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CARE MANAGEMENT FOR THE SOLO PRACTITIONER. NAPGCM WEBINAR September 21, 2011 Suzanne Modigliani, LICSW, CMC Geriatric Care Manager Brookline, Ma. modiglianigeriatrics.com. Setting up a Solo practice. Legal Accounting Insurance Office Space Equipment Marketing Materials.
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CARE MANAGEMENT FOR THE SOLO PRACTITIONER NAPGCM WEBINAR September 21, 2011 Suzanne Modigliani, LICSW, CMC Geriatric Care Manager Brookline, Ma. modiglianigeriatrics.com
Setting up a Solo practice • Legal • Accounting • Insurance • Office Space • Equipment • Marketing Materials
Business Plan • Valuing Services • Expenses • Overhead • Penny Wise, Pound Foolish
Valuing Services • Market research • All hours not billable • Increasing Rates
Expenses • Start up costs • Lost income from other job • Ongoing Overhead
Penny Wise/ Pound Foolish? • Invest • Spend money to make money • Long term perspective
Issues Unique to Solo Practice • Independence • Doing it all • Availability
Independence • Does this describe you? • A tiny bit of a control freak?
Comfortable with doing it all, even more than other PGCM • Care Management and Planning • Marketing • Administrative
Availability • 24/7 Versus Burnout • Beeper/cell • Vacations • Illness
Additional Support • Supervision/Consultation • Continuing Education • Chapter Colleagues • Administrative • Billing • Technical
Supervision/Consultation • Purchased • Peer Group • Informal • NAPGCM calls
Continuing Education • Meeting colleagues • New ideas which you might not encounter otherwise
Chapter Colleagues • Resources • Informal consultation
Administrative • Administrative help as support • Vehicle to allow increased billable hours
Billing • Software • Billing clerk
Technical • Software • Using devices for efficiency and availability • Computer Consultant
Marketing • How much is enough? • Ongoing Relationships
How Much is Enough? • Assess Cost of Marketing Time vs. Results • Is doing your job the best marketing? • Intermittent Marketing
Ongoing relationships • Determine best referral sources • Look beyond the obvious • Community groups • Personal network • Stay in touch
Growth • Case Mix • Triage • Overhead reconsidered • Too much business • Reassess Personal and Professional Goals
Case Mix • New cases needing most time at outset • Ongoing supervision of clients • Stable cases turned to crisis • Long term cases • Single Consultations
Triage • Which cases need most attention now? • Client need trumps marketing activity
Overhead reconsidered • How has this changed since starting practice? • How might it increase with hired staff?
Too much business? • Wow! • Triage • Best referral sources first • Skip meetings • Refer to others • Raise Prices • Change Practice Modality?
Reassess personal and professional goals • Personal • Lifestyle • Stress Management • Professional • Income • Satisfaction • Collegiality