Magazine article Medical Economics

Q&A: Practice Management

Magazine article Medical Economics

Q&A: Practice Management

Article excerpt

Making time for staff meetings

Our practice has cut out weekly staff meetings. Instead, our office manager sends a memo every week to keep everyone up to date. That seems to work well, but I feel meetings have real value. What do your experts think?

Don't give up on staff meetings. While memos are fine for passing along information, they can't solicit feedback or provide the sense of "ownership" your staff would gain from true involvement. If you're all pressed for time, maybe you can cut down to one staff meeting a month-during lunch, with pizza.

Lending an NP to a nursing home

A local nursing home would like to "borrow" one of our NPs every Thursday. She would report to their site and work for them, and they would reimburse us her salary for that day. Does this arrangement present any legal problems?

It could. Consult a healthcare attorney to draw up a contract in accord with the MD-NP collaboration/supervision rules, nursing home regulations, and relevant state and federal laws that apply in your case. Here are some things to consider:

* If the NP needs a collaborating or supervising physician, who will it be? Will the NP sign a collaboration agreement with the physician of each patient for whom she renders care? Or will you be the "universal collaborator"? Note that that would make you responsible for any malpractice on her part at the nursing home.

* What tasks will the NP perform? Will she offer specific services, like physical exams or psychiatric consults, or do general patient care? …

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