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Home » Practice Management

 

An Employee Benefit to Consider for Your Medical Practice

By Melissa Young, MD | April 2, 2012

A neighborhood tragedy followed by a coincidence brought an important potential employee benefit to mind.

A neighbor and good friend, a health-conscious, exercise-loving man in his 40s with no known medical problems, was found dead in his home, apparently due to a massive heart attack. We were all shocked. I went to visit the family, and they were busy with preparing for the memorial service and guests coming to offer their sympathies. I asked if there was anything they needed, and at the time, they had no idea; they were still coming to grips with what had happened. 

(MORE: Balancing Bureaucracy and Patient Care as a Physician)

The next work day, I received in the mail a letter from our vision and dental insurance provider. It went through a summary of our benefits and our premium. And on the last page, the insurerer mentioned that it also offers life insurance.

I told my associate the story of our neighbor, and with more practical matters in mind. I asked her if she has life insurance. She didn’t know. Didn’t know? I told her that it was vitally important that she know if both she and her husband are adequately insured. They have two young children. They have a new house and a big mortgage. God forbid they are struck by tragedy. Long after the well-wishers are gone, the bills will keep coming. I told her that disability insurance was another thing they needed. If unable to work, and therefore bring home a salary, how would they pay the bills?

Now, I do not offer either life insurance or disability insurance to any of my employees. Three of them are young, single, and childless and, therefore, would not benefit from life insurance. Two of them live at home with their parents and, therefore, need disability insurance less than someone like my associate who has others who depend upon her and her income. 

Will I offer these as benefits someday? Maybe. It depends how much the practice grows and what happens in the lives of my staff. In the meantime, I have encouraged my associate to make sure she has life and disability insurance. 

On a happier and completely unrelated note, my new nurse practitioner starts next week.  We are very excited. She will have her EHR orientation and training Monday, and sees her first patients Thursday (she’s starting off part-time). I have been reassuring patients that they are not losing me as a provider, that I am in the office should there be anything complicated, and that they will still be seeing me during most of their visits. I have not had anyone balk at it. I think it will help that she is also a certified diabetes educator. I am sincerely hoping that they see her as the professional healthcare provider she is and that they see the benefit in seeing her as well as me. 

Find out more about Melissa Young, MD, and our other Practice Notes bloggers.
 

 

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by Melissa Young | April 17, 2012 8:22 PM EDT

Comprehensive - Ah, the real world - hard for any new graduate. My NP has actually been in practice elsewhere for years, so although she is learning her way aroung the EMR and the endocrine practice, she already knows her way around a private practice. She is even teaching me a thing or two! My associate, however, was fresh out of fellowship when she started. Aside from allowing her plenty of time to see patients, and allowing myself time to answer her questions, there really sin't anything else. Just be available to her, there will be a lot of questions. Things that now come intuitively to you are brand-spanking-new to her. Noobdy teaches anybody about coding, prior auths and such, adn there is minimal teaching about coding. She will find her way. As far as building a patient base, I am having our NP see follow-ups, so my patients are her patients.

by Comprehensive Health | April 16, 2012 1:21 PM EDT

Melissa, I am glad you brought up the fact you have recently added an NP.
We recently added a NP to the office one month ago. She is a new graduate and is struggling to adjust to "the real world" as she puts it.

Do you have any insight as to how to make this transition smoother for her?
Also, what tactics are you using to build your NP's patient base?

I am a solo practitioner and hopeful that this addition will be a positive move for the practice.
I thought the biggest obstacle to adding a NP would have been patient acceptance but so far this has not been an issue - at least not one that has been verbalized to me or the staff.
Any insight into navigating this journey would be greatly appreciated from all who see this post.
Thank you

by Kimberly Spering | April 03, 2012 10:10 PM EDT

Completely agree with the necessity of having life insurance...and disability insurance if one can afford it as well. NOT planning for the "what ifs"will have dire consequences.

As for your new NP starting next week, congratulations! Her role and acceptance among patients (and staff) will start at the "top," with you and your associate...along with those who schedule appointments. By treating her as a provider (not just a glorified RN), she will settle into her role very nicely and, I daresay, be a wonderful addition to your practice. However, it all starts with promoting acceptance from the first phone call...to check-in...to check-out. Take it from one who has "been there, done that." (smile)

Her ability to educate (more in-depth, perhaps, given time constraints of usual physician schedules) will be a crucial element in your practice. I see this with my patients as well...just today, a gentleman whom I've only seen once, to educate on the use of his Byetta pen (we have no clinical RNs/LPNs in the office)...came in for a visit with me today...unrelated to his DM. After 20 minutes, I had discussed his DM meds, discovered he wasn't taking his Byetta consistently, and reviewed his labs from December (he had missed a previous appointment). We discussed options and came up with a plan for his meds & care. Amazed, he told me that he had never had the explanation about his DM and meds like I gave him. I'm not doing anything special...just happened to have the time to educate him about it.

Apologies for the long response...but wanted you to know that your patients WILL end up liking her...especially if they see YOUR support in her role.

Kim Spering, MSN, CRNP, FNP-B.C.

More from Melissa Young, MD

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Only Hire When the Time is Right at Your Medical Practice

When Physicians Are Out, Revenue Also Takes a Vacation

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Hobbies: A Great Stress Reliever for Physicians

Dealing with the Absence of a Physician in Private Practice

Should Medical Practice Staff Get Paid When the Office is Closed?

Picking the Right Health Insurance for Medical Practice Staff

An Employee Benefit to Consider for Your Medical Practice

Weighing Employee Benefits for Medical Practice Staff

In Private Practice, There's Very Little 'Off' Time

Retirement Plans for Medical Practice Staff a Great Investment

Patient Satisfaction: You Can't Please Everyone

Dealing with Difficult Patients a Part of the Job as a Physician

Going into Medicine ‘to Help People’ Not a Bad Reason at All

Having Students at My Medical Practice Provides Lessons in Liability

Balancing a Patient’s Request with a Physician’s Ethical Standards

2011: A Year of Milestones at Our Medical Practice

My Medical Practice Christmas Wish List

Common Stereotypes Often Cloud Patients’ Perception of Physicians

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