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Going solo…… High volume, stringent quality, total control !

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Presentation on theme: "Going solo…… High volume, stringent quality, total control !"— Presentation transcript:

1 Going solo…… High volume, stringent quality, total control !

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3 Freedom

4 To pursue your dreams

5 To pursue success

6 Of thought and action not bound by straitjacket of physical and mental constraints

7  To choose work environment  Quality assurance  To pursue academics  Financial freedom

8  To develop your work environment ▪ Work place  Aesthetics  Equipment  Employees ▪ Work culture

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11  Front office

12  Outpatient services

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15  Ancillary Services

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20 Quality assurance

21 Ensuring availability of and adherence to protocols Accreditation

22 Courtesy and behaviour

23 Attend conferences / Other academic activities of your choice.

24 Ensuring profitability

25 “A hospital should also have a recovery room….. adjoining the cashier’s office” Francis O’ Walsh

26 To invest in ▪ Your work place ▪ Your equipment ▪ Your books /Journals.

27  To give amenities to your family  To give the best education to your children  To enjoy comforts  To enjoy vacations Live life the way you want to.

28  Your initiative  Your ability  Your effort.

29  Your ability to impress (? butter up) your boss.  Your c.R’s.

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32  How much income am I willing to risk till practice develops?  How much debt am I willing to incur to reach a sustainable cash flow?

33  Do business decisions and tasks really interest me ?  Is my family ready to fully support me and make necessary sacrifices ?

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40 Good Services  Courtesy  Waiting Time  Quality of patient care and surgery Honesty to self and patient

41  Surgery  Undertake what you can do COMPETENTLY…  Refer others

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43  Clinical Practice  Academics  Personal & Social Life

44  Administrative Responsibilities  Paper Work

45  Unable to mould the place totally according to one’s desire  Justification to be given for each equipment purchase  More accountability related to surgical output

46  Jealousies / Back biting

47  Financially much less lucrative

48  Ability to build / mould a place of your own -Can give expression to your ability / creativity

49  Flexibility in working  Greater control on working of staff

50 Better financial returns

51  More work  More Responsibilty

52  Increased hassles  Management of the set-up  Purchases  Inventories  Stock checking  Thefts

53  More financial liabilities  House tax  Electricity bills  Water bills  Telephone bills  Maintenance costs  Insurance of equipment & space

54  Official problems  NH recognition (need to fulfill requirements)  Hassles from civic agencies  Commercial rates of electricity, water, house tax, telephone

55  Accreditation hassles  Empanelment hassles  TPA & Insurance hassles Official problems

56 Need to work hard There are no short cuts in life

57 Plan well  Understand the market !!!!

58 Plan well  Understand the financial implications

59  Patient comes first…….ALWAYS  Patient’s interest is YOUR INTEREST…..

60 “ There are just two rules for success 1. Never tell all you know. 2. Robert H. Lincoln

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62  Have to do?  Want to do ?

63  Comfort / Courtesy for patient…..

64  Staff Co-operation

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66 “ Medicine may be defined as the art or the science of keeping a patient quiet with frivolous reasons for his illness and amusing him with remedies good or bad until nature kills him or cures him” Gilles Menage ( ) God heals and the doctor takes the fee Proverb

67 “ Medicine is a noble profession but a damn bad business” Humphrey Rolleston ( )

68 Medicine is the only profession that labours incessantly to destroy the reason for its existence Sir James Bryce ( )

69  Improved patient services (Clinical,surgical, ancillary and courtesy) Better relationship with patients  Greater word of mouth publicity Higher recommendation ratio  Better return rate of patients

70  Developing infrastructure  Developing subspecialities  Training manpower

71 Adding equipments  Financing  Cost sharing basis with the specialist or as a group practice  Agreement with suppliers  Financing  Deferred payment  Per case basis payment

72 Getting subspecialists for services  Salary basis  As part time consultants  Visiting consultants  Sharing basis

73 Ensuring cost effectiveness by tie ups  Vitreo retina - with Diabetes specialists  Neuro ophthalmology/ squint – Neurologists

74  Pediatric Ophthalmology – with pediatricians  Aesthetic surgery – with plastic surgeons/ dermatologist/ cosmetic clinics

75 Training manpower  Fellowships at centres of excellence  Inviting specialists for short duration

76 “A hospital should also have a recovery room….. adjoining the cashier’s office” Francis O’ Walsh

77 “ There are just two rules for success 1. Never tell all you know. Robert H. Lincoln

78 Dr A K Grover, MD, MNAMS, FRCS Chairman, Department of Ophthalmology, Sir Ganga Ram Hospital, New Delhi & Director, Vision Eye Center, New Delhi

79  Clinical Practice  Academic Work  Personal & Social Life

80 Clinical Practice  Good Equipment / Set- up (cuts down investment needed;)  Assistance in outpatients evaluation / surgery  Quality Work

81 Clinical Practice  Support of other sub- specialities in cases of mishap / difficult cases / work-up  ICU / CCU back-up – Can take up difficult cases  Cross Referrals from other specialities

82 Clinical Practice  Shared Work & Responsibility Cushion against patient misbehavior / litigation – Back-up available Also ensures ethical practice

83 Academics  Teaching Environment  Assistance in academic presentation / writing books / writing papers

84 Academics  Access to Library / Internet / Latest modalities of management  Set-up + assistance for conducting conferences / work- shops

85 Academics  Support in research work

86 Academics  Ability to conduct exams (ICO / FRCS / NBE)  Can be an examiner (NBE / FRCS)

87 Personal & Social Life  Name & Prestige  Abilities / Skills get known to a lot of people

88 Personal & Social Life  Unit System – Ability to take VACATIONS

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90 NOT BOUND BY STRAIT JACKET OF PHYSICAL AND MENTAL CONSTRAINTS.

91  TO DEVELOP YOUR WORK ENVIRONMENT

92  Patient at ease in a smaller set-up

93  Courtesy  Ambience

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96 -Ensuring availability of and adherence to protocols

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98  Freedom  Independence  Ability to mould set-up


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