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Best business practices for managing and promoting a nutrition service.

Best business practices for managing and promoting a nutrition service. Tamara Hein, MPH, RD, LD, CDE. Seminar Agenda. Overview Project Unit 9/?’s Managing and Promoting a Nutrition Service Questions. Project Unit 9. APA format required; title page, double space body, reference page.

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Best business practices for managing and promoting a nutrition service.

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  1. Best business practices for managing and promoting a nutrition service. Tamara Hein, MPH, RD, LD, CDE

  2. Seminar Agenda • Overview Project Unit 9/?’s • Managing and Promoting a Nutrition Service • Questions

  3. Project Unit 9 • APA format required; title page, double space body, reference page. • Replies researched and supported with references • Documentation • Chapter 22 • ADI documentation – Nutrition Care Process pp 138 • Documentation – for patients benefit

  4. Marketing • Referrals • Sources? • Relationship building? • Documentation? • Outcomes? • Clients • Awareness of service • Hours, availability • Expecations

  5. Problems • Only 1-2 physicians making referrals • High rate of no shows • Easy access and availabiltiy

  6. Criteria for success • Excellent Service • Outcomes • Excellence in cutting edge clinical knowledge • Patient Centered Care

  7. Case Study – p 279 43 year old female office manager. Gallbladder surgery. Upon discharge your MD diagnoses you with high cholesterol. You have a family history of high blood pressure, usually controlled with medications. You have no symptoms but are 20 pounds overweight. Your physician says “You are too young for high cholesterol and it has to come down. Omit eggs and butter, and limit red meat to 1 time/week. If it doesn’t come down I will have to add medication. I am making a referral to the dietitian.

  8. Contradicting the MD • How do you address a topic in which you and the MD differ?

  9. Preventing lost referrals • The physician makes a referral, but the patients don’t come in for an appointment.

  10. Nutritionist to Nutritionist Referrals • Knowing your specialty • Refer to someone else if it isn’t your strength. • Benefits of this? • Important documentation?

  11. Ease of Access • Visibility of your place of business • Parking • Handicap accessible • Bariatric furniture • Toll free numbers • Hours • Voice mail or availability

  12. Scheduling Appointment • Use your time efficiently • How long does it take for a new client to get in; track this • Reminder calls • Will you charge for failed appointments? • Use a recheck reminder card with a statement indicating that cancelations should be made 24 hours in advance.

  13. Costs to clients/providers Case study – 85 year old female presents for pre diabetes. This is not covered by Medicare. If you forget to file an ABN and see the patient you will have to write off the fees (free). If you complete and ABN the patient agrees to self pay for the service.

  14. Improve satisfaction • Describe your services, letter to patients welcoming them to the service • Pre assessment questions • Brief diet history • What will your service include – follow up visits? • If a patient comes in prepared you will have a better session

  15. Creating a client chart • Excel, or Access • EMR chart • Paper chart • Confidential – lock it up • Personal information • Documentation from visits • Medical chart data you are sharing from another resource.

  16. Telephone calls • Keep a record of calls and brief information on what was discussed. • Phone follow ups

  17. Billing • Hire a business manager • Do it yourself • Within a clinic then usually taken care of by Billing or Coding

  18. Education Materials • Professional Appearance • American Dietetic Association on line manual • RD411 (manufacturer supported materials) • Professional organizations (Diabetes, Kidney disease, Crohn’s, Hyperemesis Gravida)

  19. Avoid information Over load • Aspects of Motivational Interviewing • Relationship building • Less talking, more listening • Small steps behavior change

  20. Location • Access – Parking and visibility • Professional • Secure and Confidential • Availability of rest rooms • Availability of food/beverage • Demonstration Kitchen

  21. First impressionsAppearance • Warm Introduction • Dress • Table versus desk • Manners, eye contact, listening • Close the session

  22. Fees • Who is your competition? • Weight Watcher’s $10/group session • Nutrisystem – cost of food • MNT Clinic fees $28/15 minutes • DSMT fees $150/30 minutes • What will the market bear?

  23. Collecting Fees • What is your plan for this?

  24. Opportunities • What are opportunities for you in your communities?

  25. You’re the Nutritionist • How will you market yourself or your service?

  26. Questions • Thank you for attending seminar tonight!

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