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OB: Patient Rotation/2 offices, 4 providersFrom: Garry Siegel (garrys@mindspring.com)Mon Feb 21 20:54:47 2000
Does anyone have some sensible, practical suggestions to our practice dilemma? We have a 3 doc, one part time office midwife practice with two offices, one of which is the main office with up to 3 providers, and a busy satellite with only 1 provider at a time. Due to length of time in the area(s), time in practice, etc., we do not go to each office equally. Our goal is to have all of the Ob patients see each of the doctors at least once, and generally we try to have the patients go to their chosen, more convenient location for scheduled stuff. With no disrespect to the CNM, whether she sees all the Ob patients or not is immaterial, as she is not delivering currently. Doc A--Main office 90%, satellite 10% (least years at satellite) Doc B--Main 45%, satellite 55% (more years at satellite) Doc C--Main 66%, satellite 33% (new partner from 8/99) CNM--Main 66%, satellite 33% Because there is a substantial portion of our patients that go only to the satellite, and Doc A isn't there too much, Doc A sometimes doesn't ever see a patient he may deliver. To a lesser extent, Doc B sometimes is a bit pushed to see some of the main office patients, as he can be tight in that office, too. How do we get our staff or Docs to make sure we rotate the patients so that they get seen by everyone, within reason. We do not push patients to see a Doc they don't want to, but we do suggest it. Our appointment staff hasn't yet figured out how to balance this. My thoughts: 1. Ask the docs to designate who the patient should see on return--easily written on the superbill by the return visit in X weeks spot. Sometimes the Doc is good about this, sometimes not. 2. Have the check out staff look at the prenatal flowsheet and see which Doc the patient *hasn't* seen, and make the next appointment with him/her. 3. At check out, make the next two month appointments, rotating the Doc to fix the problem. For most Ob patients seen at 8 weeks initially, she'll come in for 10 to 12 visits. My gut says this isn't hard to accomplish, but we don't seem to have it right. Any suggestions? Thanks Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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