health Advocacy

55.4 Patient Advocacy

55.5 Legislative Advocacy

55.6 Conclusion

Index

 

An aparitie	06 May 2020
Autor	Jeffrey S. Dover, Kavita Mariwalla
Dimensiuni	173 x 238 x 25 mm
Editura	Thieme
Format	Paperback
ISBN	9783132427792
Limba	Engleza
Nr pag	355