Med Monthly October 2017

PHYSICIAN SOLUTIONS PRESENTS

Med Monthly MAGAZINE

October 2017

Patient Portals -

A Crucial Element of Your EHR And How it Increases Your Revenue pg. 28

Making the Paperless Transition Less Painful pg. 24

5 Simple Steps to Create a Paperless Medical Clinic pg. 22

the

s Practice Going s Paperles issue

contents

features

22 5 SIMPLE STEPS TO CREATE A PAPERLESS MEDICAL CLINIC 24 MAKING THE PAPERLESS TRANSITION LESS PAINFUL 28 PATIENT PORTALS: A Crucial Element of Your EHR And How it Increases Your Revenue

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5 TIPS FOR A NEW PHYSICIAN’S OFFICE

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MAKING THE PAPERLESS TRANSITION LESS PAINFUL

practice tips 6

5 TIPS FOR A NEW PHYSICIAN’S OFFICE

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DO SOCIAL TIES AFFECT OUR HEALTH?

12 PATIENT’S POINT OF VIEW 14 DIAGNOSING CONCUSSIONS WITH VOICE RESEARCH

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Med Monthly October 2017 Publisher Creative Director Contributors

Philip Driver Thomas Hibbard Naren Arulrajah Lexy Garrett Barbara Hales, M.D. Nick Hernandez, MBS, FACHE

contributors Naren Arulrajah is President and CEO of Ekwa Marketing, a complete Internet marketing company which focuses on SEO, social media, marketing education and the online reputations of Dentists and Physicians. If you have questions about marketing your practice online, call Naren direct at 877-249-9666.

Lexy Garrett is a marketing manager at Sageworks, a financial information company that provides financial analysis, business solutions and cash flow applications to business owners and their accountants.

Barbara Hales, M.D.

Med Monthly is a national monthly magazine committed to providing insights about the health care profession focusing on practical advice for physicians and practices. We are currently accepting articles to be considered for publication. For more information on writing for Med Monthly, please email us at medmedia9@gmail.com.

P.O. Box 99488 Raleigh, NC 27624 medmedia9@gmail.com

is a skilled expert in promoting your health services. As seen on NBC, CBS,ABC and FOX network affiliates as well as Newsweek, Dr. Hales writes all the content you need to promote your medical services.

Her latest book is on the best seller list and she can do the same for you. Check out her site at www.TheMedicalStrategist.com.

For a free marketing assessment, call 561-325-9664.

Nick Hernandez, MBA, FACHE is the CEO and founder of ABISA, a consultancy specializing in solo and small group practice management. He has consulted with clients in multiple countries and has over 20 years of leadership and operations experience. Visit www.abisallc.com for more information.

Online 24/7 at medmonthly.com

MED MONTHLY MAGAZINE |5

practice tips

5 Tips for a New Physician’s Office

By Lexy Garrett, Sageworks 6

| OCTOBER 2017

‘‘

Following these easyto-implement tips can help boost efficiency and revenue in your office.

W

hen starting a new physician’s office, you have plenty of ways to help increase your chances of success. Sageworks, a financial information company that provides financial analysis and cash flow applications to business owners and their accountants, has the following easy-to-implement tips to help boost efficiency and revenue in your office.

1. Hold morning staff meetings.

Consider holding 15-minute daily morning meetings to discuss the patient’s records that will be coming in for treatment that day. These short meetings can help better understand and prepare for each patient’s needs. Ensuring the staff is aware of the treatment that is to come for the day can help increase efficiency within the practice.

2. Install patient and employee suggestion boxes.

Patient and employee feedback are important to the well-being of any physician practice. Consider placing patient suggestion boxes inside each examination room and employee suggestion boxes in the break room. Their feedback can be helpful in understanding what is going well and what needs to be improved at the practice.

3. Create a health blog.

Blogs can be an easy and effective way to draw traffic to your practice’s website. Consider creating a health blog that discusses things patients would be interested in reading about, like fitness and healthy eating habits. If the blogs are written well, people may share them on platforms, like Facebook, drawing more traffic to your practice website. A simple blog post could help advertise the practice and attract new patients.

4. Utilize a customer relationship management software.

Consider using a Customer Relationship Management (CRM) or Physician Relationship Management (PRM) software to organize your referral system. These types of software are great ways to make practices more efficient by having all patient details stored in one place that is easy to access. They also help streamline invoices, which can reduce the problem of failing to send out invoices.

5. Make waiting rooms welcoming.

Waiting rooms can easily cause dissatisfaction among patients.

Consider posting a sign that asks patients to check in with the receptionist if they have been waiting more than 15 minutes. This reminds patients that you value their time and guards against their being “forgotten” during especially busy times. Also, consider adding calming art to the waiting room to make it more appealing.  Lexy Garrett is a marketing manager at Sageworks, a financial information company that provides financial analysis and cash flow applications to business owners and their accountants MED MONTHLY MAGAZINE

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practice tips

Do Social Ties Affect Our Health?

Cuddles, kisses, and caring conversations. These are key ingredients of our close relationships. Scientists are finding that our links to others can have powerful effects on our health. Whether with romantic partners, family, friends, neighbors, or others, social connections can influence our biology and well-being.

Wide-ranging research suggests that strong social ties are linked to a longer life. In contrast, loneliness and social isolation are linked to poorer health, depression, and increased risk of early death.

Studies have found that having a variety of social relationships may help reduce stress and heart-related risks. Such connections might improve your ability

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to fight off germs or give you a more positive outlook on life. Physical contact—from hand-holding to sex— can trigger release of hormones and brain chemicals that not only make us feel great but also have other biological benefits.

Marriage is one of the most-studied social bonds.

“For many people, marriage is their most important relationship. And the evidence is very strong that marriage is generally good for health,” says Dr. Janice Kiecolt-Glaser, an expert on health and relationships at Ohio State University. “But if a relationship isn’t going well, it could have significant health-related consequences.”

Exploring the Biology of Relationships

Married couples tend to live longer and have better heart health than unmarried couples. Studies have found that when one spouse improves his or her health behaviors—such as by exercising, drinking or smoking less, or getting a flu shot—the other spouse is likely to do so, too.

When marriages are full of conflict, though, such health benefits may shrink. In NIH-funded studies, Kiecolt-Glaser and her colleagues found that how couples behave during conflict can affect wound healing and blood levels of stress hormones. In a study of more than 40 married couples, the researchers measured changes to body chemistry over a 24-hour

period both before and after spouses discussed a conflict. The troublesome topics included money, inlaws, and communication.

“We found that the quality of the discussion really mattered,” Kiecolt-Glaser says. Couples who were more hostile to each other showed much larger negative changes, including big spikes in stress hormones and inflammation-related molecules. “In the more well-functioning marriages, couples might acknowledge that they disagree, or find humor in the situation, but they don’t get sarcastic or roll their eyes continued on page 10

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continued from page 9

when the other is talking,” Kiecolt-Glaser says. In a related study, blister wounds healed substantially more slowly in couples who were nastier to each other than in those who were kinder and gentler during difficult discussions.

Couples with the “double-whammy” of hostile marriages and depression may also be at risk for weight problems. After eating a high-fat meal and discussing a difficult topic, these troubled couples tended to burn fewer calories than less hostile counterparts. “The metabolism in these couples was slower in ways that could account for weight gain across time,” Kiecolt-Glaser says. Compared to the kinder couples, the distressed spouses had signs of more fat storage and other risks for heart disease.

The quality of a marriage—whether supportive or hostile—may be especially important to the health of older couples. Dr. Hui Liu at Michigan State University studied data on the health and sexuality of more than 2,200 older people, ages 57 to 85. Good marriage quality, she found, is linked to reduced risk of developing cardiovascular disease, while bad marriage quality is tied to increased risk, particularly in women. “The association between marriage quality and heart health becomes increasingly strong at older ages,” Liu says.

Liu and colleagues are also looking at the links between late-life sexuality and health, including whether sex among the very old is beneficial or risky to heart health. “Some people assume that sex isn’t important in older ages, so those ages are often overlooked in research studies related to sex,” Liu says.

“But our studies suggest that for many older people, sex quality and sex life are important to overall quality of life.”

In one recent analysis, Liu and co-workers found that older women who reported having a satisfying sex life were at reduced risk for high blood pressure 5 years later. But the researchers also found that some older men, ages 57 to 85, were at increased risk for certain heart-related problems after 5 years if they reported having frequent (at least once a week) or extremely enjoyable sex. The reasons for these increased risks aren’t clear and are still under study.

Experts suggest that older men and women talk with their doctors about concerns related to sexual issues or potential health risks. Learn more about sexuality

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in later life at www.nia.nih.gov/health/publication/ sexuality-later-life.

Other types of relationships are important, too.

These can include friends, family, neighbors, coworkers, clubs, and religious groups. Studies have found that people who have larger and more diverse types of social ties tend to live longer. They also tend to have better physical and mental health than people with fewer such relationships. Social support may be especially protective during difficult times.

Dr. Sheldon Cohen, a psychologist at Carnegie Mellon University in Pittsburgh, has been exploring the links between relationships and health for more than 3 decades. In one study, his team exposed more than 200 healthy volunteers to the common cold virus and observed them for a week in a controlled setting. “We found that the more diverse people’s social networks—the more types of connections they had—the less likely they were to develop a cold after exposure to the virus,” Cohen says. He and his team have since found evidence that people with more types of connections also tend to have better health behaviors (such as not smoking or drinking) and more positive emotions.

The scientists have also been exploring whether simply believing you have strong social support may help protect against the harms of stress. “Longterm conflicts with others are a potent stressor that can affect health. But we’ve found that its effects are buffered by perceived social support,” Cohen says.

“People who have high levels of conflict and low levels of social support are much more likely to get sick when exposed to a virus. But those with high conflict and high levels of social support seem protected.” In addition, hugging seemed to shield against stress.

People who reported having more frequent hugs were less likely to develop an infection after viral exposure.

Social ties can have mixed effects on our health.

But overall, research suggests that the benefits of interactions with others can outweigh any risks.

“It’s generally healthy for people to try to belong to different groups, to volunteer in different ways, and be involved with a church or involved in their neighborhood,” Cohen says. “Involvement with other people across diverse situations clearly can have a very potent, very positive effect on health.”  Source: https://newsinhealth.nih.gov/2017/02/dosocial-ties-affect-our-health

What’s your practice worth?

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practice tips

Patient’s Point of View

By Nick Hernandez, MBA, FACHE CEO and Founder of ABISA

The changes to the healthcare industry are increasingly focused on addressing patients as consumers. Such a change means that providers must of course emphasize quality and work toward price transparency, but they must also seek to determine what patients desire most. It is this last effort that is transforming the healthcare sector more like businesses of other sectors; what consumers want, is what drives competition and ingenuity (and oftentimes commoditization).

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Perhaps more than ever, physicians need to be focused not just on attracting more patients, but also on not losing the patients they have. Under the healthcare reform legislation, the federal government views patients as consumers.

Consequently, national attention has been placed on the patients as consumers, and that attention has not gone unnoticed. Indeed, patients are educated healthcare consumers and many are tired of being treated poorly. Aside from physician-specific interaction, there

are four areas practices should be attentive to in order to prevent losing current patients.

Staff Demeanor The correlation between respect and patient safety has been welldocumented, but a disrespectful staff can also impact the health of your practice. Whether it is absentmindedness or plain unprofessional behavior on behalf of your staff, these poor attitudes will lead to lost patients.

No matter how small the staff, most practices could use a primer

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“Physicians should take a measured approach to the future of their practice, keeping in mind that patients define value as appointment access and availability.“

of your practice. The front desk employees are the first ones to see your patients, the last ones to see your patients, and they’re the ones who the patients are going to talk to when they have problems. The front desk really carries a lot of weight.

Office Appearance There are many things your practice can do to overcome this without spending a ton of money on remodeling. Does your staff straighten magazines and tidy up throughout the day? How old is your reading material in the lobby and waiting areas? It is a good rule to never have magazines that are a year old. When is the last time your lobby received a fresh coat of paint?

If you have a small operation and do not have janitorial service nightly, then on the “off ” days, have your receptionist run a vacuum through the lobby area at the end of the day.

Design Elements Patients prefer hospitality design elements. To this end, medical offices and hotels share the challenge of designing facilities that are cost-effective, are functional, and promote their organizations’ (or refresher) on customer service. missions. Research shows that facility design influences customer Using words such as “please”, behaviors and brand perceptions in “thank you”, and “you’re welcome” a variety of industries. Customers can go a long way. While this goes make decisions about a company’s for all personnel, it is particularly capabilities and quality based on important for the front office their perceptions of the physical staff. The front office staff is often setting. Such consumer decisions the first (and sometimes the last) are very important in healthcare person your patients talk to—and since clinical outcomes are often this sets the tone for the visit. A well-trained front office employee is intangible and difficult to measure for non-clinicians. Research has the start of a delightful experience shown that a patient’s perception for patients and the rest of the of quality can be influenced by clinic’s personnel. The front office facilities design. Several studies staff is the first and last impression

found that patients surveyed in physically attractive waiting areas gave higher ratings on quality of care and patient-staff interactions.

These patients also were more willing to recommend the facility to others than those surveyed in comparatively unattractive waiting rooms.

Appointment Scheduling Scores of data from patient satisfaction surveys show that patients are extremely frustrated when their appointment time is delayed significantly. While patient care is certainly not as programmed as an automated manufacturing line, many practices could run much more efficiently if they scrutinized the operational flow of the practice. As time-impacting issues arise during the day, communicate that to your patients.

They will be much more forgiving if they are aware of the schedule; remember, it is highly unlikely that this appointment to your office is the only thing they have on their agenda for the day.

Patients make inferences about how much they are valued by their provider based on the experiences they have during a clinic visit. Physicians should take a measured approach to the future of their practice, keeping in mind that patients define value as appointment access and availability.

Patients still tend to assess provider quality in terms of service and access. It’s the wait time, the rude staff, and the inability to stick to a schedule that anger patients.

The key is to not have patients leave the practice because of poor office policies or simple misunderstandings. 

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practice tips

Diagnosing Concussions With Voice Research After a car accident, Russell Banks, a communicative sciences and disorders doctoral student, focused on his true passion of helping others with brain injuries.

Banks spent three years working in Utah under Eric Hunter, associate chairperson of MSU’s Department of CSD, at the National Center for Voice and Speech and now conducts research in Hunter’s Voice Biomechanics and Acoustics Lab while pursuing his Ph.D. Banks’ research aims to develop a method to diagnose concussions by looking at how the voice changes before and after a head injury. Banks began his concussion research after receiving the Strosacker Fellowship and a grant from the National Institutes of Health.

“What I set out to do was to find a reliable way to find if a person has been hit hard enough to do damage, because we still don’t have a reliable measure for that,” Banks said. “Even medical scans like a MRI and CT scans don’t tell us everything.”

One of the main methods of identifying head injuries is the balance exam because certain muscular changes happen after a concussion occurs and many people are unable to keep their balance. However, kids and adults alike have figured out how to cheat the system.

In the pre-test that athletes are given before the [sports] season, they just botch it completely and test poorly, like they just have bad balance, “In the pre-test that athletes are given before the [sports] season, they just botch it completely and test poorly, like they just have bad balance,” Banks said. “So when they get hit in the head, there’s basically no difference.”

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Banks believes it is much more difficult to fake a voice exam, as most people don’t know what a “good” or “bad” voice is.

To conduct his research, Banks teamed up with Christian Poellabauer, associate professor of computer science and engineering at the University of Notre Dame, to access his lab and data recordings of athletes at the beginning of their seasons. Then, they waited for injuries to occur.

Once the voices were recorded, Banks and his team ran them through innovative computer software and analysis programs, which provide data about pitch, volume and speed. After an individual sustained a head injury, Banks repeated the process and compared the data to see if any changes occurred.

“The findings are preliminary and not yet published,” Banks said. “What I can say, though, is that there are changes that happen before and after a head injury.”

Banks also hopes to find a measurement method that can be used on the sideline of a game or in a hospital immediately after someone has sustained a head injury. He envisions a person could speak into a machine and it would say whether significant damage had occurred.

While athletes are an important group to consider, the research also has merit for the aging population, people who have experienced a car accident and people who injure themselves while engaging in recreational activities.  Source: http://www.pressreleasepoint.com/diagnosingconcussions-voice-research

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U.S. OPTICAL BOARDS Alaska P.O. Box 110806 Juneau, AK 99811 (907)465-5470 https://www.commerce.alaska.gov/web/ cbpl/ProfessionalLicensing/DispensingOpticians.aspx

Idaho 450 W. State St., 10th Floor Boise , ID 83720 (208)334-5500 https://ibol.idaho.gov/IBOL/BoardPage. aspx?Bureau=OPT

Arizona 1400 W. Washington, Rm. 230 Phoenix, AZ 85007 (602)542-3095 http://www.do.az.gov

Kentucky P.O. Box 1360 Frankfurt, KY 40602 (502)564-3296 http://www.opticiantraining.org/optician-training-kentucky/

Arkansas P.O. Box 627 Helena, AR 72342 (870)572-2847 California 2005 Evergreen St., Ste. 1200 Sacramento, CA 95815 (916)263-2382 http://www.optometry.ca.gov/ Colorado 1560 Broadway St. #1310 Denver, CO 80202 (303)894-7750 http://www.dora.state.co.us/optometry/ Connecticut 410 Capitol Ave., MS #12APP P.O. Box 340308 Hartford, CT 06134 (860)509-7603 ext. 4 http://www.ct.gov/dph/cwp/view. asp?a=3121&q=427586 Florida 4052 Bald Cypress Way, Bin C08 Tallahassee, FL 32399 (850)245-4474 http://floridasoptometry.gov/ Georgia 237 Coliseum Dr. Macon, GA 31217 (478)207-1671 http://sos.ga.gov/index.php/licensing/ plb/20 Hawaii P.O. Box 3469 Honolulu, HI 96801 (808)586-2704 http://cca.hawaii.gov/pvl/boards/optometry/

Massachusetts 239 Causeway St. Boston, MA 02114 (617)727-5339 http://1.usa.gov/zbJVt7

Oregon 3218 Pringle Rd. SE Ste. 270 Salem, OR 97302 (503)373-7721 http://www.oregonobo.org/optque.htm Rhode Island 3 Capitol Hill, Rm 104 Providence, RI 02908 (401)222-7883 http://sos.ri.gov/govdirectory/index. php? page=DetailDeptAgency&eid=260 South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4665 www.llr.state.sc.us

Nevada P.O. Box 70503 Reno, NV 89570 (775)853-1421 http://nvbdo.state.nv.us/

Tennessee Heritage Place Metro Center 227 French Landing, Ste. 300 Nashville, TN 37243 (615)253-6061 http://tn.gov/health

New Hampshire 129 Pleasant St. Concord, NH 03301 (603)271-5590 www.state.nh.us

Texas P.O. Box 149347 Austin, TX 78714 (512)834-6661 http://www.tob.state.tx.us/

New Jersey P.O. Box 45011 Newark, NJ 07101 (973)504-6435 http://www.njsop.org/aws/NJSOP/pt/sp/ home_page

Vermont National Life Bldg N FL. 2 Montpelier, VT 05620 (802)828-2191 http://vtprofessionals.org/opr1/ opticians/

New York 89 Washington Ave., 2nd Floor W. Albany, NY 12234 (518)402-5944 http://www.op.nysed.gov/prof/od/

Virginia 3600 W. Broad St. Richmond, VA 23230 (804)367-8500 http://www.dpor.virginia.gov/Boards/ HAS-Opticians/

North Carolina P.O. Box 25336 Raleigh, NC 27611 (919)733-9321 http://www.ncoptometry.org/ Ohio 77 S. High St. Columbus, OH 43266 (614)466-9707 http://optical.ohio.gov/

Washington 300 SE Quince P.O. Box 47870 Olympia, WA 98504 (360)236-4947 http://www.doh.wa.gov/LicensesPermitsandCertificates/MedicalCommission. aspx

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U.S. DENTAL BOARDS Alabama Alabama Board of Dental Examiners 5346 Stadium Trace Pkwy., Ste. 112 Hoover, AL 35244 (205) 985-7267 http://www.dentalboard.org/ Alaska P.O. Box 110806 Juneau, AK 99811-0806 (907)465-2542 https://www.commerce.alaska.gov/web/ cbpl/ProfessionalLicensing/BoardofDentalExaminers.aspx Arizona 4205 N. 7th Ave. Suite 300 Phoenix, AZ 85103 (602)242-1492 http://azdentalboard.us/ Arkansas 101 E. Capitol Ave., Suite 111 Little Rock, AR 72201 (501)682-2085 http://www.asbde.org/ California 2005 Evergreen Street, Suite 1550Â Sacramento, CA 95815 877-729-7789 http://www.dbc.ca.gov/

Hawaii DCCA-PVL Att: Dental P.O. Box 3469 Honolulu, HI 96801 (808)586-3000 http://cca.hawaii.gov/pvl/boards/dentist/ Idaho P.O. Box 83720 Boise, ID 83720 (208)334-2369 http://isbd.idaho.gov/ Illinois 320 W. Washington St. Springfield, IL 62786 (217)785-0820 http://www.boardofdentistry.net/illinoisboard-of-dentistry-db13 Indiana 402 W. Washington St., Room W072 Indianapolis, IN 46204 (317)232-2980 http://www.in.gov/pla/dental.htm

Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7800 https://www.colorado.gov/pacific/dora/ Dental_Board

Iowa 400 SW 8th St. Suite D Des Moines, IA 50309 (515)281-5157 http://www.state.ia.us/dentalboard/

Connecticut 410 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388884

Kansas 900 SW Jackson Room 564-S Topeka, KS 66612 (785)296-6400 http://www.dental.ks.gov/

Delaware Cannon Building, Suite 203 861 Solver Lake Blvd.

Dover, DE 19904 (302)744-4500 http://dpr.delaware.gov/boards/dental/

Kentucky 312 Whittington Parkway, Suite 101 Louisville, KY 40222 (502)429-7280 http://dentistry.ky.gov/

Florida 4052 Bald Cypress Way Bin C-08 Tallahassee, FL 32399 (850)245-4474 http://floridasdentistry.gov/ 18

Georgia 237 Coliseum Drive Macon, GA 31217 (478)207-2440 https://gbd.georgia.gov/

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Louisiana 365 Canal St., Suite 2680 New Orleans, LA 70130 (504)568-8574 http://www.lsbd.org/

Maine 143 State House Station 161 Capitol St. Augusta, ME 04333 (207)287-3333 http://www.maine.gov/dental/licensure/ forms.html Maryland 55 Wade Ave. Catonsville, Maryland 21228 (410)402-8500 http://dhmh.state.md.us/dental/ Massachusetts 1000 Washington St., Suite 710 Boston, MA 02118 (617)727-1944 http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/dhpl/ dentist/about/ Michigan P.O. Box 30664 Lansing, MI 48909 (517)241-2650 http://www.michigan.gov/lara/0,4601,7154-72600_72603_27529_27533---,00. html Minnesota 2829 University Ave., SE. Suite 450 Minneapolis, MN 55414 (612)617-2250 http://www.dentalboard.state.mn.us/ Mississippi 600 E. Amite St., Suite 100 Jackson, MS 39201 (601)944-9622 http://bit.ly/uuXKxl Missouri 3605 Missouri Blvd.

P.O. Box 1367 Jefferson City, MO 65102 (573)751-0040 http://pr.mo.gov/dental.asp Montana P.O. Box 200113 Helena, MT 59620 (406)444-2511 http://bsd.dli.mt.gov/license/bsd_ boards/den_board/board_page.asp

Nebraska 301 Centennial Mall South Lincoln, NE 68509 (402)471-3121 http://www.boardofdentistry.net/nebraska-board-of-dentistry-db27

Ohio Riffe Center 77 S. High St.,17th Floor Columbus, OH 43215 (614)466-2580 http://www.dental.ohio.gov/

Nevada 6010 S. Rainbow Blvd. Suite A-1 Las Vegas, NV 89118 (702)486-7044 http://www.nvdentalboard.nv.gov/

Oklahoma 201 N.E. 38th Terr., #2 Oklahoma City, OK 73105 (405)524-9037 http://www.ok.gov/dentistry/

New Hampshire 2 Industrial Park Dr. Concord, NH 03301 (603)271-4561 http://www.nh.gov/dental/

Oregon 1600 SW 4th Ave. Suite 770 Portland, OR 97201 (971)673-3200 http://www.oregon.gov/Dentistry/

New Jersey P.O Box 45005 Newark, NJ 07101 (973)504-6405 http://njpublicsafety.com/ca/dentistry/

Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)783-7162 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Dentistry/ Pages/default.aspx#.VbkfjPlPVYU

New Mexico Toney Anaya Building 2550 Cerrillos Rd. Santa Fe, NM 87505 (505)476-4680 http://www.rld.state.nm.us/boards/Dental_Health_Care.aspx New York 89 Washington Ave. Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/prof/dent/ North Carolina 507 Airport Blvd., Suite 105 Morrisville, NC 27560 (919)678-8223 http://www.ncdentalboard.org/ North Dakota P.O. Box 7246 Bismark, ND 58507 (701)258-8600 http://www.nddentalboard.org/

Rhode Island Dept. of Health Three Capitol Hill, Room 104 Providence, RI 02908 (401)222-2828 http://1.usa.gov/u66MaB South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4599 http://www.llr.state.sc.us/POL/Dentistry/ South Dakota P.O. Box 1079 105. S. Euclid Ave. Suite C Pierre, SC 57501 (605)224-1282 https://www.sdboardofdentistry.com/ Tennessee 227 French Landing, Suite 300 Nashville, TN 37243 (615)532-3202 http://tn.gov/health

Texas 333 Guadeloupe St. Suite 3-800 Austin, TX 78701 (512)463-6400 http://www.tsbde.state.tx.us/ Utah 160 E. 300 South Salt Lake City, UT 84111 (801)530-6628 http://1.usa.gov/xMVXWm Vermont National Life Building North FL2 Montpelier, VT 05620 (802)828-1505 http://governor.vermont.gov/boards_ and_commissions/dental_examiners Virginia Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4538 http://www.dhp.virginia.gov/dentistry Washington 310 Israel Rd. SE P.O. Box 47865 Olympia, WA 98504 (360)236-4700 http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/Dentist.aspx West Virginia 1319 Robert C. Byrd Dr. P.O. Box 1447 Crab Orchard, WV 25827 1-877-914-8266 http://www.wvdentalboard.org/ Wisconsin P.O. Box 8935 Madison, WI 53708 1(877)617-1565 http://dsps.wi.gov/Default. aspx?Page=90c5523f-bab0-4a45-ab943d9f699d4eb5 Wyoming 1800 Carey Ave., 4th Floor Cheyenne, WY 82002 (307)777-6529 http://dental.wyo.gov/

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U.S. MEDICAL BOARDS Alabama P.O. Box 946 Montgomery, AL 36101 (334)242-4116 http://www.albme.org/ Alaska 550 West 7th Ave., Suite 1500 Anchorage, AK 99501 (907)269-8163 http://www.medlicense.com/alaskamedical-license.html Arizona 9545 E. Doubletree Ranch Rd. Scottsdale, AZ 85258 (480)551-2700 http://www.azmd.gov Arkansas 1401 West Capitol Ave., Suite 340 Little Rock, AR 72201 (501)296-1802 http://www.armedicalboard.org/ California 2005 Evergreen St., Suite 1200 Sacramento, CA 95815 (916)263-2382 http://www.mbc.ca.gov/ Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7690 http://www.docjungle.com/medicalboards/colorado-physician-licensing/ Connecticut 401 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388902 Delaware Division of Professional Regulation Cannon Building 861 Silver Lake Blvd., Suite 203 Dover, DE 19904 (302)744-4500 http://dpr.delaware.gov/ District of Columbia 899 North Capitol St., NE Washington, DC 20002 (202)442-5955 http://doh.dc.gov/bomed 20

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Florida 2585 Merchants Row Blvd.

Tallahassee, FL 32399 (850)245-4444 http://www.stateofflorida.com/Portal/ DesktopDefault.aspx?tabid=115

Louisiana LSBME P.O. Box 30250 New Orleans, LA 70190 (504)568-6820 http://www.lsbme.la.gov/

Georgia 2 Peachtree Street NW, 36th Floor Atlanta, GA 30303 (404)656-3913 http://bit.ly/vPJQyG

Maine 161 Capitol Street 137 State House Station Augusta, ME 04333 (207)287-3601 http://www.maine.gov/md/

Hawaii DCCA-PVL P.O. Box 3469 Honolulu, HI 96801 (808)587-3295 http://hawaii.gov/dcca/pvl/boards/medical/

Maryland 4201 Patterson Ave. Baltimore, MD 21215 (410)764-4777 http://www.mbp.state.md.us/

Idaho Idaho Board of Medicine P.O. Box 83720 Boise, Idaho 83720 (208)327-7000 http://bit.ly/orPmFU

Massachusetts 200 Harvard Mill Sq., Suite 330 Wakefield, MA 01880 (781)876-8200 http://www.mass.gov/eohhs/gov/departments/borim/

Illinois 320 West Washington St. Springfield, IL 62786 (217)785 -0820 http://www.idfpr.com/

Michigan Bureau of Health Professions P.O. Box 30670 Lansing, MI 48909 (517)335-0918 http://michigan.gov/lara/0,4601,7-15472600_72603_27529_27541-58914--,00. html

Indiana 402 W. Washington St. #W072 Indianapolis, IN 46204 (317)233-0800 http://www.in.gov/pla/ Iowa 400 SW 8th St., Suite C Des Moines, IA 50309 (515)281-6641 http://medicalboard.iowa.gov/ Kansas 800 SW Jackson, Lower Level, Suite A Topeka, KS 66612 (785)296-7413 http://www.ksbha.org/ Kentucky 310 Whittington Pkwy., Suite 1B Louisville, KY 40222 (502)429-7150 http://kbml.ky.gov/Pages/index.aspx

Minnesota University Park Plaza 2829 University Ave. SE, Suite 500 Minneapolis, MN 55414 (612)617-2130 http://bit.ly/pAFXGq Mississippi 1867 Crane Ridge Drive, Suite 200-B Jackson, MS 39216 (601)987-3079 http://www.msbml.state.ms.us/ Missouri Missouri Division of Professional Registration 3605 Missouri Blvd.

P.O. Box 1335 Jefferson City, MO 65102 (573)751-0293 http://pr.mo.gov/healingarts.asp

Montana 301 S. Park Ave. #430 Helena, MT 59601 (406)841-2300 http://bsd.dli.mt.gov/license/bsd_ boards/med_board/board_page.asp Nebraska Nebraska Department of Health and Human Services P.O. Box 95026 Lincoln, NE 68509 (402)471-3121 https://www.nebraska.gov/LISSearch/ search.cgi Nevada Board of Medical Examiners P.O. Box 7238 Reno, NV 89510 (775)688-2559 http://www.medboard.nv.gov/ New Hampshire New Hampshire State Board of Medicine 2 Industrial Park Dr. #8 Concord, NH 03301 (603)271-1203 http://www.nh.gov/medicine/ New Jersey P. O. Box 360 Trenton, NJ 08625 (609)292-7837 http://www.medlicense.com/new-jerseymedical-license.html New Mexico 2055 S. Pacheco St. Building 400 Santa Fe, NM 87505 (505)476-7220 http://www.nmmb.state.nm.us/ New York Office of the Professions State Education Building, 2nd Floor Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/ North Carolina P.O. Box 20007 Raleigh, NC 27619 (919)326-1100 http://www.ncmedboard.org/

North Dakota 418 E. Broadway Ave., Suite 12 Bismarck, ND 58501 (701)328-6500 https://www.ndbom.org/

Texas P.O. Box 2018 Austin, TX 78768 (512)305-7010 http://www.tmb.state.tx.us/

Ohio 30 E. Broad St., 3rd Floor Columbus, OH 43215 (614)466-3934 http://med.ohio.gov/

Utah P.O. Box 146741 Salt Lake City, UT 84114 (801)530-6628 http://www.dopl.utah.gov/licensing/physician_surgeon.html

Oklahoma P.O. Box 18256 Oklahoma City, OK 73154 (405)962-1400 http://www.okmedicalboard.org/ Oregon 1500 SW 1st Ave., Suite 620 Portland, OR 97201 (971)673-2700 http://www.oregon.gov/OMB/ Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)787-8503 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/ Pages/default.aspx#.Vbkgf_lPVYU Rhode Island 3 Capitol Hill Providence, RI 02908 (401)222-5960 http://1.usa.gov/xgocXV South Carolina P.O. Box 11289 Columbia, SC 29211 (803)896-4500 http://www.llr.state.sc.us/pol/medical/ South Dakota 101 N. Main Ave. Suite 301 Sioux Falls, SD 57104 (605)367-7781 http://www.sdbmoe.gov/ Tennessee 425 5th Ave. North Cordell Hull Bldg. 3rd Floor Nashville, TN 37243 (615)741-3111 http://tn.gov/health

Vermont P.O. Box 70 Burlington, VT 05402 (802)657-4220 http://1.usa.gov/wMdnxh Virginia Virginia Dept. of Health Professions Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4400 http://1.usa.gov/xjfJXK Washington Public Health Systems Development Washington State Department of Health 101 Israel Rd. SE, MS 47890 Tumwater, WA 98501 (360)236-4085 http://www.medlicense.com/washingtonmedicallicense.html West Virginia 101 Dee Dr., Suite 103 Charleston, WV 25311 (304)558-2921 http://www.wvbom.wv.gov/ Wisconsin P.O. Box 8935 Madison, WI 53708 (877)617-1565 http://dsps.wi.gov/Boards-Councils/ Board-Pages/Medical-Examining-BoardMain-Page/ Wyoming 320 W. 25th St., Suite 200 Cheyenne, WY 82002 (307)778-7053 http://wyomedboard.state.wy.us/

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features

5 Simple Steps to Create

a Paperless Medical Clinic

By liveClinic

22

| OCTOBER 2017

For patients, visiting the doctor’s office can sometimes feel like an exercise in memory recall: Which medications are you taking?

What’s your family’s health history?

What has changed in the past year?

With the power of technology and Electronic Medical Records (EHR/EMRs) physicians now have comprehensive access to patient vital data with the click of a mouse.

As well as the benefit of patients not having to repeat themselves, there is also the environmental benefit of not having to waste paper.

Through EHRs, many general practices are slowly developing into paperless enterprises.

Going from a medical clinic that is completely paperless is now a reality. However, some providers may shy away from going paperless because it sounds like a huge task to accomplish that may be costly and time consuming.

The upfront expenses and time requirements of converting to a paperless office can sometimes be intimidating for doctors. However, once implemented, going paperless is cost effective, saves time, and outweighs the time cost.

To transform a medical office, here are five simple steps to help doctors move towards a paperless medical clinic.

1. Electronic Health Records enables health care providers to effectively manage patient care through the documentation, storage, use and sharing of patient records. There are numerable benefits of switching from a paper medical record to an electronic health record (EHR). However, it is wise to take your time when choosing the best EHR for your clinic. Consider usability alongside cost. Also remember that there are still issues with integration between EHRs for many of the current service providers.

2. Document Scanning a patient’s photo ID and insurance information; paper EOB’s (explanation of benefits) and other correspondence from insurance companies; and paper medical records to be changed to an electronic health record.

3. Patient Portals that are integrated with your EHR allows an interactive resource for your

patients, and also increases patient participation in scheduling appointments. Through a portal your patients can complete registration information, obtain x-ray and lab results, ask questions to your team, and pay their bill. It also speeds up the process of receiving medical history forms and sending information back to patients.

4. E-prescribing is a safer, more secure and faster method of prescribing patient medication.

E-prescribing is the means of transmitting a prescription or prescription-related information between a prescriber or dispenser, in an electronic format either directly or through an e-prescribing network. Most doctors have some level of experience with this process now, and can make a significant paper and time saving by going to a completely E-prescription model.

5. Electronic documentation software allows for online alterations (markups, highlights, etc), fax electronically, emailed, and saved or printed to PDF. You can consider free options like google docs to begin with and see if it is a useful tool for your clinic.

While no medical office can likely be 100% paper free immediately, these 5 simple steps can definitely bring about positive results.

It is important to remember that your team may prefer paper documents especially when it has been part of your internal systems for a long time. In order to make a seamless change, it is important to discuss the impact and efficacy with the team.

The important thing to remember is that change is key to continually improving, and becoming paperless is a change that adds benefit to your medical office, lowers your impact on the environment, and can potentially improve the level of care provided to your patients.  Want to Read More?

The Paperless Medical Office Report by ACP Economic and Ecological Benefits of Going Paperless

by AIIM Community Source: https://liveclinic.com/blog/how-to-paperlessmedical-office/

MED MONTHLY MAGAZINE

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features

MAKING THE PAPERLESS TRANSITION LESS PAINFUL

By Naren Arulrajah Ekwa Marketing

24

| OCTOBER 2017

Going paperless is easier said than done. Many doctors and dentists are frustrated and disappointed by the process, reporting increased workloads and decreased efficiency. Some even revert to their old, paper-based systems. However, you can avoid the hassles and enjoy very real benefits with careful planning and realistic expectations. Here’s how.

Plan Before You Purchase One of the most common mistakes is choosing an EHR (Electronic Health Record) system without adequate forethought and planning. According to a recent industry survey, most doctors spend less than six months choosing software, and they usually demo two or fewer systems before purchasing. The same survey found inadequate features to be the most common reason for switching EHRs. You can save money and avoid a lot of stress for your entire team by taking the time and making the effort to choose the right system.

• Analyze your current workflow.

Every process that involves paper will need to be converted.

Determine what the system needs to do, who will need to use it, and what levels of access they will need to have.

• Involve your team. Of course, you know how your own practice operates. However, you probably don’t know much about the fine details of daily tasks such as appointment scheduling or billing. Talk to the people who do those things every day. Find out what functionality they need, and

what features would make their jobs more efficient.

• Verify compatibility. Paper is inefficient. A person must look at the document, get the information, and then write or enter it somewhere else – every single time it is needed.

You might be surprised to learn that the same thing can happen with digital documents.

If you plan to use the system in conjunction with other software, make sure it is compatible.

• Choose practice management software. If you choose a comprehensive suite that includes EHR, don’t underestimate the importance of other components. Evaluate the scheduling, billing, and other modules just as carefully as the EHR. Alternately, you can use separate software.

However, you will still need to choose your management software before purchasing an EHR system, so you can ensure they are compatible.

• You need customer service.

No matter how carefully you choose, implementing the system will not be easy. Even once the transition is complete, a small glitch in the software could bring your office to a halt.

Make sure that your vendor is an established, reputable company with good customer service and technical support.

Efficient Implementation You finally found the perfect system for your practice.

Now what? Start with realistic continued on page 26

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continued from page 25

expectations and a long-term plan.

The transition to paperless would be better described as a gradual shift to less paper.

There are two reasons an EHR system will not suddenly eliminate paper. First, the task of digitizing existing records is monumental. It cannot be accomplished quickly, even if you dedicate several staff members to data entry. You can reduce the disruption, and the burden on your team, by updating records gradually.

New patients should be entered in the system right away, so that you don’t accumulate more paper records. Also, attach data entry to scheduling for returning patients. When a patient makes an appointment, office personnel should check the digital records. If that person is not in the EHR, they should be entered immediately.

This will ensure that every person you treat will be in the system, and that records for active patients are gradually converted. For archived records, have your team enter a few per day or week. Set a reasonable goal, depending on the size of your staff.

The other hurdle to a truly paperless office is things that fall outside the realm of EHR. You might have employment applications, lease agreements, financial reports, and dozens of other types of paperwork besides patient records.

An attempt to convert everything at once can throw your office into chaos. Instead, take it one step at a time. For example, you might start with the EHR, and after it is functional, implement cloud-based bookkeeping, then move on to 26

| OCTOBER 2017

the human resources department.

This allows your team to focus on learning one thing at a time, and minimizes disruption to daily operations.

Improve Efficiency Along the Way No matter how well you plan, moving to the paperless world will cause a degree of upheaval in your office. Some routines will have to change. You and your team will need to learn a new system, a new way of doing business.

Instead of viewing the disturbance as a detriment, think of it as an opportunity. While you are already changing operational procedures, you have a chance to improve them.

You will need to carefully evaluate the workflow and

processes in every department.

Along the way, you may discover certain tasks that are unnecessarily complicated or inefficient. Maybe the receptionist answers all phone calls, when a phone menu could route them directly to the correct person. Maybe one person sends appointment reminders one day in advance, and someone else sends them two days in advance. Maybe three people are involved in a process that could be completed by one person.

The upgrade to digital is also an opportunity to improve your own forms and internal paperwork.

Instead of directly converting paper forms to digital, revamp them. Add and remove questions to provide more of the information you need, and less irrelevant or redundant data. You can also add

more detailed instructions and documentation, because digital forms are not limited by the size of a piece of paper.  About the Author: Naren Arulrajah is President and CEO of Ekwa Marketing, a complete internet marketing company that focuses on SEO, social media, marketing education, and the online reputations of dentists and physicians. With a team of 140+ full time marketers, www.ekwa.com helps doctors who know where they want to go, get there by dominating their market and growing their business significantly year after year. If you have questions about marketing your practice online, call 855-598-3320 to speak one-on-one with Naren.

features

The Paperless Medical Practice: Patient Portals - A Crucial Element of Your EHR And How it Increases Your Revenue

By Barbara Hales, M.D. l www.TheMedicalStrategist.com

Providing a portal is no longer just a nice option to offer your patients. Future pay-for-performance based plans, which are headed our way, will require them.

What’s more, not implementing an effective patient may limit your EHR benefits, Medicare reimbursement and increase your costs. There are rumors that medical practices will also have higher malpractice premiums in the future.

A Patient Portal is required in order to meet the Core Measures for Meaningful Use Stage 2. It helps to meet several measures because it persuades patients to record their health information online while permitting providers to exchange clinical information electronically.

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Stage 2 Meaningful Use: 17 Core Objectives 1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders 2. Generate and transmit permissible prescriptions electronically (eRX) 3. Record demographic information 4. Record and chart changes in vital signs 5. Record smoking status for patients 13 years old or older 6, Use clinical decision support to improve performance on high-priority health conditions 7. Provide patients the ability to view online, download and transmit their health information 8. Provide clinical summaries for patients for each office visit 9. Protect electronic health information created or maintained by Certified EHR Technology

10. Incorporate clinical lab-test results into Certified EHR Technology 11. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach 12. Use clinically relevant information to identify patients who should receive reminders for preventative/follow-up care 13. Use Certified EHR technology to identify patient-specific education resources 14. Perform medication reconciliation 15. Provide summary of care record for each transition of care or referral 16. Submit electronic data to immunization registries 17. Use secure electronic messaging to communicate with patients on relevant health information

In Meaningful Use Stage 3 there are 6 Menu Objectives and physicians must meet a minimum of 3. Patient portals may assist in meeting the requirement.

6 Menu Objectives 1. Submit electronic syndromic surveillance data to public health agencies 2. Record electronic notes in patient records 3. Imaging results accessible through CEHRT 4. Record patient family health history 5. Report cancer cases to a public health central cancer registry 6. Report specific cases to a specialized registry Charts from HIMSS - Healthcare Information and Management Systems continued on page 30

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continued from page 29

Patient Portal Benefits While many physicians have implemented portals under protest, kicking and screaming, the thing is, once training and implementation has occurred, the office is actually more productive. Patients and physicians are happier.

There are many benefits to implementing patient portals, such as: • Providing new insurance information • Processing payments • Coordinating appointment scheduling without taking out staff time • Updating patient demographics • Exchanging messages • Reviewing treatment plans or discharge instructions • Reminding patients about appointments (and what to bring) • Documenting patient conditions • Obtaining medical and social histories • Reminding patients to get their vaccinations, mammograms and other screening tests as they come due Many physicians are surprised by the amount of time the office saves while providing better patient care.

How to Get Your Patients to Adopt Portal Use Just because you make a portal available, it doesn’t ensure that patients will use it. Yet, at least 5% of your patients must participate in the portal.

Involve the entire staff in patient portal promotion. Steps they can take include: • Disseminating brochures on portal use • Display signs at the desk about how to access portals

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| OCTOBER 2017

• Introduction of the portal during patient visits • Have an understanding of all the portal features so that they can be explained to the patients • Remind patients at the exit desk about the benefits of portal usage • Log patients into the portal – make enrollment available to all patients • Offer an iPad or kiosk at the waiting room with help to patients in registration and use of the portal • Offer an instructional video for patients on your website Positive use of portals involves a myriad of patientsseniors, chronically ill and caregivers.

Bare in mind that patients are much more likely to engage in portal use if physicians and health professionals recommend and encourage portal involvement as well as a functionality that supports activation by patients.

Integration and Cost with Various Portals There are essentially 3 categories of portal integration with electronic health records: 1. Integration with the vendor’s EHR such as eCinicalWorks, Epic, and nextGen 2. Interface with third-party portals (e.g. Intuit Health) with Allscripts and GE 3. Relationship between the portal vendor and EHR vendor (which may create more work by reentering information) Costs may be included with the EHR fee or it may be an additional monthly fee, depending on the vendor and the type of portal integration. In addition, costs may be added for installation, annual maintenance, upfront software and transaction fee per patient.

Patient Portal Strategy Consider the needs of your practice by offering engaging features and how the patient portal achieves meaningful use requirements.

Ask yourself the following questions: • What are the goals for the portal in terms of the practice and patient?

• What features do I want?

• Should they be offered at once or phased in?

• What will be the marketing and training for the portal?

• How can I utilize feedback to expand the program?

Ask your local REC (Federal regional extension center) for advise as you plan and launch your patient portal.

The portal expedites information exchange with both clinical and administrative issues.

Ideally, your desired list of portal services interface with your electronic record.

Capabilities differ tremendously between various patient portals. Some offer one or many of the following patient tools: • Support of secure messaging • Exchange of specific information on patient care • Post specific forms on conditions for patients to fill out • Enable patient input for family and social history

• Enable history of present illnesses • Allow patient scheduling • Enable prescription refills by matching the request with the medication list • Access of records and laboratory results Those that accept histories by patients are invaluable in creating new electronic health records.

Those that allow scheduling, lab result access and drug refills save time for both patients and office staff- offering more effective use of time for staff and happier, compliant patients.

Regrettably, many practices and health facilities haven’t carefully examined the patient portal strategy of their EHR vendor and the implications of the patient portal to their EHR strategy and gotten caught, big-time!

Hopefully, that’s not you!

Analyze the specifics of the companion patient portal to the EHR options. Study the features and costs of such portals when incorporating portals into your EHR strategy. 

The Write Treatment

Ezines and NewslettersCost Effective Powerful Tools • Drive traffic to your business website • Build relationships between yourself and patients • Get new patients • Announce a new service or product • Give great impact Have you got a newsletter yet or want to spread a message?

Contact Barbara Hales, M.D. for a free consultation.

Barbara@TheWriteTreatment.com 516-647-3002

MED MONTHLY MAGAZINE

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Practices for Sale Medical Practices Pediatric Practice Near Raleigh, NC

Location: Minutes South of Raleigh, North Carolina List Price: $145,000 Gross Yearly Income: $350,000 Year Established: 1980(s) Average Patients per Day: 16-22 Total Exam Rooms: 5 Building Owned/Leased: Owned. Will sell or lease.

Contact: Philip at 919-848-4202

Urology Practice near Lake Norman, NC Location: Minutes from Charlotte, NC List Price: $165,000 Gross Yearly Income: $275,000 Year Established: 1980 Average Patients per Day: 12 to 15 Building Owned/Leased: Leased Contact: Philip at 919-848-4202

Primary Care specializing in Women’s Practice Location: Morehead City, N.C. List Price: Just reduced to $20,000 or Best Offer Gross Yearly Income: $540,000 average for past 3 years Year Established: 2005 Average Patients per Day: 12 to 22 Building Owned/Leased: MD owned and can be leased or purchased Contact: Philip at 919-848-4202

Family Practice/Primary Care

Location: Hickory, North Carolina List Price: $425,000 Gross Yearly Income: $1,5000,000 Year Established: 2007 Average Patients Per Day: 24-35 Total Exam Rooms: 5 Building Owned/Leased: Lease or Purchase Contact: Philip at 919-848-4202

Med Spa

Location: Coastal North Carolina List Price: $550,000 Gross Yearly Income: $1,600,000.00 Year Established: 2005 Average Patients Per Day: 25 to 30 Total Exam Rooms: 4 Building Owned/Leased: Leased Contact: Philip at 919-848-4202

Mental Health,Neuropsychological and Psychological Location: Wilmington, NC List Price: $110,000 Gross Yearly Income: $144,000 Year Established: 2000 Average Patients Per Day: 8 Building Owned/Leased/Price: Owned Contact: Philip at 919-848-4202

Orthopedic Practice serving Eastern NC Location: Eastern NC List Price: $135,000 Equipment: Includes X-ray Total Exam Rooms: 3 Average Patients 10 to 15 Contact: Philip at 919-848-4202

Special Listings Offer We are offering our “For Sale By Owner” package at a special rate. With a 6 month agreement, you receive 3 months free.

Considering your practice options? Call us today.

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| OCTOBER 2017

PRIMARY CARE PRACTICE East of Raleigh, North Carolina

D L

We are offering a well established primary care practice only minutes east of Raleigh North Carolina. The retiring physician maintains a 5 day work week and has a solid base of patients that can easily be expanded. There are 6 fully equipped exam rooms, a large private doctor’s office, spacious business office, and patient friendly check in and out while the patient waiting room is generous overlooking manicured flowered grounds. This family practice is open Monday through Friday and treats 8 to a dozen patients per day.

Currently operating on paper charts, there is no EMR in place. The Gross revenue is about $235,000 yearly.

O S

We are offering this practice for $50,000 which includes all the medical equipment and furniture. The building is free standing and can be leased or purchased.

Contact Philip at 919-848-4202 to receive details and reasonable offers will be presented to the selling physician.

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202

Discounts as big as a house.

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Lindsay Gianni, Agent 12333 Strickland Road Suite 106 Raleigh, NC 27613 Bus: 919-329-2913 lindsay.gianni.f23o@statefarm.com

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Pediatrics Practice Wanted Pediatrics Practice Wanted in NC Considering your options regarding your pediatric practice? We can help. Medical Practice Listings has a well qualified buyer for a pediatric practice anywhere in central North Carolina.

Contact us today to discuss your options confidentially.

1103155.1

State Farm Mutual Automobile Insurance Company, State Farm Indemnity Company, Bloomington, IL

Medical Practice Listings Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com MED MONTHLY MAGAZINE

| 33

Pediatric Practice Available Near Raleigh, NC

We have several qualified MDs seeking established Urgent Care Practices in North Carolina.

Urgent Care Practices Wanted If you have an urgent care practice and would like to explore your selling options, please contact us. Your call will be handled confidentially and we always put together win-win solutions for the seller and buyer.

Pediatric practice located minutes south of Raleigh, North Carolina is now listed for sale. Located in an excellent area convenient to Raleigh, Cary, and Durham, it is surrounded by a strong health care community. This is a well established practice with a very solid patient base. The building is equipped with a private doctor’s office, five exam rooms, and an in-house lab.

Call Medical Practice Listings today and ask for Philip Driver 919-848-4202.

Established: 1980s l Gross Yearly Income: $350,000 Average Patients per Day: 16 to 22 l List Price: $145,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

PHYSICIANS NEEDED: Mental health facility in Eastern North Carolina seeks: PA/FT ongoing, start immediately Physician Assistant needed to work with physicians to provide primary care for resident patients. FT ongoing 8a-5p. Limited inpatient call is required. The position is responsible for performing history and physicals of patients on admission, annual physicals, dictate discharge summaries, sick call on unit assigned, suture minor lacerations, prescribe medications and order lab work. Works 8 hour shifts Monday through Friday with some extended work on rotating basis required. It is a 24 hour in-patient facility that serves adolescent, adult and geriatric patients.

FT ongoing Medical Director, start immediately The Director of Medical Services is responsible for ensuring all patients receive quality medical care. The director supervises medical physicians and physician extenders. The Director of Medical Services also provides guidance to the following service areas: Dental Clinic, X-Ray Department, Laboratory Services, Infection Control, Speech/Language Services, Employee Health,

Pharmacy Department, Physical Therapy and Telemedicine. The Medical Director reports directly to the Clinical Director. The position will manage and participate in direct patient care as required; maintain and participate in an on-call schedule ensuring that a physician is always available to hospitalized patients; and maintain privileges of medical staff.

Permanent Psychiatrist needed FT, start immediately An accredited State Psychiatric Hospital serving the eastern region of North Carolina, is recruiting for permanent full-time Psychiatrist. The 24 hour in-patient facility serves adolescent, adult and geriatric patients. The psychiatrist will serve as a team leader for multi-disciplinary team to ensure quality patient care/treatment. Responsibilities include:

evaluation of patient on admission and development of a comprehensive treatment plan, serve on medical staff committees, complete court papers, documentation of patient progress in medical record, education of patients/families, provision of educational groups for patients.

Send copies of your CV, NC medical license, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624 PH: (919) 845-0054 | email: physiciansolutions@gmail.com 34

| OCTOBER 2017

Modern Med Spa Available

Located in beautiful coastal North Carolina Modern, well-appointed med spa is available in the eastern part of the state. This Spa specializes in BOTOX, facial therapy and treatments, laser hair removal, eye lash extensions and body waxing as well as a menu of anti-aging options. This impressive practice is perfect as-is and can accommodate additional services like primary health or dermatology.

The Gross revenue is over $1,500.000 with consistent high revenue numbers for the past several years. The average number of patients seen daily is between 26 and 32 with room for improvement. You will find this Med Spa to be in a highly visible location with upscale amenities. The building is leased and the lease can be assigned or restructured. Highly profitable and organized, this spa is POISED FOR SUCCESS. 919.848.4202 medlisting@gmail.com medicalpracticelistings.com

Urgent Care serving the South Raleigh and Garner, NC area

R T E C D A N U TR N O C

Orthopedic Practice serving Eastern NC, minutes from the Atlantic Ocean

Established practice averaging 25 to 30 patients per day, year round. Open 7 days a week with two providers and established staff members. 4 exam rooms, 1 procedure room and 1 lab-phlebotomy room.

This is a very well laid out and attractive practice in a heavily traveled area with excellent parking. Gross revenues of about one million per year and positioned for continued growth. Priced at $200,000.

Orthopedic practice for sale on the coast of North Carolina, established with a solid patient base. The demographics for this practice are excellent and the location impressive. This newly listed practice is fully furnished, staffed and ready for a fresh face to see orthopedic patients in this beautiful part of North Carolina. The ingredients for success have been established and the owning doctor is willing to stay with you for a reasonable time to assure a smooth transfer of care. This is the perfect practice to add on to your existing practice as a satellite or to make it your main orthopedic practice. Includes X-Ray, 3 exam rooms and could be easily converted into an urgent care.

Average Orthopedic Patients per Day: 10 to 15

Medical Practice Listings Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

l

List Price: $135,000

Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com MED MONTHLY MAGAZINE

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Primary Care Practice For Sale in Wilmington, NC Established primary care on the coast of North Carolina’s beautiful beaches. Fully staffed with MD’s and PA’s to treat both appointment and walk-in patients. Excellent exam room layout, equipment and visibility.

Contact Medical Practice Listings for more information.

MD STAFFING AGENCY FOR SALE IN NORTH CAROLINA The perfect opportunity for anyone who wants to purchase an established business.

l One

of the oldest Locums companies client list l Dozens of MDs under contract l Executive office setting l Modern computers and equipment l Revenue over a million per year l Retiring owner l Large

Medical Practice Listings

919.848.4202 | medlistings@gmail.com www.medicalpracticelistings.com

Please direct all correspondence to driverphilip@gmail.com.

Only serious, qualified inquirers.

PEDIATRICIAN

or family medicine doctor needed in

Urology Practice minutes from Lake Norman, North Carolina

Comfortable seeing children. Needed immediately.

Urology Practice minutes from Lake Norman is now listed for sale. This excellent located practice is convenient to Charlotte, Gastonia, Lincolnton and Hickory. With a solid patient base, procedures currently include; Adult & Pediatric Urology, Kidney Stones, Bladder Problems, Incontinence, Prostate Issues, Urinary Tract Infections, Wetting Problems, Erectile Dysfunction and related issues. Three exam rooms with two electronic tables and one flat exam table.

FAYETTEVILLE, NC

Established: 1980 l Gross Yearly Income: $275,000 Average Patients per Day: 12 to 15 l List Price: $165,000

Call 919- 845-0054 or email: physiciansolutions@gmail.com www.physiciansolutions.com 36 | OCTOBER 2017

Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com

MODERN

Practice for Sale in Raleigh, NC

Urgent Care

Primary care practice specializing in women’s care Raleigh, North Carolina The owning physician is willing to continue with the practice for a reasonable time to assist with smooth ownership transfer. The patient load is 35 to 40 patients per day, however, that could double with a second provider. Exceptional cash flow and profit will surprise even the most optimistic practice seeker. This is a remarkable opportunity to purchase a well-established woman’s practice. Spacious practice with several well-appointed exam rooms and beautifully decorated throughout. New computers and medical management software add to this modern front desk environment.

List price: $435,000

Call Medical Practice Listings at (919) 848-4202 for details and to view our other listings visit www.medicalpracticelistings.com

Serving Raleigh, Cary, Apex, Holly Springs, Fuquay Varina, Brier Creek and South Point Mall areas.

This is certainly one of the most consistently utilized practices serving a large demographic area. 6 exam or procedure rooms, 1 X-Ray in a well appointed and nicely designed practice. Averaging 28 to 30 patients per day, year round and open 365 days per year. The staff includes two providers and full experienced staff to include X-Ray personal. The gross revenues of this practice exceeds one million two hundred thousand yearly. Priced at $260,000.

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

Located on NC’s Beautiful Coast,

Morehead City

R T E C D A N U TR N O C

Primary Care Specializing in Women’s Health Practice established in 2005, averaging over $540,000 the past 3 years. Free standing practice building for sale or lease. This practice has 5 well equipped exam rooms and is offered for $20,000.

919.848.4202 medlisting@gmail.com medicalpracticelistings.com MED MONTHLY MAGAZINE

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Internal Medicine Practice for Sale Located in the heart of the medical community in Cary, North Carolina, this Internal Medicine practice is accepting most private and government insurance payments.

PSYCHIATRIST PRACTICE LOCATED IN JACKSONVILLE, FL

The average patients per day is 20-25+, and the gross yearly income is $555,000.

Established with a solid patient base, this well appointed practice also has a Psychologist in house. The psychiatrist is willing to stay and practice for a month or so assuring a nice patient transition.

The city of Jacksonville is underserved by psychiatrist as most patients wait 4 to 5 months to secure an appointment. Treating over a dozen patients per day year round, you can step into this practice with the assurance knowing you will have a solid income and positioning for success. The established doctor is looking to retire but very willing to assure the buyer is comfortable moving forward. Asking $135,000 fully furnished.

Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com

Listing Price: $430,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

PRIMARY CARE PRACTICE - Hickory, North Carolina This is an outstanding opportunity to acquire one of the most organized and profitable primary care practices in the area. Grossing a million and a half yearly, the principal physician enjoys ordinary practice income of over $300,000 annually.

Hickory is located in the foot-hills of North Carolina and is surrounded by picturesque mountains, lakes, upscale shopping malls and the school systems are excellent. If you are looking for an established practice that runs like a well oiled machine, request more information.

The free standing building that houses this practice is available to purchase or rent with an option. There are 4 exam rooms with a well appointed procedure room. The owning physician works 4 to 5 days per week and there is a full time physician assistant staffed as well.

For the well qualified purchasing physician, the owner may consider some owner-financing. Call us today.

List price: $425,000 | Year Established: 2007 | Gross Yearly Income: $1,500,000

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202 38

| OCTOBER 2017

Eastern North Carolina Family Practice Available Well-appointed Eastern North Carolina Family Practice established in 2000 is for sale in Williamston, NC. This organized practice boasts a wide array of diagnostic equipment including a GE DEXA scanner with a new tube, GE case 8000 stress testing treadmill and controller and back up treadmill, Autoclave and full set of operating equipment, EKG-Ez EKG and much more. The average number of patients seen daily is between 12 to 22. The building is owned

by MD and can be purchased or leased.

The owning physician is relocating and will assist as needed during the transition period. The gross receipts for the past three years average $650,000 and the list price was just reduced to $185,000. If you are looking to purchase a well equipped primary care practice, please contact us today.

919-848-4202 medlisting@gmail.com medicalpracticelistings.com

NC MedSpa For Sale

State of Cha-Ching.

MedSpa Located in North Carolina We have recently listed a MedSpa in NC This established practice has staff MDs, PAs and nurses to assist patients. Some of the procedures performed include: Botox, Dysport, Restylane, Perian, Juvederm, Radiesse, IPL Photoreju Venation, fractional laser resurfacing as well as customized facials. There are too many procedures to mention in this very upscale practice. The qualified buyer will be impressed with the $900,000 gross revenue. This is a new listing, and we are in the valuation process.

Lindsay Gianni, Agent 12333 Strickland Road Suite 106 Raleigh, NC 27613 Bus: 919-329-2913 lindsay.gianni.f23o@statefarm.com

Get discounts up to 35% * Saving money is important.

That’s why you can count on me to get you all the discounts you deserve.

GET TO A BETTER STATE .

CALL ME TODAY. ™

Contact Medical Practice Listings today to discuss the practice details.

For more information call Medical Practice Listings at 919-848-4202 or e-mail medlistings@gmail.com

www.medicalpracticelistings.com

*Discounts and their availability may vary by state and eligibility requirements.

For more information, please see or call a State Farm agent.

1101216.1 State Farm, Home Office, Bloomington, IL

MED MONTHLY MAGAZINE

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Physician Solutions, Inc. Medical & Dental Staffing

Physician Solutions can help match you with dental opportunities that fit your professional and personal goals. We are now hiring dentists and dental hygienists in North Carolina, Florida, Georgia, Kentucky, South Carolina, Tennessee and Virginia. Ongoing and intermittent shifts are available, as well as permanent placement.

Physician Solutions, Inc. P.O. Box 98313 Raleigh, NC 27624 phone: 919-845-0054 fax: 919-845-1947 www.physiciansolutions.com physiciansolutions@gmail.com

Scan this QR code with your smartphone to learn more.