{"title":"Heroes and servant leaders in group practice. An interview with new MGMA chair Robert Goldstein. Interview by Bob Readling.","authors":"R L Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"47 1","pages":"42-6"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
During the 1990s, with the proliferation of managed care and aggressive negotiating postures by insurance companies, the reimbursement paid to physicians decreased drastically. In order to compensate, physicians have had to extend their work week, reduce overhead or seek alternative revenue sources. Developing alternative sources of revenue without having to work additional hours is the most palatable option. In our practice, almost 15 percent of revenue is derived from alternate or non-physician revenues collected at 100 percent of posted charges. This article highlights some of these solutions and discusses their applicability and appropriateness within a practice.
{"title":"Developing alternate revenue sources.","authors":"M Greenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the 1990s, with the proliferation of managed care and aggressive negotiating postures by insurance companies, the reimbursement paid to physicians decreased drastically. In order to compensate, physicians have had to extend their work week, reduce overhead or seek alternative revenue sources. Developing alternative sources of revenue without having to work additional hours is the most palatable option. In our practice, almost 15 percent of revenue is derived from alternate or non-physician revenues collected at 100 percent of posted charges. This article highlights some of these solutions and discusses their applicability and appropriateness within a practice.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"47 1","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21597769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burnout is a syndrome characterized by three dimensions: exhaustion, cynicism and ineffectiveness. It arises as a result of an interface between personal factors that are common to many professionals in conjunction with specific factors that are part of the fabric of any organization. The organizational factors include workload, control, the workplace as a supportive community, reward systems, fairness in decision-making and conflicts in group values. Improvement in group function comes with attention to each of these factors.
{"title":"Toward an understanding of burnout.","authors":"L Vickman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Burnout is a syndrome characterized by three dimensions: exhaustion, cynicism and ineffectiveness. It arises as a result of an interface between personal factors that are common to many professionals in conjunction with specific factors that are part of the fabric of any organization. The organizational factors include workload, control, the workplace as a supportive community, reward systems, fairness in decision-making and conflicts in group values. Improvement in group function comes with attention to each of these factors.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"47 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21597768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avoid the fine print blues.","authors":"K D Beckman, P J Dunks","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"47 1","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21597770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Performance measurement an essential component of medical practice.","authors":"J B Mayer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recent trends show that organizations that once thought business office centralization was beneficial are re-thinking their strategies and decentralizing business office functions. This article focuses on the paradigm shift from business office centralization to decentralization and the political factors effecting this shift. It provides actual case summaries to demonstrate what has transpired, and presents an alternative strategy to establishing successful business office functions, a hybrid business office.
{"title":"Centralizing physician office functions. A paradigm shift.","authors":"J G Croopnick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent trends show that organizations that once thought business office centralization was beneficial are re-thinking their strategies and decentralizing business office functions. This article focuses on the paradigm shift from business office centralization to decentralization and the political factors effecting this shift. It provides actual case summaries to demonstrate what has transpired, and presents an alternative strategy to establishing successful business office functions, a hybrid business office.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"54-6, 58, 60"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The risks of underutilizing your computer system.","authors":"R Nelson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HMOs and the medical groups that they contract with are increasingly developing hospitalist delivery models to assist them with their inpatient care. This article offers a case study of how not to create a hospitalist program as well as tips for success.
{"title":"The cost and quality of hospitalists. A detailed analysis of creating and managing a hospitalist service.","authors":"B Gipe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>HMOs and the medical groups that they contract with are increasingly developing hospitalist delivery models to assist them with their inpatient care. This article offers a case study of how not to create a hospitalist program as well as tips for success.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"40-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article gives practical advice about how to plan, develop and present a business plan for group practices. The author urges groups to document their business strategies because it provides a "financial road map" to assist in the affairs of the group. It will lay a suggested foundation and methodology for you to use. He recommends sources of information and examples of how his group practice goes about developing their business plan.
{"title":"How to develop a business plan for your medical group.","authors":"W M Edsel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article gives practical advice about how to plan, develop and present a business plan for group practices. The author urges groups to document their business strategies because it provides a \"financial road map\" to assist in the affairs of the group. It will lay a suggested foundation and methodology for you to use. He recommends sources of information and examples of how his group practice goes about developing their business plan.</p>","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"36-9"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics in group practice.","authors":"D L Schryver","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79686,"journal":{"name":"Medical group management journal","volume":"46 6","pages":"8, 10"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21517603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}