Transcript GP Practice Management by numbers

The Numbers you may need
Shay Conroy
Dolmen Family Medical Practice
Carlow

All GP practices are different
-
Private/GMS Mix
Age Profile
Urban / Rural
Consultation Length
Ultimately the decision on practice style belongs
to the GP partners
 Our function as Practice Manager is to help by
providing the information required to make that
decision

So what kind of practice do your GPs think
they have?????
VOCATION ????
OR
VOCATION
Versus
HARD NOSED BUSINESS
 Ultimately
it is a mix of both.
The point on the line between the 2 is based
on the GP Partners
 The style of practice does have an influence
on financial expectations from the business.
 Factors involved are number of sessions per
week, minimum consultation time that the
GP is comfortable working with.
 Our function is to help by providing the
information. The info that we need is similar
regardless of the style of practice
 Number
%
of planes in the air
of seats filled (CAPACITY)
 Price
per seat €
 Turnaround
 Fuel
time
cost per passenger
 Labour
cost per passenger
 Number
of GPs per session
 Number
of patients seen per day
 Average
consultation fee
 Turnaround
 Overhead
 Labour
time
cost per patient
cost per patient


Accountant will tell you the financial figures he
wants for year end.
However his work is usually long after the event and
we need weekly and monthly management figures

I plan to deal with what I feel is important in order to
maximise the efficiency of the business.

Patients seen, Average income per consultation,
Ensuring you are paid for all work. Reduce
unnecessary work with no value to the practice

IT IS VERY EASY TO BE BUSY ALL OF THE TIME
 Debtors
- Ask Barry O’Brien
1% has to be real and achievable.
 Staff:
Efficiency needs to be the keyword.
Avoid doing a job twice. GP Co-operation is
essential. Use your computer system to the
max.
 Electronic referrals, Use PCRS online to max.
 Reduce
unnecessary phone time ! Use text
messages to send normal results?
 GP
Salaries
 Nurse Salaries
 Admin Salaries
 Rent/Rates/Mortgage
 GP Insurance
 Light ,Heat, Maintainance
 Computers
 Telephone
Bulk of costs are GP costs, nurse and admin
wages, rent/rates and Medical Insurance.
 No point in wasting a lot of effort in places
where return is not great e.g. Phone bill of
€5000 per year. A 10 % saving might need a lot of
hassle to be achieved but will save €500 per
year.
 You could get the same return by seeing 1 extra
private patient PER MONTH between all the
GPs!!
 Before you have a blanket staff wage reduction
apply the same logic and maybe you might get
far more by increasing productivity from the
staff

 How
many patients has your practice?
 Are you sure? How do you know?
 GMS . Can you compare your monthly list
from PCRS with your own list?
 We use Socrates PCRS importer which does
not just import the full list but it allows you
to see the differences and amend/query
them
 Are you being paid for everyone?
- New Babies
- Private Nursing Homes
- Patients who you think have cards!
Consider putting up this list in the waiting room or at
reception to counter the popular belief that GPs receive
€50 for every visit by GMS patients!!!!
 STC
payment
E, T, C
H
ECG }
Sutures }
Cryo
}
Nebuliser
IUCD
=
=
€44.26
€45.00
=
€26.81
=
€40.23
=
€72.21
 Registration
€ 37.78
 V1,
V2, V3 + MMR
€125.86
x 3 @ €18.82 ea
€ 56.46
Booster
€ 18.82
 PCV
 Hib
 Bonus
TOTAL
(95% Uptake)
€ 60.00
€298.92
 Watch
your vaccine bonus. Inform health
board of patients who move out.
Ensure that you send in signed refusal forms
to health board.
 Claim
for maternity miscarraiges, single vists
who dont return and make sure you claim for
extra visits for diabetes, hypertension,
threatened miscarraige etc
 Have a system to check that you have
claimed for all Temporary GMS patients as
well as all special services (STC)
 Ensure
you maximise your income from VHI.
Patients are delighted to get something back
for their subscription
 Be
careful about sending out legal reports
without payment.
 Make
sure all GPs charge the same in
general.
Audit number of patients seen per day and per
GP at least 2 months per year
 Also income per GP


Ensure that you are getting full practice support
subsidy.
€62000 for an experienced secretary and nurse
in a single handed practice (top of scales and
1200n patients.
= €51.66 per patient per anumn (62000/1200)
= €4.30 per patient per month