Practice Administrators

As our nation’s largest employer of cardiologists, private practices play an enormous role in the cardiology workforce in terms of both utilization and planning. They are among the first to feel the pinch of an insufficient supply as they attempt to grow their practices to meet the increasing demands of their communities for cardiovascular care. The ACC, along with strategic partners MedAxiom and MGMA’s Cardiovascular/Thoracic Surgery and Cardiology Assembly (CSCA), wants to work with cardiology practices to ensure that the existing cardiovascular workforce is being utilized at the highest possible efficiency while working toward increasing the supply of cardiovascular specialists and growing the workforce to meet demand. The following factors have been identified by the Task Force as impacting the efficiency of the cardiovascular workforce:

Utilization of mid-level providers

Policies for physician slow-down prior to retirement

Part-time work opportunities

 

Utilization of Mid-level Providers

Mid-level providers (also called non-physician clinicians or physician extenders) such as nurse practitioners and physician assistants can help increase a practices’ capacity at a lower cost than hiring additional physicians while contributing to high-quality care and patient satisfaction.

Job descriptions
Employment agreements
Protocols
Example: role of mid-level providers at Utah Heart Clinic
Austin Heart Physician Extender Model
Candidate search: ACC Cardiology Careers

Articles of Interest

What do PA, NP, and CNM spell? A revolution in health care
Make the most of your staff
How to harmonize with PAs and NPs
Extend your practice: not your liability
Are you collecting illegal dollars for “incident to” services?


Policies for Physician Slow-Down Prior to Retirement

Many senior physicians would like to continue seeing patients but are not willing or able to maintain the long hours and call toward the end of their careers. Often times practices are ill prepared when a senior physician comes to them requesting an altered work schedule to accommodate their needs; however, it is important to keep these experienced and valuable physicians in the workforce as long as they are willing to work. Establishing a policy for reduced work hours prior to retirement requires thought and planning, and the time to start working on it is now.

Physician retirement and practice transition self-assessment tool
Sample call elimination policy
Sample physician retirement policy
Sample call elimination policy prior to retirement
Sample policy for reduction of work hours for shareholder
Can’t retire? Ease out.


Part-time Work Opportunities

The younger generation of physicians is seeking greater work-life balance than previous generations. According to the preliminary findings of the Association of American Medical College’s (AAMC) survey of physicians under 50, many are unwilling to work more hours for more pay. The number of physicians, male and female alike, who is interested in working part-time at some point in their career is on the rise. In order to attract young talent, practices will need to think about providing part-time work opportunities in order to be attractive employers to job seekers.

Sample call elimination policy
Sample policy for reduction of work hours for shareholder
The alternative work schedule: Is part-time possible for a cardiologist?
When a doctor wants to work part time
Gen X vs. boomer: A call schedule solution
Get a life—Go flextime
Baby bias: Setting policies that are fair for workers

Other Resources for Practices

August 2-3: AAMA Summer Institute:  Management Skills for Healthcare Leaders
Summary of all physician policies
Sample physician employment agreement
Sample physician employment contract
Sample physician search agreement
100 points of recruiting success
New physician orientation checklist
New hire orientation checklist
Practice administrator job description
Recruiting generation X physicians
When to add—or subtract—physicians

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